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DiNapoli: California Parcel Worker Arrested for Allegedly Stealing $120K in Checks
… arrest of Deangelo Anderson Rodriguez, a San Diego-based parcel service employee, for allegedly stealing $120,000 in … Savings Program and 24 payroll checks, while working in a parcel distribution center. Rodriguez, 25, of Chula Vista, … for higher education. Earnings on contributions grow tax free and withdrawals are not taxed if used for qualified …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-california-parcel-worker-arrested-allegedly-stealing-120k-checksMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… Purpose To determine if the Department of State’s Division of … sufficiently monitors not-forprofit cemetery corporations to ensure fiscal stability and adequate facility maintenance. … To determine if the Department of States Division of …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… the rates participating providers agree to accept for the same services. Consequently, to encourage members to use less … Overpayments for Services at the Capital Region Ambulatory Surgery Center ( 2007-S-72) New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsMedicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… Purpose To determine the readiness of all Medicaid managed care organizations (MCOs) to submit Medicaid encounter … quality assurance, various research and analytics, managed care rate setting, and drug rebate collections. On September … have fewer enrollees than mainstream Medicaid managed care plans. According to DOH officials, the specialized plans …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Purpose To determine whether Long Island Laparoscopic Surgery, PLLC waived Empire Plan members’ out-of-pocket … on claims submitted to United by Long Island Laparoscopic Surgery, PLLC (Long Island Laparoscopic), a non-participating … Overpayments for Services at the Capital Region Ambulatory Surgery Center (2007-S-72) New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of controlled substances exceeded the … 3,323 managed care claims for controlled substances in which the quantities dispensed exceeded the limits set by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… 1, 2012 to August 31, 2013. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … procedure that was performed on the same day for the same patient. Modifier 59 is used to identify procedures or … from the removal of the tumor. However, the medical records did not support the provider’s use of modifier 59 on …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Medicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… who were transferred between merged or consolidated hospitals and whether corresponding overpayments occurred. … include establishing Medicaid policies for reimbursing hospitals and other health care providers for their services. … when a Medicaid recipient is transferred among different hospitals, two separate payments are made: a payment for the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… Purpose To determine whether Medicaid overpaid hospitals by … higher levels of medical care than those actually provided to patients. The audit covers the period April 1, 2005 … To determine whether Medicaid overpaid hospitals by reimbursing for higher levels …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsAll Services for Kids, Inc. – Compliance With the Reimbursable Cost Manual
… $1.3 million in reimbursable expenses. All Services' CFR for the fiscal year ended June 30, 2011 had not been … - Compliance With the Reimbursable Cost Manual (2011-S-13) State Education Department: IncludED Educational …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/all-services-kids-inc-compliance-reimbursable-cost-manualOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… substance prescription drug use, known as the Internet System for Tracking Over-Prescribing (I-STOP), which contains …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… million for prescription, OTC, and compound drugs were not part of the rate adjustment process due to Department errors … drugs totaling nearly $8.6 million were not part of the rate adjustment because the Department …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… Individualized Education Program (IEP) development, and placement of students in special education. The New York City … this end, the DOE follows a multi-step evaluation and placement process. The provision of special education … services and programs. The audit scope covered the period of July 1, 2016 through January 21, 2020 and included …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… ranging from hospital inpatient care to physician and dental services. Accordingly, Plans are responsible for … The carved-out services are controlled by the scope of benefits information maintained in eMedNY. Key Findings … for managed care enrollment of newborns. The Department does not track or penalize lateness when hospitals do not …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… the rules and policies set forth by the Department and the State Education Department. Our audit covered the period …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followYork College – Time and Attendance Practices for Public Safety Staff (Follow-Up)
… in our initial audit report, Time and Attendance Practices for Public Safety Staff ( 2013-S-65 ). Background Our initial … had adequate internal controls over time and attendance for Public Safety officers. No one was responsible for verifying the hours worked by Department of Public Safety …
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/york-college-time-and-attendance-practices-public-safety-staff-followDiNapoli: Audit Recommends Improvements in Services for Survivors of Human Trafficking
… steps to improve its efforts to ensure survivors of human trafficking receive the services and assistance available to … State Comptroller Thomas P. DiNapoli. “Survivors of human trafficking face physical, emotional and financial trauma,” … barriers to assistance and support for victims.” Human trafficking is the unlawful act of transporting or the use of …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-audit-recommends-improvements-services-survivors-human-traffickingDiNapoli Releases 2024 Fiscal Stress Scores for Villages and Some Cities
… today announced that nine villages were designated in fiscal stress under his office’s Fiscal Stress Monitoring System (FSMS) for their fiscal year … today announced that nine villages were designated in fiscal stress under his offices Fiscal Stress Monitoring …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-releases-2024-fiscal-stress-scores-villages-and-some-citiesDiNapoli: Timely Remediation Essential for Success of State's Brownfield Cleanup Program
… and safety have languished in the state’s Brownfield Cleanup Program (BCP), according to an audit released today … up contaminated sites across the state, the Brownfield Cleanup Program has helped remove environmental threats and … and establish clear policies and criteria to ensure cleanup projects do not languish, are completed timely and …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-timely-remediation-essential-success-states-brownfield-cleanup-program