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State Contract and Payment Actions in July
… Facility in Clinton County. $4.8 million with the Capital District Transportation Authority for state employee public … Center in Brooklyn, including $2.1 million with Patient Accounting Service Center LLC and $2 million with Sierra … Education $515,000 in general aid payment to Spackenkill School District. Empire State Development Corporation $10 …
https://www.osc.ny.gov/press/releases/2020/08/state-contract-and-payment-actions-julyState Contract and Payment Actions in March
… million with SHI International Corp for ParkHub parking payment equipment. $2.6 million with Con-Tech Building … the Landlord Rental Assistance Program. Other Contract and Payment Rejections and Other Cost Recoveries DiNapoli’s …
https://www.osc.ny.gov/press/releases/2023/05/state-contract-and-payment-actions-marchState Contract and Payment Actions in March
… Defoe JV for Hunts Point Interstate access improvements in Bronx County. $31.7 million with Cobleskill Stone Products … Inc. to construct and equip a new greenhouse in Oneida, NY. $1.6 million to the Rochester Institute of Technology for … to manufacture and assemble circuit boards in Newark, NY. Office of General Services $17 million for hourly-based …
https://www.osc.ny.gov/press/releases/2021/04/state-contract-and-payment-actions-marchVillage of Clayton – Claims Auditing (2021M-81)
… did not review the claims before approving payments. Health insurance claims totaling $495,104 were not approved for …
https://www.osc.ny.gov/local-government/audits/village/2021/09/03/village-clayton-claims-auditing-2021m-81Long Island Association for AIDS Care
… report 2012-0063 , entitled the Long Island Association for AIDS Care, Inc. (LIAAC). Based on information obtained … the documents LIAAC submitted to support the reimbursement for employee health insurance (i.e., medical and dental … our examination of medical and dental expenses claimed for reimbursement by LIAAC under their contracts with the …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careOpinion 89-56
… plan. As an incentive for employees to help identify charges made by health care providers for services not … payment constitutes a gift of town funds in violation of Article VIII, §1 of the State Constitution. Town Law, §27(1) …
https://www.osc.ny.gov/legal-opinions/opinion-89-56Patchogue-Medford Union Free School District – Health Insurance Buyouts (2023M-21)
audit, school district, patchogue medford
https://www.osc.ny.gov/files/local-government/audits/2023/pdf/patchogue-medford-union-free-school-district-2023-21.pdfDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… contained inaccurate information, such as the diagnosis code or newborn’s birth weight; and $1.1 million for claims …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsState Contract and Payment Actions in April
… and incident response services. $1.6 million with C&S Design Build Inc. to convert the Design Center into the … Health for the administration of the Empire Plan’s mental health and substance use disorder program. State … Payment Rejections and Other Cost Recoveries DiNapoli’s office rejected tax refunds and credits valued at more than …
https://www.osc.ny.gov/press/releases/2024/06/state-contract-and-payment-actions-aprilUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million active and … district employees, and their dependents. NYSHIP’s primary health benefit plan is the Empire Plan. UnitedHealthcare …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… The Department of Health (Department) administers the State’s Medicaid program. The Department’s eMedNY computer … for pharmacy claims that were not in compliance with State Medicaid policies; and $167,101 for claims with …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2015 through March 31, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $937,424 in …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … hospital claims for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … pricing logic due to eMedNY's incorrect designation of the claim type being processed; $2,965,300 in overpayments for …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… The Department of Health (Department) administers the State's Medicaid program. The Department's eMedNY computer … care; Claims for a recipient who did not live in New York State; and Improper claims for certain clinic services, …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… in Medicare Part B, which provides supplementary medical insurance for a broad range of outpatient medical services, … (such as deductibles and coinsurance). Federally qualified health centers (FQHCs) receive enhanced reimbursements from … FQHCs are “safety net” providers, such as community health centers and public housing centers, that provide …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … through September 30, 2017. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $3.1 million in …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … through September 30, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $357,498 in improper …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans. The audit … of Health’s (Department) automated claims processing and payment system. When submitting claims, providers are … to determine whether a billed service is eligible for payment as well as the correct payment amount. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesState Contract and Payment Actions in July
… In July, the Office of the State Comptroller approved 1,451 … New York, Inc. for a pre-college program to assist those who are legally blind. $1.3 million with Julia Dyckman Andrus … Equal Rights Heritage Center. $2.7 million to High Tech Rochester, Inc. for administration and support services for …
https://www.osc.ny.gov/press/releases/2018/08/state-contract-and-payment-actions-july