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Medicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… two separate payments are made: a payment for the first hospital’s claim and a payment for the second … circumstances, when a recipient is transferred from the first hospital to a merged or consolidated division or hospital, only the first hospital should bill Medicaid one claim for the entire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesCity of Lockport -- Budget Review (B7-1-14)
… 31, 2013. The Act requires the City to submit to the State Comptroller each year, beginning January 1, 2015, and …
https://www.osc.ny.gov/local-government/audits/city/2017/11/01/city-lockport-budget-review-b7-1-14Children’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… The Center provides special education services to New York City-based children between three and five years of age. Pursuant to New York State Education Law, special education providers, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualDiNapoli Releases May State Cash Report
… tax payments due in June should provide more insight on how current economic conditions are affecting individuals … Since becoming Comptroller, DiNapoli has created several tools to allow the public to better track government … issues. These are easily accessible on his transparency website called Open Book New York ( www.openbooknewyork.com …
https://www.osc.ny.gov/press/releases/2017/06/dinapoli-releases-may-state-cash-reportBilingual Care, Inc. – Compliance With the Reimbursable Cost Manual
… 2014-15 school year, Bilingual served about 171 students in its SEIT program. In addition to the SEIT cost-based program, Bilingual … 30, 2015, Bilingual reported approximately $8.9 million in reimbursable costs for the SEIT cost-based program. Key …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/bilingual-care-inc-compliance-reimbursable-cost-manualCity of Troy – Budget Review (B5-14-23)
… Purpose of Audit The purpose of our budget review was to determine … increases in revenues for the sewer fund’s 2015 budget do not appear reasonable. The water fund’s cash balance has …
https://www.osc.ny.gov/local-government/audits/city/2014/11/07/city-troy-budget-review-b5-14-23DiNapoli: Daughter Allegedly Stole Over $240K in Deceased Father's NYS Pension Payments
… period. “The defendant took advantage of her father’s death to profit handsomely at the expense of New York’s … this case. “Building trust in public institutions requires us to hold people accountable when they run afoul of the law, … Bertolino, 48, was arraigned in Albany City Court before Judge John Reilly, and is due back in court on April 14, …
https://www.osc.ny.gov/press/releases/2023/03/dinapoli-daughter-allegedly-stole-over-240k-deceased-fathers-nys-pension-paymentsUnited Cerebral Palsy Association of the Rochester Area, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by United Cerebral Palsy Association of the Rochester Area, … calculated, adequately documented and allowable under the State Education Department’s (SED’s) guidelines, including … for preschool special education services through rates set by SED. These reimbursement rates are based on financial …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-cerebral-palsy-association-rochester-area-inc-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers managed long-term care (MLTC) … member enrolled. Some services are excluded (i.e., carved out) from benefit packages and may be paid separately by … (FFS). The Medicaid program should not pay claims on a FFS basis for MLTC plan covered services. We issued our …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… program made improper payments for drugs dispensed after their drug termination date. The audit covered the … program improperly paid $29 million for drugs dispensed after their termination date. Key Finding Department … improperly paid another $11 million for drugs dispensed after their termination date, some of which were recalled for …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followComptroller DiNapoli Releases State Audits
… in potential Medicaid overpayments for claims pertaining to 2,564 individuals enrolled in both Medicaid and Medicare. … Inpatient Admissions (2012-S-160) Ancillary services refer to health care services provided in the home, medical … and management information system. Claims are subject to various edits – automated controls within eMedNY – …
https://www.osc.ny.gov/press/releases/2014/04/comptroller-dinapoli-releases-state-auditsMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Federally Qualified Health Centers were correctly applied. The audit covered the period June 1, 2008 through May 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid … responsibilities include establishing Medicaid policies and procedures, certifying providers that participate in the …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations made in our initial audit … ). About the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s lungs. …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followNew York State Financial Reporting
… Supplementary Information This annual report includes New York State's basic financial statements prepared in … Comprehensive Financial Report This annual report presents New York State’s financial statements prepared in accordance …
https://www.osc.ny.gov/reports/financeDivision of Housing and Community Renewal Bulletin No. DH-65
… Purpose To inform the Division of Housing and Community Renewal of … with an hourly rate less than $8.17. Background Pursuant to Section 7 of Part A of Chapter 491 of the Laws of 2011 and … than the last day of a pay period, the employee is likely due a refund of a portion of the monies withheld in that pay …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-65-first-phase-deficit-reduction-plan-rrsu-employeesDivision of Housing and Community Renewal Bulletin No. DH-66
… Earn Code: D9R Amount: Total adjustment amount – can be negative or positive. Processing Retroactive Changes … Earn Code: D9R Amount: Total adjustment amount – can be negative or positive. Processing Deficit Reduction in …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-66-second-phase-deficit-reduction-plan-rrsu-employeesDivision of Housing and Community Renewal Bulletin No. DH-71
… employee within the purview of the Agreement between the State of New York and DC-37. Effective Date(s) The third … created for employees in a composite position (identified by the Increment Code 2222) if all positions making up the … pay period dates being processed and multiply the result by -.02063. Earnings Code Description IPF Inconvenience Pay – …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-71-third-phase-deficit-reduction-plan-rrsu-employeesFar Rockaway Pre-School Executive Director Sentenced to Jail Time for Theft of Education Funds Intended for Special Needs Students
… Queens District Attorney Richard A. Brown and New York State Comptroller Thomas P. DiNapoli today announced that the … defendant and his co-defendants, treated the allocated money as if it were their own personal pocket change. Those … Attorney's Office. The investigation was conducted by the District Attorney's Detective Bureau and his Economic …
https://www.osc.ny.gov/press/releases/2018/03/far-rockaway-pre-school-executive-director-sentenced-jail-time-theft-education-funds-intended-specialDiNapoli: NYC Contract Spending Rises $7 Billion Since FY 2019
… billion in fiscal year (FY) 2023, an increase of nearly $7 billion from FY 2019, representing an outsized share (41%) … since FY 2010, from nearly $3.9 billion to over $10.5 billion in FY 2023, increasing by 170%, and accounting for … Review of the Financial Plan of the City of New York (May 2024) 2024 Update on New York City Staffing Trends Agency …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-nyc-contract-spending-rises-7-billion-fy-2019State Comptroller DiNapoli Releases Municipal Audits
… and accountability for our local communities is a top priority," said DiNapoli. "By auditing municipal finances … conducted by structural engineers within the last 10 years. City of Sherrill – Payroll and Community Activity …
https://www.osc.ny.gov/press/releases/2018/01/state-comptroller-dinapoli-releases-municipal-audits