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Medicaid Program - Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits (2013-S-17)
To determine whether the Department of Health established adequate controls to prevent duplicate and excessive Medicaid payments to clinics and outpatient facilities reimbursed by the Ambulatory Patient Groups (APG) payment methodology.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s17.pdfState Comptroller DiNapoli Releases Municipal Audits
… surrender value of $119,871. Because General Municipal Law only authorizes group life insurance for officers and …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-municipal-auditsAdministration of the Contract With the Postgraduate Center for Mental Health
… Supportive Housing Contract C007374 with the Postgraduate Center for Mental Health (PCMH) by ensuring that contracted … Mental Hygiene: Administration of the Contract With the Center for Urban Community Services (2014-N-5) Office of Mental Health: Sky Light Center Inc. - Supported Housing Program (2012-S-37) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthDiNapoli: Former Pharmacist Charged In $232,000 Medical Claims Fraud
… Lake Ariel, Pennsylvania, was arraigned in Nassau County District Court. “Thanks to our joint efforts with law … health care rip-offs. I thank Acting Nassau County District Attorney Madeline Singas’ office and the Department … health insurance to some state and local government and school district employees and their families. The state …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-former-pharmacist-charged-232000-medical-claims-fraudComptroller DiNapoli Releases School Audits
… School District , Rondout Valley Central School District , Silver Creek Central School District and the Wallkill Central … statutory limit imposed on unrestricted fund balance. Silver Creek Central School District – Financial Condition … School District Rondout Valley Central School District Silver Creek Central School District and the Wallkill Central …
https://www.osc.ny.gov/press/releases/2016/02/comptroller-dinapoli-releases-school-audits-2DiNapoli: Special Education Providers Shortchanging Special Needs Children
… the expenses submitted by three providers with school age only programs and audits of the expenses submitted by 16 …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-special-education-providers-shortchanging-special-needs-childrenUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… accepted $7,360 as the full payment, United should have only paid $5,888 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpConnetquot Central School District - Financial Management (2019M-180)
… reducing its surplus of unassigned fund balance to comply with the statutory limit in a manner that benefits District … used or replenished. District officials generally agreed with our report and indicated they plan to initiate …
https://www.osc.ny.gov/local-government/audits/school-district/2019/11/01/connetquot-central-school-district-financial-management-2019m-180Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency
… shelter facility. OTDA has assigned responsibility for the inspection of hotels and motels housing the homeless to local … across SSDs, and confusion still exists regarding the inspection process. Additionally, OTDA has not yet provided … unsatisfactory conditions. Material aspects of OTDA’s inspection program are similar to activities performed by …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-hotels-and-motels-used-homeless-and-mixed-use-temporary-residencyNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… partner are both eligible to enroll in NYSHIP, only one may elect Family coverage (the other may either …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followComptroller DiNapoli Releases School Audits
… Union Free School District , Highland Falls-Fort Montgomery Central School District , Madrid-Waddington … the procurement of goods and services. Highland Falls-Fort Montgomery Central School District – Financial Condition … Hicksville Union Free School District Highland FallsFort Montgomery CSD MadridWaddington CSD and the YorkshirePioneer …
https://www.osc.ny.gov/press/releases/2016/04/comptroller-dinapoli-releases-school-audits-1State Comptroller DiNapoli Releases State Audits
… structures are inspected timely. Department of Health (DOH): Multiple Same-Day Procedures on Ambulatory … students who were not properly matriculated. Office of Mental Health (OMH): Assertive Community Treatment (ACT) … and support services to individuals diagnosed with severe mental illness whose needs have not been well met by more …
https://www.osc.ny.gov/press/releases/2017/01/state-comptroller-dinapoli-releases-state-audits-0Medicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… About the Program Hospice is a coordinated program of home and/or inpatient care that treats terminally ill individuals … not allowed in conjunction with hospice (such as Assisted Living) and services that are covered by the Medicare hospice …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredComptroller DiNapoli Releases Municipal Audits
… his office completed audits of the Village of Aurora , Clinton Volunteer Fire Department , Germantown Fire District … policies and procedures in place to safeguard IT assets. Clinton Volunteer Fire Department Inc. – Oversight of … his office completed audits of the Village of Aurora Clinton Volunteer Fire Department Germantown Fire District …
https://www.osc.ny.gov/press/releases/2014/09/comptroller-dinapoli-releases-municipal-auditsState Comptroller DiNapoli Releases Audits
… Department of Health (DOH): Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY … Medicaid Program: Medicaid Overpayments for Medicare Advantage Plan Services (Follow-Up) (2020-F-2) An audit … was paid for services typically covered by recipients’ plans. Many overpayments occurred because adequate controls …
https://www.osc.ny.gov/press/releases/2020/07/state-comptroller-dinapoli-releases-auditsMattituck-Cutchogue Union Free School District – Financial Condition (2013M-322)
… over the three years went unused. These practices gave the appearance that the District’s unrestricted fund balance was …
https://www.osc.ny.gov/local-government/audits/school-district/2014/01/24/mattituck-cutchogue-union-free-school-district-financial-condition-2013mState Comptroller DiNapoli Releases Municipal Audits
… the clerk did not remit real property tax collections to the town supervisor or the county treasurer in a timely … which resulted in the unrestricted general fund balance to increase to an excessive level. The board did not always seek competition …
https://www.osc.ny.gov/press/releases/2021/08/state-comptroller-dinapoli-releases-municipal-audits-0State Comptroller DiNapoli Releases Municipal Audits
… (2022M-5) Town officials did not always seek competition when procuring goods and services. Town officials made 17 …
https://www.osc.ny.gov/press/releases/2022/06/state-comptroller-dinapoli-releases-municipal-audits-0Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… whether Empire BlueCross BlueShield's (Empire) payments for certain special items were reasonable in relation to the … portion of the Empire Plan (Plan), which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughNew Suffolk Common School District – Selected Financial Operations (2013M-197)
… July 1, 2011 through March 31, 2013. Background The New Suffolk Common School District is located in the Town of Southold, Suffolk County. The District is governed by the Board of … New Suffolk Common School District Selected Financial Operations …
https://www.osc.ny.gov/local-government/audits/school-district/2013/12/13/new-suffolk-common-school-district-selected-financial-operations-2013m