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Medicaid 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-dischargesNew York State Comptroller DiNapoli and District Attorney Hoovler Announce Indictment in Medicaid Fraud Case
… and from approved Medicaid medical service providers. It is alleged that the defendants acted in concert with each … transported multiple Medicaid recipients in one trip. It is alleged that the defendants fraudulently billed the … the New York State Medicaid Program. The investigation is ongoing and anyone with information is urged to contact …
https://www.osc.ny.gov/press/releases/2025/11/new-york-state-comptroller-dinapoli-and-district-attorney-hoovler-announce-indictment-medicaid-fraudState Contract and Payment Actions in April
… Corp. for the replacement of roll-up doors for truck access at the Green Haven Correctional Facility in …
https://www.osc.ny.gov/press/releases/2023/05/state-contract-and-payment-actions-aprilOpinion 97-16
… of claims presented for payment of money (see, e.g., In re White , 51 App Div 175, 64 NYS 726). However, the court in …
https://www.osc.ny.gov/legal-opinions/opinion-97-16Village of Delhi – Audit Follow-Up (2019M-204-F)
… report released in January 2020. Background The Village is located in Delaware County and has a population of approximately 3,092. The Village is governed by an elected five-member Board of Trustees and …
https://www.osc.ny.gov/local-government/audits/village/2022/05/20/village-delhi-audit-follow-2019m-204-fOpinion 98-18
… the fire district or the town in which the fire district is located. In addition, you ask whether, if section 3008 … §3000). For purposes of Article 30, "ambulance service" is defined to include any: individual, partnership, … life support care, but does not transport patients, is defined as an "advanced life support first response …
https://www.osc.ny.gov/legal-opinions/opinion-98-18Opinion 92-15
… (payment for partial disability attributable only in part to line-of-duty injury); (effect of workers' compensation … Municipal Law, §207-c) -- Disability Benefits (payment to deputy sheriff eligible for benefits under General … Law, §207-c if the line-of-duty injury contributed to the disability in a substantial degree. When determining …
https://www.osc.ny.gov/legal-opinions/opinion-92-15Selected Safety and Security Equipment at Subway Stations (Follow-Up) (2019-F-17)
To determine the extent of implementation of the five recommendations included in our initial report, Operational Training and Medical Assessments of Train...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f17.pdfMedicaid Program – Improper Payments for Recipients No Longer Enrolled in Managed Long Term Care Partial Capitation Plans
… Purpose To determine whether the Medicaid program made inappropriate capitation payments to Managed Long Term Care Partial Capitation plans for … To determine whether the Medicaid program made inappropriate …
https://www.osc.ny.gov/state-agencies/audits/2016/03/30/medicaid-program-improper-payments-recipients-no-longer-enrolled-managed-long-term-careThe Growing Role of Counties in Emergency Medical Services
This report examines the local government role in emergency medical services (EMS) in New York State and particularly the growing role that counties are playing in EMS provision.
https://www.osc.ny.gov/files/local-government/publications/pdf/ems-report-2024.pdfComptroller DiNapoli and Attorney General Underwood Announce Sentencing of Queens Pharmacy Owner for Stealing More than $1.5 Million from Medicaid
… a pharmacy formerly located in Queens before re-locating to its current location in Lynbrook, NY, for defrauding the … of Queens County Supreme Court sentenced Arkady Goldin to six months in jail, five years’ probation and 200 hours of … service. Goldin and Value Pharmacy will be required to pay $1.5 million to New York State as restitution for the …
https://www.osc.ny.gov/press/releases/2018/07/comptroller-dinapoli-and-attorney-general-underwood-announce-sentencing-queens-pharmacy-ownerDiNapoli Announces State Contract and Payment Actions for June 2015
… contract amendment with Taft Stettinius & Hollister LLP for gaming advisory services for the review of Southern … for WIC infant formula rebate. $31.5 million with KPMG, LLP for Health Care Reform Act performance audits. New York … State Legislature – Assembly $227,000 to Hogan Lovells US LLP to defend the Assembly in pending sexual harassment …
https://www.osc.ny.gov/press/releases/2015/07/dinapoli-announces-state-contract-and-payment-actions-june-20152013 Year End Report
… they are subject to various edit and validation checks, approved by the Board for payment, and submitted to our … incorrect payments totaling over $1.6 million that were approved by the Board and submitted to our Office for final … schedules, (iii) contained computation errors, (iv) were previously approved and paid, and/or (v) contained …
https://www.osc.ny.gov/state-agencies/audits/2014/05/13/2013-year-end-reportSecurities Coordinating Committee
… the Comptroller prepares a forward issuance calendar that is released near the beginning of each calendar quarter and … updated frequently. Since the information on the calendar is supplied by the participating organizations and is subject to change without notice, questions about any …
https://www.osc.ny.gov/debt/securities-coordinating-committeeTown of Franklinville – Procurement (2024M-56)
… whether Town of Franklinville (Town) officials complied with the requirements of the Town’s procurement policy. Key Findings Town officials did not always comply with the requirements of the Town’s procurement policy … as the Town’s chief financial officer, were not familiar with the Town’s procurement policy and its requirements. …
https://www.osc.ny.gov/local-government/audits/town/2024/07/12/town-franklinville-procurement-2024m-56Medicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… for Medicaid services when patient deaths occur within one day of admission. The audit covers the period December 1, … used to compensate hospitals for inpatient medical care. The new methodology, based on All Patient Refined … certain claims when patient deaths occur within the first day of admission. For instance, Medicaid paid $153,329 on a …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsWadsworth Center Environmental Laboratory Approval Program
… and reliability of these analyses. Accurate laboratory test results are essential to health assessment and disease … method/technology refers to the kind of assessment used to test for an analyte. Currently, ELAP grants certification to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/09/wadsworth-center-environmental-laboratory-approval-programXIII.8 Overview – XIII. Employee Expense Reimbursement
… Section Overview In addition to travel reimbursements, employees can be … can authorize payment of dues for staff members involved in professional organizations through the SFS Travel and … to the Business Unit should be clearly articulated in the justification. Memberships in an individual's name …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii8-overviewState Police Accidental Disability (Section 363-bb) – State Police Plan
… negligence; and In the service upon which your membership is based. If you are discontinued from this service, … disability benefits. We determine whether an incident is an “accident” on a case-by-case basis, using court … the State Police accidental disability retirement benefit is a lifetime pension. The benefit is equal to 75 percent of …
https://www.osc.ny.gov/retirement/publications/1518/state-police-accidental-disability-section-363-bbAccountability and Surplussing of Vehicles (Follow-Up)
… Regional Developmental Disabilities State Operations Offices administer and oversee State operations for OPWDD, … Disabilities Services Offices (DDSOs) – Metro NY (the Bronx and Manhattan), Brooklyn, Bernard M. Fineson … policy requires vehicles be used only for official State business, and OPWDD’s Fleet Management Policy (Policy) …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-follow