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Medicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… medical social services, drugs for symptom control and pain relief, counseling, and physical and occupational …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the two … and public housing centers, that provide medical services to underserved areas or populations. Our initial audit … $1 million in potential recoveries were likely lost due to the inaction on overpayments for claims that are now more …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followXVI.2 Financial Reporting Policies – XVI. Financial Reporting
… Section 8 of the State Finance Law requires the Comptroller to prepare periodic financial reports in accordance with … in the topical sections of this chapter. References may be to GASB Codification sections, GASB Statements and/or GASB … (AICPA) Committee on Accounting Procedure. Guide to Financial Operations REV. 01/01/2017 …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xvi/xvi2-financial-reporting-policiesCattaraugus County Industrial Development Agency – Community Benefit (2014M-344)
… Agency officials do not adequately monitor ongoing project activity. Key Recommendations Establish policies and procedures critical to project evaluation. Develop cost-benefit analysis ratios that provide reasonable project measurement. Develop procedures to ensure that …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2015/04/28/cattaraugus-county-industrial-development-agency-communityExamination of Sunset LG Realty, LLC
… examined more than $5,000 in select bonuses that Sunset LG Realty, LLC (Sunset) paid, and requested reimbursement for, … examined more than $5000 in select bonuses that Sunset LG Realty LLC Sunset paid and requested reimbursement for in …
https://www.osc.ny.gov/state-agencies/audits/2018/10/30/examination-sunset-lg-realty-llcClimate Act Goals – Planning, Procurements, and Progress Tracking
… Objectives To determine if the Public Service Commission (PSC) and the New York State Energy Research and Development … the period from January 2016 through October 2023 for PSC. The audit covered the period from January 2016 through … secured by load-serving entities (entities subject to PSC jurisdiction that secure energy to serve the State’s …
https://www.osc.ny.gov/state-agencies/audits/2024/07/16/climate-act-goals-planning-procurements-and-progress-trackingOpinion 97-23
… AMBULANCE SERVICE -- Ambulance Corps (simultaneous membership in fire company) FIRE COMPANY -- Membership (simultaneous membership in ambulance corps) VOLUNTEER FIREFIGHTERS -- …
https://www.osc.ny.gov/legal-opinions/opinion-97-23Enforcement of Article 19-A of the Vehicle and Traffic Law
… the Program. Using the Department’s non-government vehicle registration data, we identified 311 non-enrolled entities … Audit/Report of Interest Department of Motor Vehicles: Registration and Enforcement of Automotive Services, Sales, …
https://www.osc.ny.gov/state-agencies/audits/2019/02/07/enforcement-article-19-vehicle-and-traffic-lawComptroller DiNapoli and A.G. Underwood Announce Guilty Plea of Queens Pharmacy Owner for $1.5 Million Medicaid Fraud Scheme
… formerly located in Corona, Queens before re-locating to its current location in Lynbrook, NY — entered felony … guilty pleas in Supreme Court, Queens County admitting to defrauding the State’s Medicaid program out of $1.5 … never dispensed," State Comptroller DiNapoli said. "Thanks to our partnership with the Attorney General’s Office, Goldin …
https://www.osc.ny.gov/press/releases/2018/06/comptroller-dinapoli-and-ag-underwood-announce-guilty-plea-queens-pharmacy-owner-15-million-medicaidMedicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… the Department of Health (Department) made inappropriate premium payments to Medicaid mainstream managed care plans … care arrangements, managed care plans receive monthly premium payments for individuals enrolled in their plans. In … Department paid Plans approximately $94 billion in monthly premium payments. The Department can recover inappropriate …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamIII.8 Confidential, Personal, and Private Information – III. Statewide Financial System (SFS)
… limited business processes where confidential information is needed in the SFS. As such, there are restricted fields in … bank account information used to process ACH transactions is stored in the Vendor File and access is restricted. Business Units must not enter confidential …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii8-confidential-personal-and-private-informationRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit … Rebate Program, which allows states to recover a portion of their Medicaid prescription drug costs by obtaining … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followSavings Programs: NY 529 and NY ABLE
… benefits that help pay for college or disability expenses: NY's 529 College Savings NY Achieving a Better Life Experience (ABLE) Comptroller … Education Services Corporation. He is also trustee of the NY ABLE program and oversees all of its assets. NY’s 529 …
https://www.osc.ny.gov/savingsEmployee Incentive and Bonus Payments (Follow-Up) (2018-F-6) 30-Day Response
To determine the extent of the implementation of the four recommendations included in our initial audit report, Erie County Medical Center Corporation...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-18f6-response.pdfOverpayments of Certain Medicare Crossover Claims
… services rendered. On December 3, 2009, the Department of Health (Department) implemented the Medicare/ Medicaid … the Medicaid claims processing system (eMedNY) for payment of deductibles and coinsurance. Prior to the automated … owed; this often led to incorrect Medicaid payments of Medicare deductibles and coinsurance. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsOpinion 91-20
… and may specify the circumstances under which that service is to be available, provided that the service is available on a town-wide basis. The town or, if so … Municipal Law, §122-b[2]; see 1982 Opns St Comp No. 82-26, p 33). Thus, the town, by rule or regulation, may …
https://www.osc.ny.gov/legal-opinions/opinion-91-20Examination of Penalties and Interest Payments
The objective of our examination was to determine the extent to which NYSIF was penalized by the Workers’ Compensation Board (WCB) for late payment of medical a
https://www.osc.ny.gov/files/state-agencies/audits/pdf/bse-2018-08-01.pdfDiNapoli and Brooklyn Borough President Antonio Reynoso Op-Ed: New York Mothers Should Not Be Dying in Childbirth in 2025
… State, and what can be done to save lives. The full op-ed is below: Here’s what we know about our maternal health … every other high-income country. The death rate here is more than 2.5 times the rates of France and Canada and 3.5 … to be preventable. In short, the maternal health crisis is stark, alarming and in plain sight – but according to a …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-and-brooklyn-borough-president-antonio-reynoso-op-ed-new-york-mothers-should-not-be-dyingCompliance With State Arts Education Requirements (Follow-Up)
… (in the 2011 graduating class) completed an Arts Education curriculum that complied with State Education Department …
https://www.osc.ny.gov/state-agencies/audits/2015/11/06/compliance-state-arts-education-requirements-followMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … than if the patient was simply discharged home from the hospital. Key Findings The audit identified 2,808 managed …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-discharges