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Problem Claims – Improving the Effectiveness of Your Claims Auditing Process
… who approved the claim. The official should contact the vendor to request a more detailed claim and to educate the vendor on itemization requirements. If the claim is for …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/problem-claimsCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… included in our initial audit report, Accuracy of Drug Rebate Revenue Remitted to the Department of Civil … CVS Health to administer the Empire Plan’s prescription drug program for the period from January 1, 2014 through … CVS Health was required to negotiate agreements with drug manufacturers for rebates and remit the rebate revenue …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followEmpire BlueCross – Overpayments for Physician-Administered Drugs
… incorrectly processed by Empire whereby Empire paid the full price even though the facility billed $0.01 (no-cost); …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugsState Comptroller DiNapoli Releases Municipal & School Audits
… New York State Comptroller Thomas P. DiNapoli today announced the following local government and school … New York State Comptroller Thomas P DiNapoli today announced the following local government and school …
https://www.osc.ny.gov/press/releases/2024/09/state-comptroller-dinapoli-releases-municipal-school-audits-1Comptroller DiNapoli Releases State Audits
… be considered reasonable amounts for such expenditures, and what documentation would be required to demonstrate that … included the costs for special events, memberships and sponsorships. Central New York Regional Transportation … be considered reasonable amounts for such expenditures, and what documentation would be required to demonstrate that …
https://www.osc.ny.gov/press/releases/2014/10/comptroller-dinapoli-releases-state-auditsDiNapoli: Jackson Heights Economy Energized By Immigrants and Small Businesses
… Melinda Katz . “The hard work and entrepreneurial spirit of our immigrant population helps make Jackson Heights … “Immigrant small business owners and their entrepreneurial spirit is the lifeblood of our local economy. When you walk …
https://www.osc.ny.gov/press/releases/2019/10/dinapoli-jackson-heights-economy-energized-immigrants-and-small-businessesElwood Union Free School District - Claims Auditing (2019M-31)
… were adequately documented, were for appropriate purposes and were properly audited and approved prior to payment. Noteworthy Achievements Due to … $414,749 of the 1,104 claims paid during our audit and found that the control procedures were followed for the … were adequately documented were for appropriate purposes and were properly audited and approved …
https://www.osc.ny.gov/local-government/audits/school-district/2019/04/05/elwood-union-free-school-district-claims-auditing-2019m-31General Brown Central School District - Building Renovation Project (2019M-21)
Did the Board and District officials properly establish, monitor and account for the building renovation project?
https://www.osc.ny.gov/files/local-government/audits/pdf/general-brown-21.pdfOpinion 88-19
… AND PROCEEDINGS -- Authority To Institute (by town to challenge establishment of private landfill) TOWNS -- Powers … to maintain any action or proceeding which is brought to challenge a determination made by the Department of …
https://www.osc.ny.gov/legal-opinions/opinion-88-19As Racial Homeownership Disparities Persist, State's Mortgage Agency Increases Lending to Minority and Low-Income Borrowers
… The State of New York Mortgage Agency (SONYMA) has boosted lending and programs for … communities, increasing its share of loans provided to low-income and minority borrowers over the last 10 years. … more affordable for New Yorkers. It offers low-interest mortgage programs, down payment assistance loans, loans and …
https://www.osc.ny.gov/press/releases/2025/06/racial-homeownership-disparities-persist-states-mortgage-agency-increases-lending-minority-and-lowState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued. New York State Dental Insurance Program – EmblemHealth Plan, … to process and pay claims for services on behalf of the New York State Dental Insurance Program. To prevent duplicate …
https://www.osc.ny.gov/press/releases/2024/02/state-comptroller-dinapoli-releases-auditsRoxbury Central School District - Health Insurance Buyouts (2019M-89)
Determine whether District payments for health insurance buyouts were cost-effective, supported by collective bargaining agreements and correctly calculated.
https://www.osc.ny.gov/files/local-government/audits/pdf/roxbury-2019-89.pdfOpinion 2006-7
… also Langdon v Town of Webster , 270 AD2d 896, 706 NYS2d 547 lv den 95 NY2d 766, 716 NYS2d 641). The town board, …
https://www.osc.ny.gov/legal-opinions/opinion-2006-7Roscoe Central School District - Cost-effective and Equitable Expenditure Controls (2018M-182)
Determine whether District officials implemented cost-effective and equitable measures to control expenditures and share services.
https://www.osc.ny.gov/files/local-government/audits/pdf/roscoe.pdfEast Syracuse Minoa Central School District – Information Technology (2020M-174)
Determine whether East Syracuse Minoa Central School District (District) officials established adequate information technology (IT) controls to ensure employees’ personal, private and sensitive information (PPSI) on the financial server was adequately protected from unauthorized access, use and loss
https://www.osc.ny.gov/files/local-government/audits/2021/pdf/east-syracuse-minoa-2020-174.pdfUnited HealthCare – Empire Plan Drug Rebate Revenue
… Purpose To determine if United HealthCare (United) remitted all drug rebate revenue to the … Other Related Audits/Reports of Interest United HealthCare Insurance Company of New York: Empire Plan Drug Rebates (2014-S-62) United HealthCare Insurance Company of New York: Empire Plan Drug …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… extent of implementation of the three recommendations made in our initial audit report, United HealthCare Insurance … and allocation of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) … was issued on September 26, 2014, identified $694,227 in drug rebate and discount revenue that was not credited to …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Our initial audit report, which was issued on January 16, 2014, found that Empire did not have adequate controls to …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… of the Plan. Empire processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member hospitals. Payments for hospital services are generally based on standard fee …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance … To assess the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-and