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An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… the NYSHIP members. The Empire Plan provides its members with four types of health insurance coverage: … and substance abuse services. Civil Service contracts with UnitedHealthcare (United) to administer the medical/ … on behalf of Empire Plan members. United contracts with a large network of participating (in-network) providers …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesDiNapoli: Property Tax Exemptions Top $450 Billion
… In this category, the state's School Tax Relief program (STAR) – which applies to a large portion of owner-occupied … outside of New York City – represents the majority share. STAR accounted for 2.4 million partial exemptions in 2016, … of all exempted value. However, unlike other exemptions, STAR creates no direct additional burden on other local …
https://www.osc.ny.gov/press/releases/2018/02/dinapoli-property-tax-exemptions-top-450-billionDiNapoli Calls for State Procurement Reform
… and allegations of corruption in the awarding of contracts for state economic development projects. “The alleged … procurement practices. This created an environment ripe for self-dealing and abuse. New York state must take credible … state law, the State Comptroller’s office is responsible for reviewing and approving state agency contracts above …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-calls-state-procurement-reformDiNapoli: Statewide Agency Overtime Tops $337 Million Halfway Into 2015
… If overtime continues to rise at this pace, total costs for 2015 would exceed $700 million, an all-time record. … and the Division of State Police overtime costs for June and July 2015 jumped by more than $22 million over … were up nearly 50 percent. During that same period, the number of state agency employees declined by more than eight …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-statewide-agency-overtime-tops-337-million-halfway-2015Comptroller DiNapoli Releases State Audits
… today the following audits have been issued: Department of Health (DOH): Improper Payments Related to the Medicare … However, further actions are still needed as millions of dollars in questionable and improper Medicaid payments … people enrolled in the Medicare buy-in program. Department of Health: Medicaid Program –Excessive Medicaid Payments to …
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsMedicaid Program – Medicaid Claims Processing Activity October 1, 2017 Through March 31, 2018
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 1, 2017 through March 31, 2018. Background The Department of Health (Department) administers the State’s Medicaid … 184 million claims, resulting in payments to providers of more than $31 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2019/02/05/medicaid-program-medicaid-claims-processing-activity-october-1-2017-through-march-31-2018Comptroller DiNapoli Statement on Reports Trump Administration Will Withdraw From Paris Agreement
… "The Trump Administration’s willful ignorance of climate change … jeopardize our chances of avoiding catastrophic changes in our climate, but it will not halt the momentum in the global marketplace where reason still reigns. The … The Trump Administrations willful ignorance of climate change …
https://www.osc.ny.gov/press/releases/2017/05/comptroller-dinapoli-statement-reports-trump-administration-will-withdraw-paris-agreementDiNapoli: State Agency Overtime Tops $316 Million Halfway Into 2014
… more than $316 million on overtime in the first six months of 2014, a jump of $22 million over the same period in 2013, New York State … trend could again result in a record-breaking year of overtime hours and overtime pay,” DiNapoli said. “Our … more than $316 million on overtime in the first six months of 2014 a jump of $22 million over the same period in 2013 …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-state-agency-overtime-tops-316-million-halfway-2014Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… Objective To determine whether the Department of Health’s (Department) eMedNY system reasonably ensured … 313 million claims, resulting in payments to providers of more than $36 billion. The claims are processed and paid … for inpatient claims that were billed at a higher level of care than what was actually provided; $1.1 million was …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021II.3 Overview – II. New York State Financial Accounting
… The Executive Budget refers to the structure and process of the constitutional system of budgeting in New York State which vests in the Governor … These responsibilities are provided in Article VII of the State Constitution and Articles 3 and 4 of the State … The Executive Budget refers to the structure and process of the constitutional system of budgeting in New York State …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ii/ii3-overviewMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2020, eMedNY processed over 151 million claims, resulting in payments to providers of more than $38 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Medicaid Program – Claims Processing Activity October 1, 2019 Through March 31, 2020
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2020, eMedNY processed over 227 million claims, resulting in payments to providers of more than $36 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2020/10/20/medicaid-program-claims-processing-activity-october-1-2019-through-march-31-2020Update on New York’s Unemployment Insurance Trust Fund: Challenges Continue
The devastating job losses caused by the COVID-19 pandemic led to a record number of unemployment insurance (UI) claims in New York, necessitating borrowing from the federal government beginning in May 2020.
https://www.osc.ny.gov/files/reports/pdf/update-unemployment-insurance-trust-fund.pdfMWBE Report 2020-2021 Fiscal Year
In the 2020-21 fiscal year, market disruptions from the global pandemic gradually turned to optimism that the race against the COVID-19 virus would be won, ushering in a return to “normal” times.
https://www.osc.ny.gov/files/reports/special-topics/pdf/mwbe-fiscal-2020-21.pdfImproper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (2019-S-72) 180-Day Response
To determine whether the Department of Health (Department) made improper payments for claims in violation of federal and State requirements related to ordering, prescribing, referring, or attending (OPRA) providers who were no longer participating in the Medicaid program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-19s72-response.pdfReport of Title V Operating Permit Program Revenues, Expenditures, and Changes in Fund Balance for the Eight Fiscal Years Ended March 31, 2017 (2017-S-81)
To determine whether the Department of Environmental Conservation has adequate procedures in place to accurately capture the Title V Operating Permit Program...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s81.pdfDiNapoli: Audit Cites East Clinton Fire District For Improper Gifts
… improperly paid nearly $35,000 in personal expenses for members, including rent, cable television and college … $8,500. District officials have not sought reimbursement for the gifts or loans. During the 16-month audit period, … more than 11 hours a day, seven days a week, every week, for 16 months. The Comptroller’s audit also revealed: Bank …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-audit-cites-east-clinton-fire-district-improper-giftsDiNapoli: New York Sending More Tax Dollars to Federal Government Than it Gets Back
… 84 cents for every dollar it sent in taxes to the federal government in 2016, a wider gap than three years before, … Yorkers paid almost $255 billion in taxes to the federal government. While New York received 16 cents less per dollar … or 50.3 percent, of all taxes paid to the federal government in FFY 2016. New York's payments of more than $145 …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-new-york-sending-more-tax-dollars-federal-government-it-gets-backState Agencies Bulletin No. 2287
… Purpose: The purpose of this bulletin is to inform agencies of new functionality allowing employees to enroll in direct deposit and update their direct deposit … all NYS employees enrolled in direct deposit. In an effort to improve the timeliness and accuracy of employee direct …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2287-new-york-state-payroll-online-direct-deposit-functionalityMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… Objective To determine whether the Department of Health’s (Department) eMedNY system reasonably ensured … 121 million claims, resulting in payments to providers of more than $38 billion. The claims are processed and paid … $28.5 million was paid for managed care premiums on behalf of enrollees who also had concurrent comprehensive …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021