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United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… through December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandSouth Kortright Central School District – Retiree Health Insurance Contributions (2016M-148)
… the collection of retiree health insurance contributions for the period July 1, 2014 through February 29, 2016. … five-member Board of Education. Budgeted appropriations for the 2015-16 fiscal year totaled approximately $9 million. … the initial retiree billings based on the estimated bills for the actual premium amounts charged. … South Kortright …
https://www.osc.ny.gov/local-government/audits/school-district/2016/07/08/south-kortright-central-school-district-retiree-health-insuranceUpstate Medical University's Billing Practices
… (Upstate) billing practices are adequate to ensure that insurance carriers are billed timely and that services being … heart disease. Its overarching mission is to improve the health of the communities it serves through education, biomedical research, and health care. Upstate employs 9,640 employees at its numerous …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesCUNY Bulletin No. CU-780
… checks dated January 25, 2024 (Institution Current) and February 8, 2024 (Institution Lag). OSC Actions: OSC will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-780-city-new-york-health-benefit-rate-changesCUNY Bulletin No. CU-769
… Effective in paychecks dated July 27, 2023, for current and lag employees. OSC Actions: OSC will automatically …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-769-city-new-york-health-benefit-rate-changesNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesUnified Court System Bulletin No. UCS-132
… allowance $500 legal reference materials allowance $1,500 health and wellness allowance There are three additional … association dues and educational events education programs health care expenses With the exception of State health insurance premiums, these expenses require a receipt. The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-132-judicial-supplemental-support-allowanceDiNapoli Op-Ed: Act on Proposal to Help State & Local Governments Pay for Retiree Health Care
… amount. Unfortunately, the governments that want to do the right thing and set aside some money lack the legal … to pre-fund these benefits. This needs to change. I have put forth a legislative proposal that would give public …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-op-ed-act-proposal-help-state-local-governments-pay-retiree-health-careState Comptroller DiNapoli Releases School District Audits
… today announced the following school district audits have been issued. Fayetteville-Manlius Central School … interest rates, the district’s interest earnings could have increased by $215,120. Tioga Central School District – … today announced the following school district audits have been issued …
https://www.osc.ny.gov/press/releases/2020/11/state-comptroller-dinapoli-releases-school-district-audits-1CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
To determine the extent of implementation of the six recommendations included in our initial audit report CVS Health Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service Report 2018S50
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followDiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… a joint investigation for unlawfully waiving her own health insurance premiums. This is the second arrest of a village …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-villageUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… provider located at three sites in Suffolk County, New York (Southampton, Riverhead, and Port …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpState Comptroller DiNapoli Releases School Audits
… other reserve funds. Solvay Union Free School District – Payroll (Onondaga County) District officials have effectively … comprehensive practices for processing and verifying payroll payments. However, auditors found instances where …
https://www.osc.ny.gov/press/releases/2018/02/state-comptroller-dinapoli-releases-school-audits-0United HealthCare – Compensation and Benefit Costs for the Empire Plan for the Period January 1, 2008 through December 31, 2010
… whether United’s charges were accurate and related to the administration of the Empire Plan. The audit covers the three fiscal years … the charges for time worked by claims and call center staff assigned to the Empire Plan. United did not have a …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/united-healthcare-compensation-and-benefit-costs-empire-plan-period-january-1-2008-throughCVS Health - Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… recommendations included in our initial audit report, CVS Health – Accuracy of Drug Rebate Revenue Remitted to the … 2016-S-41 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… Revenue ( 2019-S-27 ). Background The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/cvs-health-temporary-holding-account-rebate-revenue-followNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… Department of Civil Service (Civil Service) has contracted with CVS Health to administer the prescription drug program. …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Health remitted commercial drug rebate revenue related to … 31, 2018. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of …
https://www.osc.ny.gov/state-agencies/audits/2020/08/21/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… of Civil Service (Department) administers NYSHIP. In carrying out its responsibilities, the Department … of Empire’s payments for special items. Systemic problems in Empire’s controls over these payments were identified, as was about $10 million in payments that exceeded reimbursement limits according to …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The New York State Health Insurance Program (NYSHIP), administered by the State … Service), is one of the nation’s largest public sector health insurance programs. NYSHIP covers over 1.2 million …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-services