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Medicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… 1, 2015 to December 31, 2019. About the Program The State’s Medicaid program is administered by the Department of … of $457,973 and reviewed the associated patients’ medical records. Our review found: 15 claims were overpaid $252,107 …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… Objective To determine if the Office of Mental Health (OMH) has effectively addressed the findings … benefits advisement in the New York State Employment First Commission report. The audit covers the period March 1, 2015 … with disabilities participate in the work force at a rate of less than half that of people without disabilities, …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentUse of Federal Funding for Election Technology and Security
… available funding from the 2018 Help America Vote Act Election Security Grant to enhance the security of the State’s election technology and infrastructure. The audit covered the … available funding from the 2018 Help America Vote Act Election Security Grant to enhance the security of the States …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
To determine whether UnitedHealthcare paid claims using reasonable and customary reimbursement rate schedules that did not correlate
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… drugs, to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. We issued our initial …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… services according to contracts it negotiates with member hospitals. Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient hospital services. Hospitals may be entitled to additional payments for special …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… Medicaid managed care organizations inappropriately paid for durable medical equipment beyond allowed rental limits, and whether the Medicaid program could achieve … audit covered the period from July 2016 to December 2021 for non-oxygen-related durable medical equipment rentals and …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsSelected Aspects of Accommodations for Passengers With Disabilities (Follow-Up)
… initial audit report, Selected Aspects of Accommodations for Passengers With Disabilities ( 2019-S-41 ). Background … airport (and terminal) operators to be responsible for implementing and maintaining boarding accessibility. … A May 2007 DOJ publication established best practices for state and local government website accessibility. The …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/selected-aspects-accommodations-passengers-disabilities-followAnnual Assessment of Market Orders for 2015 and 2016
… 2014 through June 30, 2016 for the Apple and Sour Cherry Market Orders and the period April 1, 2014 through March 31, … the Program During the audit period, the Department’s Market Order Administration was responsible for the … the Apple Market Order and the New York Apple Association, Inc. (NYAA) contract. The Department did not always enforce …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services
… Hospitals use International Classification of Diseases (ICD) procedure codes on their claims to report mechanical … ventilation services. When hospitals use a specific ICD procedure code to report a patient received 96 … for 4,874 inpatient APR-DRG claims that included an ICD procedure code for 96 consecutive hours or more of …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-servicesMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Part C, private managed care companies administer Medicare benefits and offer different health care plans (referred to … services that are not covered by original Medicare (e.g., dental services). Plans reimburse health care providers for … If Plans deny a claim or pay a different amount than what a provider billed, Plans must communicate the reasons …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… compliance. The Law does not preclude nurses from volunteering to work additional hours and does not apply in … audit report. Of the five prior audit recommendations, one was implemented and four were partially implemented. Key …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followImplementation of the Dignity for All Students Act (Follow-Up)
… schools to designate a trained Dignity Act Coordinator (DAC). An amendment effective July 1, 2013 defined … than half of the schools we visited did not communicate DAC contact information throughout the school. Further, …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followBrighter Choice Charter School for Boys - Payroll (2018M-139)
… Brighter Choice Charter School for Boys Payroll 2018M139 …
https://www.osc.ny.gov/local-government/audits/charter-school/2018/10/12/brighter-choice-charter-school-boys-payroll-2018m-139Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… Objective To determine if Medicaid made overpayments to providers who reported claims with a PR 45 cost-sharing amount. The audit covered the … as such, providers are required to coordinate benefits with third-party insurers prior to billing Medicaid for … To determine if Medicaid made overpayments to providers who reported …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsComptroller DiNapoli Releases State Audits
… Thomas P. DiNapoli announced today the following audits have been issued: Department of Corrections and Community … During the audit period, auditors found Medicaid could have saved up to $69 million if it limited payments of … in several notable instances, transgressions appeared to have been motivated by personal gain and may have violated …
https://www.osc.ny.gov/press/releases/2014/06/comptroller-dinapoli-releases-state-auditsNY ABLE Program Helps New Yorkers With Disabilities and Their Families Cover Costs
… New York state has a new savings plan, called the New York Achieving a Better Life … DiNapoli’s office also oversees New York’s 529 College Savings Program. The legislation was sponsored by Senator … $100,000. The program was modeled after the 529 College Savings Program and adopted under the federal Stephen Beck …
https://www.osc.ny.gov/press/releases/2017/10/ny-able-program-helps-new-yorkers-disabilities-and-their-families-cover-costsDiNapoli: NYC Budget Increases Transparency, Reveals Structural Gaps
… budget gap that may require choices that threaten the city’s fiscal stability, competitiveness and … reveals to the public the structural budget gap that has emerged and the actions the city intends to take to close … to balance the FY 2027 budget. These line items, which are a buffer for cost overruns, have been reduced to $100 …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-nyc-budget-increases-transparency-reveals-structural-gapsEnvironment, Energy and Agriculture – 2022 Financial Condition Report
… 38 FTEs below levels as of March 31 in the previous year and 6.3 percent below levels from March 31, 2012. … needs. Appropriations to the EPF have fluctuated over time and were $300 million in SFY 2021-22. EPF appropriations … a broad array of environmental programs, such as State and municipal open space conservation; municipal and …
https://www.osc.ny.gov/reports/finance/2022-fcr/environment-energy-and-agricultureState Comptroller DiNapoli Releases Audits
… Rail Road (LIRR) awarded a contract to procure new M9 rail cars to replace its M3 cars and expand its fleet in preparation for service into … budgeting $355.9 million for an initial base order of 92 cars. A prior report, issued in March 2022, found that LIRR …
https://www.osc.ny.gov/press/releases/2023/12/state-comptroller-dinapoli-releases-audits