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DiNapoli Finds Medicaid Billing Errors of Nearly $1 Billion
… The state Department of Health (DOH) made $965 million in payments to providers, including facilities, for services … and attended by practitioners who were not enrolled in the health care program, including those who had been … had approximately 7.3 million recipients and Medicaid claim costs totaled $68.1 billion. Auditors found eMedNY, …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-finds-medicaid-billing-errors-nearly-1-billionReview of the Local Development Corporation of Laurelton, Rosedale and Springfield Gardens (LDC)
… and Springfield Gardens (LDC) under contract M050231 were for appropriate expenses. Background On April 28, 2014, the … in expenses was incurred during the contract period for work relevant to the contract objectives, and was for expenses not previously paid from another funding source. …
https://www.osc.ny.gov/state-agencies/audits/2015/08/24/review-local-development-corporation-laurelton-rosedale-and-springfield-gardens-ldcReimbursement of Homeless Shelter Providers – Rescue Mission Alliance of Syracuse (Follow-Up)
To determine the extent of implementation of the four recommendations included in our initial audit report Reimbursement of Homeless Shelter Providers Rescue Mission Alliance of Syracuse Report 2021S34
https://www.osc.ny.gov/state-agencies/audits/2024/07/26/reimbursement-homeless-shelter-providers-rescue-mission-alliance-syracuse-followReimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center (Follow-Up)
To determine the extent of implementation of the six recommendations included in our initial audit report Reimbursement of Homeless Shelter Providers Westhab Incs Coachman Family Center Report 2020S56
https://www.osc.ny.gov/state-agencies/audits/2024/08/08/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-center-followJefferson Central School District – Procuring Services (2021M-42)
… pdf ] Audit Objective Determine whether Jefferson Central School District (District) officials sought competition when … District officials did not always seek competition for services. Officials paid: $135,000 to 10 of the 14 …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/11/jefferson-central-school-district-procuring-services-2021m-42Change of Address Form (RS5512)
To notify NYSLRS of a change in your address, NYSLRS members use form RS5512.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5512.pdfEast Quogue Union Free School District - Claims Auditing (2019M-78)
… policy was always followed. Key Recommendations Ensure no claim, other than those allowed by law, is paid before audit … to ensure it is accurate and properly supported, and in compliance with required statutes and policies. … Periodically report to the Board any deficiencies noted in the claims process. District officials agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/21/east-quogue-union-free-school-district-claims-auditing-2019m-78Operational Advisory No. 33
… titled Shipping has been renamed to Shipping, Postage and Mail Services and should be used when shipping any type of … using any carrier. Account 55203, Postage, now appears in the Supplies and Materials, Non-Personal Service budget …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/33-gfo-updates-postageshipping-account-codesDiNapoli: Three Syracuse School District Employees Charged With Fraud in Scheme
… after-school Twilight Program were arrested for engaging in several schemes to defraud the program following a joint … (Penal Law §195.20(a)(i)) and Corrupting the Government in the Third Degree (Penal Law §496.03). “Cecile, DeCarlo and … also allegedly created a fake home visit log to falsely claim they were visiting Twilight students at their homes. In …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-three-syracuse-school-district-employees-charged-fraud-schemeDiNapoli: State Health Department Missed $119 Million in Rebates from Drug Companies
… of Health (DOH) failed to collect nearly $120 million in available rebates over a 33-month period from prescription … from drug companies,” DiNapoli said. “DOH must be diligent in its pursuit of rebates and do all it can to save money. … expected to correct any errors and resubmit the encounter claim for reprocessing. Once encounter claims are accepted by …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-state-health-department-missed-119-million-rebates-drug-companiesLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… credit you have at your date of retirement or death, up to 24 months. This service can be used to qualify you for a …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … Empire Plan and, consequently, taxpayers. From a random sample, we identified overpayments totaling $229,088 that … obligations. Based on a statistical projection of the sample overpayments to the population of Orthopedic …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandOpinion 89-17
… or statutory amendments that bear on the issues discussed in the opinion. SCHOOL DISTRICTS -- Reserve Fund (authority … a reserve fund for the payment of judgments and claims in tax certiorari proceedings without voter approval. 1984 … to a court order determining the amount of a judgment or claim. At the time the opinion was rendered, subdivisions (1) …
https://www.osc.ny.gov/legal-opinions/opinion-89-17CUNY Bulletin No. CU-329
… the procedures to process nonresident alien scholarships in PayServ. Affected Employees CUNY nonresident alien … travel, room and board. These payments are reportable on Form 1042-S and may be subject to nonresident alien tax … income tax treaty rate for nonresident aliens temporarily in the United States on “F,” “J,” “M” or “Q” visas. In order …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-329-payment-and-reporting-cuny-nonresident-alien-scholarshipsTown of Boonville – Claims Auditing and Conflict of Interest (2014M-373)
… June 30, 2014. Background The Town of Boonville is located in Oneida County, has a population of approximately 4,600 … audit process. A Board member has a prohibited interest in Town contracts. Key Recommendations Ensure that deliberate and thorough audits are conducted and that each claim approved is properly supported by original invoices, …
https://www.osc.ny.gov/local-government/audits/town/2015/03/06/town-boonville-claims-auditing-and-conflict-interest-2014m-373Borrowing Against Your Contributions – State Police Plan
… when borrowing against your contributions: You must be in active service and have at least one year of member … to see the available self-service loan features. By Mail: Print a loan application from our Forms page and mail your completed and notarized application to NYSLRS. …
https://www.osc.ny.gov/retirement/publications/1518/borrowing-against-your-contributions-0Hillside Public Library of New Hyde Park – Claims Processing (2017M-175)
… (Library) is a school district public library is located in Nassau County. The Library, which is governed by a … was created by a special act of the State Legislature in 1961. Budgeted appropriations for the 2015-16 fiscal year … and deliberate audit of claims, ensuring that each claim contains sufficient supporting documentation, before …
https://www.osc.ny.gov/local-government/audits/library/2017/12/08/hillside-public-library-new-hyde-park-claims-processing-2017m-175Town of Hounsfield - Claims Auditing (2019M-215)
… did not audit claims before approving payments. Of 166 claim vouchers reviewed, totaling $783,400, the Supervisor paid $124,000 in claims (16 percent) that were either not presented to the … prior to Board audit. Ensure that Town personnel involved in the procurement process are aware of, and comply with, …
https://www.osc.ny.gov/local-government/audits/town/2020/01/24/town-hounsfield-claims-auditing-2019m-215Medicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… payments are made: a payment for the first hospital’s claim and a payment for the second hospital’s claim. However, … episode of care. Key Findings Medicaid made $1.6 million in actual overpayments and up to $5.3 million in potential overpayments because separate payments were made …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesWillsboro Central School District – Student State Aid (2023M-119)
… pdf] Audit Objective Determine whether Willsboro Central School District (District) officials properly claimed State aid for special education students who received services in …
https://www.osc.ny.gov/local-government/audits/school-district/2024/02/02/willsboro-central-school-district-student-state-aid-2023m-119