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Medicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… Purpose To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed … To determine if Dr Riaz Ahmad complied with Medicaid policies and whether Dr Ahmads medical records support the services he …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… reimbursement rates for group therapy services provided by Federally Qualified Health Centers were correctly applied. … group therapy services, including group therapy provided by clinical social workers, to Medicaid recipients. FQHCs are … of Health: Overpayments for Services Also Covered by Medicare Part B (2012-S-27) Department of Health: Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Medicaid overpaid managed care organizations and hospitals for low birth weight newborn claims. The audit covered the period April 1, … June 1, 2014. Background Medicaid reimburses providers for newborn services using the fee-for-service and managed … Medicaid overpaid managed care organizations and hospitals for low birth weight newborn claims The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… provided to Empire Plan members. United contracts with in-network (participating) providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Background Our initial audit report, which was issued on August 13, 2013, determined that, for the period January 1, …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… Matters pertaining to noise complaints related to liquor license holders in New York City were addressed separately, … they are in compliance with the ABC Law. When a licensee is non-compliant, the Authority can impose a fine on the licensee and/or suspend, cancel, or revoke the license. The Authority has a total of 96 types of licenses …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… are enrolled into Medicaid fee-for-service (FFS) or managed care. We issued our initial audit report on September 17, … for non-foster care recipients with concurrent FFS enrollment or improper FFS payments for recipients with …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… Objective To determine the extent of implementation of the four recommendations included in our initial audit report, UnitedHealthcare Insurance Company … To determine the extent of implementation of the four recommendations included in our initial audit report UnitedHealthcare Insurance Company …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureDiNapoli Announces $2B Strategic Partnership With Goldman Sachs Asset Management For Global Equity Investments
… with Goldman Sachs Asset Management (GSAM) to invest in a diverse group of global equity strategies viewed as … initially focus on dynamic manager selection opportunities in global equities to enhance returns in the Fund’s equity portfolio. GSAM will also provide …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-2b-strategic-partnership-goldman-sachs-asset-management-global-equity-investmentsState Falls Short in Verifying if Companies Qualify for Tax Breaks Under Excelsior Program
… disagreed with the audit’s findings. Their full response is contained in the audit. DiNapoli’s auditors noted that ESD … no tangible results. His office has also released a series of audits on the state’s minority- and women-owned …
https://www.osc.ny.gov/press/releases/2016/07/state-falls-short-verifying-if-companies-qualify-tax-breaks-under-excelsior-programDiNapoli Report Looks at New York's Social Insurance Programs for Unemployed and Injured Workers
… the same wage would have 60% of income replaced in New Jersey. Under current law, increases to maximum benefits are … York minimum wage: Pennsylvania, Texas, Vermont, and New Jersey. Only Florida and California offer less for workers … is in the range of most peer states, with only Texas, New Jersey and Connecticut providing higher rates. However, New …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-report-looks-new-yorks-social-insurance-programs-unemployed-and-injured-workersDiNapoli: Audit Highlights Opportunities for Improvement of Apprenticeship Programs to Enhance Value and Reach
… provide thousands of people with paid, hands-on training in skilled, in-demand trades, ranging from information technology to … Roberta Reardon and her team for their efforts in promoting New York’s apprenticeship programs.” “We thank … provide thousands of people with paid handson training in skilled indemand trades ranging from information …
https://www.osc.ny.gov/press/releases/2025/07/dinapoli-audit-highlights-opportunities-for-improvement-of-apprenticeship-programs-to-enhance-value-and-reachDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… the stark reality of food insecurity: 1.3 million adult New Yorkers live in households without enough food. … assistance, many for the first time. Some have run out of supplies and have turned people away. The Food Bank for New …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… District applied for all transportation State aid for new bus acquisitions. Determine whether the Board and District officials properly issued and accounted for debt issued for new bus acquisitions. Key Findings The District did not apply for … District applied for all transportation State aid for new bus acquisitions and whether the Board and District officials …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busCase Management (2021-N-9)
To determine whether the New York City Department for the Aging provided and paid case management services appropriately for eligible seniors.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21n9.pdfReview of the Financial Plan for the Metropolitan Transportation Authority - December 2003
"On October 28, 2003, the MTA released a revised budget for 2003 and a four-year financial plan for calendar years 2004 through 2007. "
https://www.osc.ny.gov/files/reports/osdc/pdf/report-10-2004.pdfKeene Central School District – Transportation State Aid (2021M-63)
Determine whether Keene Central School District (District) officials applied for all applicable transportation aid for new bus acquisitions in a timely manner.
https://www.osc.ny.gov/files/local-government/audits/2021/pdf/keene-2021-63.pdfCollection of Fines Related to Tenant Complaints (2018-S-58) 180-Day Response
To determine whether Homes and Community Renewal’s Office of Rent Administration is appropriately accounting for and collecting fines (civil penalties) for...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s58-response.pdfCollection of Fines Related to Tenant Complaints (2018-S-58)
To determine whether Homes and Community Renewal’s Office of Rent Administration is appropriately accounting for and collecting fines (civil penalties) for...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s58.pdfWelcome Center and Rest Area Planning and Implementation (2017-S-25), 90-Day Response
To determine if the Department of Transportation has a written capital plan for highway facilities for the traveling public, and whether the...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s25-response.pdf