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Medicaid Program – Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists
… Purpose To determine if six affiliated Brooklyn dentists billed … to individuals who are economically disadvantaged and/or have special health care needs. For dental care, the State's … dentists submitted claims for 198 procedures that should have taken nearly 59 hours to perform properly. The dentists …
https://www.osc.ny.gov/state-agencies/audits/2013/04/04/medicaid-program-suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentistsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… To determine whether UnitedHealthcare overpaid for out-of-network anesthesia services provided at Ambulatory Surgery … Program (NYSHIP), administered by the State Department of Civil Service (Civil Service), provides health insurance … Code 59 ( 2013-S-82 ) Preventing Inappropriate and Excessive Costs in the New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… services to children with disabilities between the ages of three and five years. During the 2013-14 school year, … by SED. Counties are reimbursed by SED for a portion of their payments to Brookville. For the three fiscal years … with the Manual, including costs attributable to excessive space (square footage) allocations; $273,100 in …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualParsons Child and Family Center – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. Parsons is reimbursed for these services through … $46,843 in other than personal service costs, consisting of $26,002 in unsupported expenses, $15,425 in incorrectly … in personal service costs, consisting of $11,674 in excessive salary and fringe benefit costs for certain …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/parsons-child-and-family-center-compliance-reimbursable-cost-manualThrough Ages, Inc. – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, … are based on fixed fees. The New York City Department of Education (DOE) refers students to Through Ages and pays … $3,144 in overreported depreciation expenses; and $350 in excessive compensation costs. Key Recommendations To SED: …
https://www.osc.ny.gov/state-agencies/audits/2020/06/03/through-ages-inc-compliance-reimbursable-cost-manualOversight of the Supported Housing Program – Rehabilitation Support Services, Inc.
… support services and a subsidy toward their monthly rent to ensure they are able to live independently. The Program provides assistance in locating and securing housing, resolving landlord or roommate disputes, and choosing and purchasing …
https://www.osc.ny.gov/state-agencies/audits/2017/05/04/oversight-supported-housing-program-rehabilitation-support-services-incExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (2021-S-37)
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals. The audit covered the period from March 2021 through March 2022.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37.pdfVillage Official Heading to Prison for Stealing More Than $100,000
… village of Altmar in Oswego County, was sentenced to 2 to 6 years in state prison after pleading guilty to stealing … business records in the first degree (class E felony). Her arrest was the result of an audit and investigation by …
https://www.osc.ny.gov/press/releases/2014/08/village-official-heading-prison-stealing-more-100000Opinion 90-13
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The … estimate of the cost of the work. Whether the 10% fee is excessive or reflects the actual costs to DOT is a matter …
https://www.osc.ny.gov/legal-opinions/opinion-90-13NY State & City Comptrollers, State Treasurers: Federal Bill Attempts to Silence Investors
… A broad coalition of state fiduciaries today joined New York State Comptroller … Defending Fundamental Shareowner Rights" in strong support of the use of shareholder proposals as an essential tool in … corporate governance on numerous issues, including excessive executive compensation and corporate accountability …
https://www.osc.ny.gov/press/releases/2017/06/ny-state-city-comptrollers-state-treasurers-federal-bill-attempts-silence-investorsShelter Island Union Free School District - Fund Balance (2020M-23)
… Annual budgets overestimated appropriations by an average of $685,822 (6 percent) from 2015-16 through 2018-19. As a … by. 1 The Business Leader position is again vacant as of November 8, 2019. … Determine whether the Board …
https://www.osc.ny.gov/local-government/audits/school-district/2020/04/24/shelter-island-union-free-school-district-fund-balance-2020m-23State Comptroller DiNapoli Releases Municipal Audits
… following local government audits has been issued. Village of Fort Plain – Leave Benefits (Montgomery County) Village … or supported by village records. As a result, 133 hours of accrued comp time, valued at approximately $4,600, was not … in the general and highway funds and water district were excessive, ranging from 89 percent to 536 percent of actual …
https://www.osc.ny.gov/press/releases/2020/11/state-comptroller-dinapoli-releases-municipal-audits-1Medicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Davis, a licensed pharmacist. Pursuant to allegations of improper billing practices, there have been several investigations of Davis Ethical by oversight authorities, including the … remaining prescriptions, Davis Ethical billed Medicaid for excessive quantities. Key Recommendations Coordinate with the …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyThe Network for Children’s Speech, Occupational & Physical Therapy, LLC – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. CTN is reimbursed for preschool special education … included: $668,259 in personal service costs, consisting of $511,672 in overstated personal service costs for special … personal service costs for office workers, $63,039 in excessive compensation to a SEIT teacher who had an ownership …
https://www.osc.ny.gov/state-agencies/audits/2018/07/03/network-childrens-speech-occupational-physical-therapy-llc-compliance-reimbursable-costOversight of the Title Insurance Industry
… Objective To determine if the Department of Financial Services (DFS) adequately monitors the State’s … unknown defects in the title to the property at the time of sale. The cost of title insurance is higher in New York … do so. The Insurance Law provides that rates shall not be excessive, inadequate, unfairly discriminatory, destructive …
https://www.osc.ny.gov/state-agencies/audits/2019/03/21/oversight-title-insurance-industryDiNapoli: Overtime Costs at State Agencies Reached All-Time High in 2021
… Most of the state’s overtime in 2021 came from the Office for People with Developmental Disabilities (OPWDD), the … share, at 49.1%, followed by Veterans’ Homes at 48.6%. Pay per overtime hour averaged $46.33. The State Police paid the highest average hourly rate, at $83.13 per overtime hour. CUNY paid …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-overtime-costs-state-agencies-reached-all-time-high-2021Oversight of the Supported Housing Program – DePaul Group, Inc. and Affiliates
… support services and a subsidy toward their monthly rent to ensure they are able to live independently. The Program provides assistance in locating and securing housing, resolving landlord or roommate disputes, and choosing and purchasing …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/oversight-supported-housing-program-depaul-group-inc-and-affiliatesMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… from June 1, 2012 through May 31, 2017. Background Many of the State’s Medicaid recipients are also eligible for … supplementary medical insurance coverage for a range of outpatient medical services, physician services, and … payments totaling $5.3 million to providers who claimed excessive Part B coinsurance amounts. Overpayments totaling …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… primary health benefits plan for NYSHIP. The Department of Civil Service (Department) contracts with Empire BlueCross … (Empire) to administer the hospitalization benefit portion of the Plan. The Long Island Health Network (Health Network) … amounts claimed for certain items, and Empire paid these excessive amounts. The agreement between Empire and the …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followLeague Treatment Center – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During our audit period, LTC … Class in an Integrated Setting programs. For the purposes of this report, these programs are referred to as the SED … allocated to the cost-based programs; $324,603 in excessive executive compensation; $296,057 in unsupported …
https://www.osc.ny.gov/state-agencies/audits/2019/12/16/league-treatment-center-compliance-reimbursable-cost-manual