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Improper Payments Related to the Center of Excellence for Cancer Program
… December 2024. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of … Excellence for Cancer Program (Cancer Program), a select group of providers recognized as leaders in the field of …
https://www.osc.ny.gov/state-agencies/audits/2026/01/27/improper-payments-related-center-excellence-cancer-programUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… through December 31, 2016. Background The New York State Health Insurance Program (NYSHIP), administered by the State … testing, outpatient surgery, physical therapy, and home care services. United processes and pays claims from health …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government … contracts with Empire BlueCross BlueShield (Empire) to administer the hospitalization portion of the Plan. Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… district employees, and their dependents. The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. … Payments for hospital services are generally based on standard fee schedules that are negotiated between Empire and … (implants, drugs and blood) that are not covered by the standard fee schedules. Agreements with many of Empire’s …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… three recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan … Department of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s … of Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followUnited HealthCare – Empire Plan Drug Rebate Revenue
… Purpose To determine if United HealthCare (United) remitted all drug rebate revenue … the Department. Other Related Audits/Reports of Interest United HealthCare Insurance Company of New York: Empire Plan … To determine if United HealthCare remitted all drug rebate revenue to the …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueAnthem 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 … To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up)
… Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage … to provide information on any actions that are planned to address the unresolved issues discussed in this follow-up. …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/new-york-state-health-insurance-program-payments-beacon-health-options-mental-health-andNorth Bellmore Union Free School District - Procurement of Professional Services (2019M-95)
Determine whether the Board adhered to the law and District policy when procuring professional services.
https://www.osc.ny.gov/files/local-government/audits/pdf/north-bellmore-2019-95.pdfHiring Public Retirees – When Employees Retire
… Civil Service Commission. A link to their Section 211 Application is available on our Forms page . However, one of … not find any available qualified non-retired persons. The hiring must also be considered temporary, rather than a final … sections, however, a prearranged agreement to rehire the employee risks the termination not constituting a bona fide …
https://www.osc.ny.gov/retirement/employers/when-employees-retire/hiring-public-retireesNew York Mills Union Free School District – Procurement (2020M-79)
Determine whether District officials sought competition for the purchase of good and services not subject to competitive bidding.
https://www.osc.ny.gov/files/local-government/audits/2020/pdf/new-york-mills-2020-79.pdfCoronavirus Aid, Relief and Economic Security (CARES) Act Information
This guidance document discusses the importance of proper fiscal oversight by local and school district officials during these unprecedented times.
https://www.osc.ny.gov/files/local-government/publications/pdf/cares-act-information-guidance.pdfState Comptroller DiNapoli Releases Municipal and School Audits
… projections. The city’s most recent Annual Financial Report (AFR) was submitted to the Office of the State Comptroller (OSC) for the 2023 fiscal year; the 2024 AFR was due April 30, … inventory list totaling $1.7 million did not have a serial number. Additionally, 280 assets totaling $630,009 (including …
https://www.osc.ny.gov/press/releases/2025/11/state-comptroller-dinapoli-releases-municipal-and-school-auditsDiNapoli: Local Communities Reducing Number of Homeless Veterans
… DiNapoli. Homeless veterans declined from 5,765 in 2011 to 1,248 individuals in 2016 in New York, a decrease of 78.4 … "As we honor our men and women who have served in our Armed Forces, the Comptroller has lasered in on the plight of our …
https://www.osc.ny.gov/press/releases/2017/11/dinapoli-local-communities-reducing-number-homeless-veteransDiNapoli: Identity Theft Cases Surged in New York in 2020
… Identity thefts in New York surged during the pandemic with more than 67,000 complaints filed statewide in 2020, which was 85 percent more than the previous year and … times the annual total from a decade earlier, according to a report released today by New York State Comptroller …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-identity-theft-cases-surged-new-york-2020DiNapoli Announces State Contract and Payment Actions for September 2015
… State Comptroller Thomas P. DiNapoli announced today his office approved 2,277 contracts valued at $3.7 … State Comptroller Thomas P DiNapoli announced today his office approved 2277 contracts valued at $37 …
https://www.osc.ny.gov/press/releases/2015/10/dinapoli-announces-state-contract-and-payment-actions-september-2015Cost-Saving Ideas: Minimizing Unemployment Insurance Costs
… notices promptly and completely. Claims are charged to your account and could increase your tax rate in future years … calculate the balance yourself: Take the account balance at the beginning of the year, adding to it all the timely … can least afford them. Submit a written request to DOL to use the reimbursement method If you decide to use the …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-minimizing-unemployment-insurance-costsDiNapoli Announces State Contract & Payment Actions for June 2014
… Office of General Services $975,000 to Murnane Building Contractors and $458,000 to DiGesare Mechanical Inc. to renovate Building 5 at the Harriman State Office Campus. $253,000 to Otis Elevator Company to upgrade the Corning Tower elevators. State Education Department $96,000 to …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-announces-state-contract-payment-actions-june-2014Pulaski Academy and Central School District - Separation Payments (2020M-20)
Assess whether separation payments to certain District officials were authorized and accurately calculated in accordance with Board-approved employment contract
https://www.osc.ny.gov/files/local-government/audits/pdf/pulaski-academy-2020-20.pdfPoughkeepsie City School District - Procurement and Claims Auditing (2019M-16)
… $71,226 during the audit period, including $4,596 for shipping costs. Key Recommendations Ensure purchases subject …
https://www.osc.ny.gov/local-government/audits/school-district/2019/12/20/poughkeepsie-city-school-district-procurement-and-claims-auditing-2019m