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Comptroller DiNapoli and A.G. Schneiderman Announce Conviction of Florida Resident For Stealing $275k in NYS Pension Benefits
… that Mr. Eletz stole over $275,000 in New York State pension benefits that were issued to his deceased mother. … “Mr. Eletz concealed his mother’s death to pocket her pension,” State Comptroller DiNapoli said. “We uncovered the … steal public retirement funds.” “Theft from our state’s pension system is detrimental to all New York taxpayers and …
https://www.osc.ny.gov/press/releases/2015/09/comptroller-dinapoli-and-ag-schneiderman-announce-conviction-florida-resident-stealing-275k-nysSpecial 20-Year Plan for Investigators in the Office of a District Attorney (Sections 89-d and 89-d(m))
Information for members about special 20 year retirement plan for Tier 1 and Tier 2 investigators assigned to the office of a district attorney
https://www.osc.ny.gov/retirement/publications/special-20-year-plan-investigators-office-district-attorney-sections-89-d-and-89-dmDiNapoli: New Jersey Man Pleads Guilty to Embezzling From a Decedent's Estate for Which He Was Court-Appointed Administrator
… Bayard's embezzlement of approximately $1.4 million from a decedent's estate for which he served as a court-appointed … prison time for his crimes." "Instead of being satisfied with the fees the law prescribed as an estate administrator, … guilty to one count of wire fraud, which carries a maximum sentence of 20 years in prison. The maximum potential …
https://www.osc.ny.gov/press/releases/2018/10/dinapoli-new-jersey-man-pleads-guilty-embezzling-decedents-estate-which-he-was-court-appointedMedicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans
… covered the period January 1, 2010 through January 31, 2015. Background Managed Long Term Care Partial Capitation … For the period January 1, 2010 through January 31, 2015, Medicaid paid Plans $15 billion in capitation payments. … For the period January 1, 2010 through January 31, 2015, we determined Medicaid paid Plans 5,368 monthly …
https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-careAssessment of Costs to Administer the Workers’ Compensation Program for the Fiscal Year Ended March 31, 2014
… Board made minor payroll allocation errors that had no net impact on the total assessment of about $212 million. These errors occurred … the appropriate corrections are made to the FY 2014-2015 assessment. Continue working with the Office of General …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/assessment-costs-administer-workers-compensation-program-fiscal-year-ended-march-31-2014DiNapoli and Brooklyn D.A. Gonzalez: Public Employee Arrested for Using Co-Workers' Identities to Steal Thousands in Gas
… theft and grand larceny for using agency-issued gas cards to allegedly steal nearly $8,000 in gas for his personal use, … announced today. "George Thomas posed as his co-workers to steal thousands in fuel, betraying not only his colleagues … Yorkers with developmental disabilities he was supposed to be serving," said State Comptroller Thomas P. DiNapoli. "I …
https://www.osc.ny.gov/press/releases/2018/06/dinapoli-and-brooklyn-da-gonzalez-public-employee-arrested-using-co-workers-identities-stealFar Rockaway Pre-School Provider "Investor" Pleads Guilty in Theft of Education Funds Intended for Special Needs Students
… investor in Island Child Development Center, once one of New York City’s largest providers of special education services to preschoolers with … for his participation in a scheme that stole millions of dollars in city and state funding between 2005 and 2012 – … for his participation in a scheme that stole millions of dollars in city and state funding between 2005 and 2012 …
https://www.osc.ny.gov/press/releases/2017/04/far-rockaway-pre-school-provider-investor-pleads-guilty-theft-education-funds-intended-special-needsMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… to two times per year, yet we found Medicaid reimbursed a clinic for 41 dental exams (totaling $2,771) for one patient over three years. We determined the clinic’s records did not support any of the exam procedures, … $7.5 million for duplicate claims. In these cases, a clinic, for instance, and an individual practitioner (i.e., …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessComptroller DiNapoli, Manhattan D.A. Bragg Announce Guilty Plea of Former NYU Director of Finance for Major Fraud
… Jr. today announced the guilty plea of CINDY TAPPE, 57, for orchestrating an approximately $3.5 million 6-year fraud … her position as the Director of Finance and Administration for NYU’s Metropolitan Center for Research on Equity and Transformation of Schools (the …
https://www.osc.ny.gov/press/releases/2024/02/comptroller-dinapoli-manhattan-da-bragg-announce-guilty-plea-former-nyu-director-finance-major-fraudDiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… manager for numerous doctors’ offices in Manhattan, for her alleged role in a long-term scheme to defraud the New York State Insurance Plan (NYSHIP) out of … Task Force. “Gina Bradshaw allegedly took advantage of her position to fund her lifestyle at the expense of the …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planDiNapoli: Former Throop Supervisor Pays Full Restitution After Pleading Guilty to Felony for Stealing $11,000 from Town
… The former Town of Throop Supervisor, William Tarby, paid full restitution as part of his … P. DiNapoli, Attorney General Letitia James, and the New York State Police announced today. William Tarby pleaded guilty to grand larceny and official … The former Town of Throop Supervisor William Tarby paid full restitution as part of his sentencing …
https://www.osc.ny.gov/press/releases/2024/02/dinapoli-former-throop-supervisor-pays-full-restitution-after-pleading-guilty-felony-stealing-11000Selected Payments for Special Items Made to St. Mary's Hospital from January 1, 2011 through March 31, 2011
… of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with … payments to St. Mary’s are generally based on standard fee schedules. However, St. Mary’s is entitled to additional … drugs, and blood) that are not covered by the standard fee schedules. Per Empire’s agreement with St. Mary’s, the …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-marys-hospital-january-1-2011-through-march-31-2011Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsSelected Payments for Special Items Made to St. Peter's Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to St. Peter's Hospital (St. Peter's) for special items were made according to the provisions of the agreement between Empire and St. Peter's. Background The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-peters-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Mount Sinai Hospital from January 1, 2011 through March 31, 2011
… BlueCross BlueShield's (Empire's) payments to Mount Sinai Hospital (Mount Sinai) for special items were made according … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they … if BlueCross BlueShields Empires payments to Mount Sinai Hospital Mount Sinai for special items were made according to …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mount-sinai-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Albany Medical Center from January 1, 2011 through March 31, 2011
… of the agreement between Empire and AMC. Background The New York State Health Insurance Program (NYSHIP) provides … with AMC. Other Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State Health Insurance Program: Payments for …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-albany-medical-center-january-1-2011-through-march-31Identifying, Reporting, and Providing Services for Youth at Risk of Sexual Human Trafficking in New York City
… Objective To determine if the New York City Administration for Children’s Services and the New York City Department of Youth and Community Development identify, report on, and … To determine if the New York City Administration for Childrens Services and the New York …
https://www.osc.ny.gov/state-agencies/audits/2022/06/06/identifying-reporting-and-providing-services-youth-risk-sexual-human-trafficking-new-yorkSelected Payments for Special Items Made to Arden Hill Hospital From January 1, 2011 Through March 31, 2011
… if BlueCross BlueShield’s (Empire’s) payments to Arden Hill Hospital (Arden Hill) for special items were made according to the provisions of the agreement between Empire and Arden Hill. Background The New York State Health Insurance Program … if BlueCross BlueShields Empires payments to Arden Hill Hospital Arden Hill for special items were made …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-arden-hill-hospital-january-1-2011-through-march-31Medicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
… Objective To determine whether the Department of Health (Department) paid for claims in … Provider Identifier (NPI) for ordering, prescribing, referring, and attending (OPRA) health care providers. The … To determine whether the Department of Health paid for claims …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingDiNapoli: Former Tax Collector Accused of Pocketing $88,000 for Car Loans, Amazon Purchases, Food and Other Expenses
… of Jennifer Colucci, 41, of Hopewell Junction, N.Y., for allegedly stealing more than $88,000 in tax funds collected for the use of the town of Beekman and its schools. The … their tax money to benefit their community, not to pay for an individual’s personal lifestyle. I thank Dutchess …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-tax-collector-accused-pocketing-88000-car-loans-amazon-purchases-food-and-other