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Unified 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-allowanceCVS 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-followDiNapoli Op-Ed: Act on Proposal to Help State & Local Governments Pay for Retiree Health Care
… state Legislature should act now or the cost to taxpayers will only grow. Most state and local government employees … these future benefits for present day employees. Under my proposal, public employers could set aside money in a … ultimately lowering costs over the long term. There would be no limit on how much or how little a government can …
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 Audits
… and information on 140,000 state contracts, visit Open Book New York . The easy-to-use website was created to …
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
… of the Empire Plan’s medical/surgical program. In addition, a State contractor must maintain complete and …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/united-healthcare-compensation-and-benefit-costs-empire-plan-period-january-1-2008-throughPayments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
… Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleDiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… the New York State Police today announced the arrest of Barbara Henry, the Village of Chatham’s former … corruption.” Former Village of Chatham Clerk-Treasurer Barbara Henry is charged with tampering with public records … the New York State Police today announced the arrest of Barbara Henry the Village of Chathams former ClerkTreasurer …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-villageCVS 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 Empire Plan drug utilization in accordance with its …
https://www.osc.ny.gov/state-agencies/audits/2020/08/21/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… to perform periodic reconciliations, and establish or strengthen additional controls as needed, to prevent …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
… Improper Payments for Medical Services Designated By Modifier Code 59 (Report 2013-S-82 ). Background The New … modifier 59. We identified 13 claims that were overpaid by $39,345 because a distinct or independent service was not … Improper Payments for Medical Services Designated by By Modifier Code 59 Report 2013S82 …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-followUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… contracts with United HealthCare (United) to process and pay medical claims from health care providers for services … furnish medical services to Empire Plan members. Members pay a nominal co-payment to the participating provider for … providers, the Empire Plan requires members to pay higher out-of-pocket costs (deductibles and co-insurance) …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… United contracts with a large network of participating (in-network) providers who deliver medical/surgical services … based on provider charges for the same or similar service in the same or similar geographic region. United’s … higher — often significantly higher — than United’s in-network reimbursement rates. Consequently, services …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesDiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… announced James “Jay” Spina was sentenced in federal court for running a large-scale health care insurance fraud scheme. … systematically double-billed insurers, charged for services never rendered, created shell companies and … obligations and bilked insurance companies and Medicare out of millions of dollars. Thanks to the …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… of Civil Service. Our audit covered the period January 1, 2014 through June 30, 2018. About the Program The New York … Service), provides health insurance coverage to over 1.2 million active and retired State, participating local … primary health benefits plan for NYSHIP, covering nearly 1.1 million members. Civil Service contracted with CVS Health …
https://www.osc.ny.gov/state-agencies/audits/2019/06/06/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceCVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Health appropriately invoiced drug manufacturers and remitted … 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/cvs-health-accuracy-empire-plan-medicare-rx-drug-rebate-revenue-remitted-department-civilState Agencies Bulletin No. 307
… Purpose To explain the use of the new deduction code 321, MedAmerica Long Term Care Insurance Program. … mailbox. … To explain the use of the new deduction code 321 MedAmerica Long Term Care Insurance Program …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/307-new-insurance-program-medamerica-long-term-care-insuranceEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… to further enhance its reviews of special item payments by incorporating steps and techniques that result in …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsCVS Health – Temporary Holding Account Rebate Revenue
… Objective To determine if CVS Health remitted to the State Department of Civil Service all … 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/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueGeddes Town Clerk Charged in $30K Swindle
… State Comptroller Thomas P. DiNapoli and Onondaga County District Attorney William J. Fitzpatrick announced the arrest … Clerk Shannon Carhart for allegedly pocketing $30,000 in a health care coverage scam. Carhart, 43, of Syracuse, … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State …
https://www.osc.ny.gov/press/releases/2019/04/geddes-town-clerk-charged-30k-swindle