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Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… made in our initial audit report, Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a … warranted Medicaid payment. This included $712,250 for 19,031 fee-for-service claims and $327,154 for 5,664 encounter claims … made in our initial audit report Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… in our initial audit report, Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight … for newborn services using the fee-for-service and managed care payment methods. Under fee-for-service, Medicaid pays … directly for Medicaid-eligible services. Under managed care, Medicaid pays managed care organizations (MCOs) a fixed …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followContracted Programs With Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc.
… with contract terms. Background OASAS oversees programs for the prevention and treatment of alcohol and substance … with heroin dependence and to provide the opportunity for clients to make major lifestyle changes over time. … competitive process to provide assurance that reasonable prices are being paid for services that are actually …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/contracted-programs-puerto-rican-organization-motivate-enlighten-and-serve-addicts-incUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… this period, Davis Ethical was owned and operated by William Davis, a licensed pharmacist. Pursuant to allegations … made to Davis Ethical during the time it was owned by William Davis. Key Findings From January 1, 2008 through … of the physicians. This includes four prescriptions for William Davis or a family member for which the physician of …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… this period, Davis Ethical was owned and operated by William Davis, a licensed pharmacist. Pursuant to allegations … made to Davis Ethical during the time it was owned by William Davis. Key Findings From January 1, 2008 through … payments, as warranted. Formally assess the conduct of William Davis and determine whether he should be allowed to …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… the three recommendations included in our initial report Group Health Incorporated: New York State Dental Program - … which was issued on July 28, 2010, examined whether Group Health Incorporated (GHI) established adequate controls … New York State Department of Civil Service contracts with Group Health Incorporated (GHI) to process dental claims on …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followReview of the Local Development Corporation of Laurelton, Rosedale and Springfield Gardens (LDC)
… Purpose The objective of our examination was to determine whether payments made to the Local Development Corporation of Laurelton, Rosedale and Springfield Gardens (LDC) under … On June 9, 2014, the LDC claimed the remaining $48,750.00 of the contract amount. To receive the second claim, the LDC …
https://www.osc.ny.gov/state-agencies/audits/2015/08/24/review-local-development-corporation-laurelton-rosedale-and-springfield-gardens-ldcOversight of Career and Technical Education Programs in New York State Schools (Follow-Up)
… study. Our initial audit report, issued December 21, 2020 covering the 2015-16 through 2018-19 school years and …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/oversight-career-and-technical-education-programs-new-york-state-schools-followMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… New York’s Essential Plan, which provides health insurance to lower-income individuals who, generally, don’t … Medicaid and the Essential Plan. Both programs provide comprehensive health insurance and cover many of the same types of services. When …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… and whether it has followed required procedures in the leasing of its properties. This audit covered the … of New York and New Jersey (PANYNJ) was established in 1921 and was the first bi-state agency ever created under … tunnel and bridge connections between the states, and, in general, trade and transportation projects that secure the …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceOversight of Security Expenses in Single Adult and Adult Family Homeless Shelters (Follow-Up)
To determine the extent of implementation of the ten recommendations included in our initial audit report Oversight of Security Expenses in Single Adult and
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/oversight-security-expenses-single-adult-and-adult-family-homeless-shelters-followeBay Publicly Commits to Gender and Racial Diversity in Search for Board Members
… Asset Management today announced that they have withdrawn the shareholder proposal they filed at eBay Inc. after the company agreed to revise its Governance Guidelines to … gender and racial diversity among the qualities its seeks in its board members. When DiNapoli and Trillium filed their …
https://www.osc.ny.gov/press/releases/2015/03/ebay-publicly-commits-gender-and-racial-diversity-search-board-membersDiNapoli: Tesla Investors Should Vote Against Musk's Trillion Dollar Pay and Director Nominees
… of investors.” DiNapoli’s Shareholder Proposal to Restore Board Accountability DiNapoli encouraged shareholders … to do so,” DiNapoli said. “Undoing this restriction would restore this fundamental shareholder right and long-term …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-tesla-investors-should-vote-against-musks-trillion-dollar-pay-and-director-nomineesNYS Comptroller DiNapoli Seeks Answers From Companies on Sexual Harassment and Racial Discrimination
… in the workplace,” DiNapoli said. “When companies turn a blind eye to abuse by their executives, managers, employees … controversies and we are seeking a full accounting of what they are doing to stop these abhorrent behaviors and … harassment or discrimination complaints the company is trying to resolve internally or through litigation. Beyond …
https://www.osc.ny.gov/press/releases/2022/02/nys-comptroller-dinapoli-seeks-answers-companies-sexual-harassment-and-racial-discriminationDiNapoli: State Pension Fund Calls on Corporations to Address Environmental and Climate Risks
… in use of fossil fuels will impact its business in light of the International Energy Agency’s (IEA) Net Zero …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-state-pension-fund-calls-corporations-address-environmental-and-climate-risksDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… payments on behalf of 1,096 recipients who had terminated coverage in NYSOH and another $4.9 million in improper and … pharmacy, inpatient, durable medical equipment, and dental claims that did not comply with Medicaid policies; … that should have been billed to other health insurance coverage recipients had. Medicaid Program: Improper Medicaid …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsBayport Blue Point Union Free School District – Lead Testing and Reporting (S9-25-8)
… Period July 1, 2019 – September 30, 2024 Understanding the Program Lead is a metal that was commonly used in … how these outlets would be secured against use, and what remedial actions were planned or enacted. Because there … lead action level, to all parties or within the required time periods. District officials reported the Cycle Two test …
https://www.osc.ny.gov/local-government/audits/school-district/2025/08/01/bayport-blue-point-union-free-school-district-lead-testing-and-reportingSpringville-Griffith Institute Central School District – Access to Network and Information Applications (2021M-148)
… [ read complete report - pdf ] Audit Objective Determine whether Springville-Griffith … District officials did not: Disable unnecessary generic network user accounts. Properly restrict user … to District officials. Key Recommendations Review generic network user accounts and ensure that unnecessary …
https://www.osc.ny.gov/local-government/audits/school-district/2022/01/07/springville-griffith-institute-central-school-district-access-network-andSt. Lawrence County Industrial Development Agency and Local Development Corporation – Disbursements (2021M-174)
… Agency (IDA) without a written agreement detailing the services to be provided and the basis for the payment. Paid … a written agreement with the IDA that specifies the services to be provided to the LDC, the specific economic … each. Review and approve invoices for payroll processing services prior to payment. LDC officials generally agreed …
https://www.osc.ny.gov/local-government/audits/county/2022/01/21/st-lawrence-county-industrial-development-agency-and-local-development-corporationCity of Glen Cove Industrial Development Agency – Project Approval and Monitoring (2020M-139)
… - pdf ] Audit Objective Determine whether the City of Glen Cove Industrial Development Agency (GCIDA) Board of Directors … These funds should have been paid to the City of Glen Cove (City), $75,039, and to the school district and library, … Determine whether the City of Glen Cove Industrial Development Agency GCIDA Board of Directors …
https://www.osc.ny.gov/local-government/audits/city/2021/07/16/city-glen-cove-industrial-development-agency-project-approval-and-monitoring-2020m