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Medicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… billion in 2013, its recoveries actually decreased each year – and in 2013, its SIU recovered only $58,500 from fraud … and paid about 15.2 million encounter claims. The same year, Amerigroup enrolled about 514,000 recipients and paid … a minimum investigatorto- enrollee ratio of at least 1:60,000. In comparison, in 2013, UHC’s ratio was 1:255,234 and …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionNew York State Comptroller Thomas P. DiNapoli Statement on Moody's Upgrade of New York State General Obligation Bonds
… New York’s rating for its General Obligation bonds and the state’s other major bonding programs to Aa1, its highest … is a clear signal to investors that New York is on the right financial path. The rating upgrade is a positive … align ongoing levels of spending and revenues, and reduce out-year budget gaps, which are actions that I have …
https://www.osc.ny.gov/press/releases/2014/06/new-york-state-comptroller-thomas-p-dinapoli-statement-moodys-upgrade-new-york-state-generalVillage of Windsor - Water Operations (2019M-210)
… officials accurately billed customers for water usage and reconciled water produced to water billed. Key Findings … methodology for estimating water bills. Estimated and customer-submitted water usages used by Village officials … Develop procedures to measure unmetered water usage and periodically read customer meters. Continue to work on …
https://www.osc.ny.gov/local-government/audits/village/2020/01/24/village-windsor-water-operations-2019m-210Anthem Blue Cross – Coordination of Benefits With Medicare
… and their dependents have other insurance coverage in addition to the Empire Plan such as Medicare, the federal … Medicare-related information. Additionally, weaknesses in Anthem’s and Civil Service’s reconciliation of member … for recovery. Key Recommendations Review the $5,259,416 in claims identified in this report as improperly paid and …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareStanley Fire District – Internal Controls Over Financial Operations (2013M-259)
… to ensure that financial activity is properly recorded and reported and that District moneys are safeguarded for the period … County, is a district corporation of the State, distinct and separate from the Town of Seneca. The Board of Fire …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/22/stanley-fire-district-internal-controls-over-financial-operations-2013m-259Caton Volunteer Fire Company, Inc. – Internal Controls Over Financial Activities (2013M-237)
… to ensure that financial activity is properly recorded and reported and that Company moneys are safeguarded for the period … of a President, Vice-President, Secretary, Treasurer, and five Directors. The Company’s revenue and expenditures …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/01/caton-volunteer-fire-company-inc-internal-controls-over-financialMedicaid Payments for Excessive Dental Services (Follow-Up)
… included in our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background … evaluations provided to the same recipient more times than is allowed during a certain time period). While some of the … by these payments may be legitimate services provided in good faith, other dental services appeared highly …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followMitchell-Lama Vacancies
… of their affordability; consequently, the waiting lists for many of these apartments can be quite lengthy. To ensure efficient turnover of vacant … quarterly vacancy reports are not submitted to HPD in an analysis-friendly format, which compromises their value as …
https://www.osc.ny.gov/state-agencies/audits/2021/07/13/mitchell-lama-vacanciesState Police Bulletin No. SP-75
… Association that provides for a new Salary Schedule based on geographic work location for Commissioned and … Effective 03/27/03, each Officer's Salary will be based on the Officer's work location. (This differs from previous … 23 The new Salary Schedule in effect for BU 17 is based on Geographic Area ( Attachment A ). OSC will review each …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-75-commissioned-and-non-commissioned-state-police-officers-salary-scheduleState Police Bulletin No. SP-72
… Suffolk Counties Background Pursuant to the Clarification of Award between New York State and the Police Benevolent … on the same step received the same salary regardless of their geographic work location.) Troopers transferring to … step amount applicable to that location. Effective Date(s) Rates are effective 03/27/03. Payments will be made in …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-72-state-police-troopers-salary-schedule-change-based-geographic-workCompliance With the Sewage Pollution Right to Know Act and Monitoring and Enforcement of State Pollutant Discharge Elimination System Permit Requirements (Follow-Up) (2022-F-1)
To determine the extent of implementation of the three recommendations included in our initial audit report, Compliance With the Sewage Pollution Right to Know Act and Monitoring and Enforcement of State Pollutant Discharge Elimination System Permit Requirements (Report 2019-S-54).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f1.pdfLocal Sales Taxes in July-September 2021 Up 20 Percent Compared to Same Quarter in 2020 - New York City Collections Near 2019 Pre-Pandemic Levels
Local government sales tax collections totaled nearly $5.2 billion in the third quarter of 2021, up $861 million (20 percent) compared to the same period last year. Every region in the State, including New York City, experienced robust growth in sales tax revenue.
https://www.osc.ny.gov/files/local-government/publications/pdf/local-sales-taxes-up-20-percent-in-july-september-2021.pdfAssessment of Costs to Administer the Workers’ Compensation Program for the Three State Fiscal Years Ended March 31, 2023 (2024-M-1) 180-Day Response
To ascertain the total expenses that the Workers’ Compensation Board (Board) incurred in administering the Workers’ Compensation Program (Program) for the 3 State Fiscal Years ended March 31, 2023.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-24m1-response.pdfAssessment of Costs to Administer the Workers’ Compensation Program for the Three Fiscal Years Ended March 31, 2017 (2017-S-64) 90-Day Response
To assess the accuracy of the Workers’ Compensation Board’s reported assessable expenses and compliance with relevant statutes related to...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s64-response.pdfApplication for Conversion of Service or Disability Retirement to Accidental Death Benefit for Victims of the 2001 World Trade Center Disaster (RS6418-W)
To convert a retirement benefit to an accidental death benefit for victims of the 2001 World Trade Center disaster, NYSLRS beneficiaries use form RS6418-W.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6418-w.pdfImproper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care (2023-S-23) 180-Day Response
To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23s23-response.pdfState Agencies Bulletin No. 1241
… 2009-2016 Agreement between the State of New York and the NYS Correctional Officers and Police Benevolent Association, … 2009-2016 Agreement between the State of New York and the NYS Law Enforcement Officers’ Union, District Council 82 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1241-april-2013-retention-paymentMadison County – Temporary Courthouse Lease and Renovations (2019M-41)
… Recommendations Conduct and document a thorough analysis of leasing alternatives before making major financial …
https://www.osc.ny.gov/local-government/audits/county/2021/01/08/madison-county-temporary-courthouse-lease-and-renovations-2019m-41Village of Lake George – Records and Reports (2024M-82)
… George (Village) Treasurer maintained complete, accurate and timely records and reports to allow the Village Board (Board) to effectively … financial operations. Key Findings The Treasurer and former Board-appointed Secretary to the Mayor (Secretary) …
https://www.osc.ny.gov/local-government/audits/village/2024/09/13/village-lake-george-records-and-reports-2024m-82DiNapoli: North Shore Leads Staten Island's Growth
… many the gateway to Staten Island, has led the borough in population growth since 2010, according to a report released … and serves as an important freight and commuting hub. The area accounts for more than one third of the Staten Island population and its residents tend to be younger and more …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-north-shore-leads-staten-islands-growth