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Anthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with Medicare coverage. The … 1.1 million of the members. Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareComptroller DiNapoli Releases School Audits
… District , Tupper Lake Central School District and the Walton Central School District . “In an era of limited … by 98 percent and cash balances declined by 47 percent. Walton Central School District – Financial Condition … District Tupper Lake Central School District and the Walton Central School District …
https://www.osc.ny.gov/press/releases/2014/09/comptroller-dinapoli-releases-school-auditsImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… Purpose To determine the extent of implementation of the six … of health care services, including prescription drugs, to individuals who are economically disadvantaged and/or have … New York State Controlled Substances Act (Act) was enacted to combat the illegal use of controlled substances. The Act …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… Office of Alcoholism and Substance Abuse Services (OASAS) is effectively monitoring Drug and Alcohol Treatment program contracts to ensure provider claims … and most diverse addiction treatment system. Its mission is to provide accessible, cost‑effective, quality services …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesState Agencies Bulletin No. 881
… Employees Employees working for either the Department of Transportation or the Department of Parks, Recreation and Historic Preservation in the … constitutes an exposure to inherent danger by virtue of unavoidable proximity to vehicular traffic within the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/881-2009-50000-lump-sum-payment-special-assignment-duty-pay-sad-certainState Agencies Bulletin No. 971
… Purpose To provide procedures to process the lump sum payment for Special Assignment to Duty Pay (SAD) … employees. Affected Employees Employees working for either the Department of Transportation or the Department of Parks, Recreation and Historic Preservation …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/971-2010-50000-lump-sum-payment-special-assignment-duty-pay-sad-certainMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… with third-party insurers prior to billing Medicaid for services. After processing a claim from a provider, the … Group codes include PR (patient responsibility) and CO (contractual obligation). CARC 45 occurs when the charge … Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsDiNapoli: Former Vernon Center Fire Department Treasurer Sentenced to Prison for Theft of Over $300,000
… of trust, and he violated that trust. In doing so, he not only victimized the fine, selfless men and women volunteers …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-former-vernon-center-fire-department-treasurer-sentenced-prison-theft-over-300000Anthem Blue Cross – Effectiveness of the Recovery Process
… To determine whether Anthem Blue Cross Anthem effectively administered the …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processEmpire BlueCross – Overpayments for Physician-Administered Drugs (Follow-Up)
… our initial audit report, Empire BlueCross – Overpayments for Physician-Administered Drugs (Report 2021-S-33 ). About … The Empire Plan is the primary health insurance plan for NYSHIP, providing over 1 million members with four types … Program of the Empire Plan and to process and pay claims for hospital services. Hospital benefits cover a range of …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/empire-bluecross-overpayments-physician-administered-drugs-followDiNapoli: Comcast Agrees To Disclose Political Spending
… Inc. Southwest Airlines Co. PepsiCo Inc. Plum Creek Timber Company, Inc. KeyCorp Dr Pepper Snapple Group Noble …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-comcast-agrees-disclose-political-spendingCUNY Bulletin No. CU-190
… Pursuant to the Memorandum of Agreement between the City University of New York and the International Alliance of … Specialist Holiday Schedule Description CNY5 CUNY Theatre Tech Earnings Program Description NTI Annual Theatre Tech Lo 1 NU NTI HTI Hourly Theatre Tech Lo 1 NU HTI NOTE: A …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-190-newly-established-bargaining-unit-iatse-local-one-andSecurity and Effectiveness of the Department of Labor’s Unemployment Insurance System
… 12, 2014 through September 23, 2014. Background The New York State Office of Information Technology Services (ITS) was …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-department-labors-unemployment-insurance-systemFormer Newburgh City Fire Chief Pleads Guilty To Wire Fraud For Fraudulently Obtaining Retirement Benefits
… for the Southern District of New York, announced that MICHAEL J. VATTER pled guilty today to wire fraud in … court. Manhattan U.S. Attorney Preet Bharara said: “Michael Vatter, the former Newburgh City Fire Chief, cheated … New York State Comptroller Thomas P. DiNapoli said "Michael Vatter duped the public by stealing $95,000 in …
https://www.osc.ny.gov/press/releases/2016/04/former-newburgh-city-fire-chief-pleads-guilty-wire-fraud-fraudulently-obtaining-retirement-benefitsAccounts Payable Advisory No. 37
… card charges helps make sure charges are appropriate and only legitimate expenses are paid for. However, some agencies …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/37-reconciliation-credit-card-transactionsState Comptroller DiNapoli Releases Municipal Audits
… operations or ensure bank reconciliations were performed. In addition, the board did not ensure that the district’s required annual financial reports were filed in a timely manner or conduct an annual audit of the … determined that 34, totaling $30,126, were not processed in accordance with the company’s accounting manual. These …
https://www.osc.ny.gov/press/releases/2024/05/state-comptroller-dinapoli-releases-municipal-audits-0State Comptroller DiNapoli Releases Municipal Audits
… Village of Newport and the Wassaic Fire District. "In today’s fiscal climate, budget transparency and … no use was recorded for either vehicle in the vehicle use log until May 2016. Greater Syracuse Property Development … compliance with redevelopment plans was not always timely. Mortgage property records did not always contain …
https://www.osc.ny.gov/press/releases/2017/05/state-comptroller-dinapoli-releases-municipal-auditsComptroller DiNapoli & A.G. Schneiderman Announce State Prison Sentence for Florida Woman in $120,000 Pension Fraud Case
… the conviction and sentence of Graycelia Cizik, 64, a resident of Polk County, Florida. Cizik pleaded guilty on January 21, 2015 to a … 2014 by agents of the Polk County Sheriff’s Office in Florida, and extradited to Albany County to face the … the conviction and sentence of Graycelia Cizik 64 a resident of Polk County Florida …
https://www.osc.ny.gov/press/releases/2015/03/comptroller-dinapoli-ag-schneiderman-announce-state-prison-sentence-florida-woman-120000-pensionReimbursement of Social Services Costs (2013MS-3)
… Counties: Franklin [pdf] , Genesee [pdf] , Greene [pdf] , Montgomery [pdf] , Ontario [pdf] , Sullivan [pdf] , Tioga … interdepartmental service costs (costs incurred by other county departments for the benefit of the DSS) that are … monitor claims submitted against the Plan to ensure the county’s reimbursement is maximized and submit supplemental …
https://www.osc.ny.gov/local-government/audits/county/2013/12/13/reimbursement-social-services-costs-2013ms-3Comptroller DiNapoli Releases Municipal Audits
… DiNapoli. “By auditing municipal finances and operations, my office continues to provide taxpayers the assurance that … in the clerk’s office: $29,322 from the tax collection account and $8,814 in clerk fees. Auditors identified … numerous questionable deposits that were made into the tax account and may have been made by the clerk in an attempt to …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-1