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Improper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… pay providers for services rendered to their members. The State’s Medicaid program offers different types of managed … separately through FFS. We issued our initial audit report on January 10, 2019.The audit objective was to determine … issuance of the follow-up report to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followMedicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
To determine whether the Department of Health paid for claims in violation of federal and State regulations that require an appropriate National Provider Identifier for ordering prescribing referring and attending OPRA health care providers
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingEnforcement of Article 19-A of the Vehicle and Traffic Law (Follow-Up)
… driving tests, and maintaining a safe driving record both on and off the job. Additionally, school bus drivers must … introduced a risk that carriers could alter the records. Key Findings We found that the Department has implemented … report, and has partially implemented one recommendation. Key Recommendation Officials are given 30 days after the …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/enforcement-article-19-vehicle-and-traffic-law-followNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… also allows for the inclusion of other public employees in New York, including those of local government entities … if a member and their spouse are both eligible to enroll in NYSHIP, only one may elect Family coverage (the other may …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageContract Award and Performance
… Purpose To determine whether the New York State Energy Research and … (NYSERDA) awarded procurement contracts according to prescribed policies and procedures. We also determined …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/contract-award-and-performanceSelected Employee Travel Expenses
… spend between $100 million and $150 million each year on travel expenses. These expenses, which are discretionary … CUNY Central Office employees (mostly Vice Chancellors). Key Findings Most of the $125,410 in travel expenses we … from calendar years 2008 through 2011 is questionable. Key Recommendations Improve the control environment over the …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/selected-employee-travel-expensesSelected Financial Management and Administrative Practices
… of the Nassau County Public Administrator (NCPA) operates in compliance with governing statutes and guidelines. Our … Act establishes a Court-appointed Public Administrator in 11 counties in the State, including Nassau County. Public … not clear the NCPA used the most qualified vendors at the best available prices. Certain estate assets were put up for …
https://www.osc.ny.gov/state-agencies/audits/2015/04/28/selected-financial-management-and-administrative-practicesMTA Headquarters and MTA Capital Construction – Travel and Entertainment Expenses
… 2011 to October 2, 2013, MTAHQ and MTACC spent $1,217,483 on travel and another $85,568 on entertainment. Key Findings MTAHQ and MTACC have opportunities to strengthen … travel expense reports and supporting documentation. Key Recommendations Revise the All-Agency Travel Policy …
https://www.osc.ny.gov/state-agencies/audits/2015/02/02/mta-headquarters-and-mta-capital-construction-travel-and-entertainment-expensesEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member … above the amount Empire should have paid for the items in question. For one hospital, Empire paid $68,382 for three …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughCity of Dunkirk – Budget Review (B24-1-10)
… [read complete report – pdf] Purpose The purpose of our budget review was to provide an independent evaluation … in the general, water, wastewater, refuse and boardwalk funds were ($6,827,480), ($1,163,085), ($247,482), $0 and $0; …
https://www.osc.ny.gov/local-government/audits/city/2024/11/27/city-dunkirk-budget-review-b24-1-10Windows Domain Administration and Management (Follow-Up)
… and desktop support for more than 38,000 workstations on 1,600 miles of fiber. As part of its services, ITS is … indicated they were planning actions to address them. Key Findings ITS officials made progress in addressing the … were partially implemented, and one was not implemented. Key Recommendation ITS officials are requested, but not …
https://www.osc.ny.gov/state-agencies/audits/2024/10/09/windows-domain-administration-and-management-followOswego County – Court and Trust Funds (2022-C&T-5)
… be provided to the court and then delivered to the County Treasurer (Treasurer) for safekeeping. Payments made pursuant … deposited as required by court order. Pursuant to New York State Finance Law, county treasurers are required to submit a report on an annual basis to the State Comptroller accounting for all money, securities and …
https://www.osc.ny.gov/local-government/audits/county/2022/11/23/oswego-county-court-and-trust-funds-2022-ct-5UnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
… – Overpayments for Physician-Administered Drugs (Report 2021-S-32 ). About the Program The New York State Health … was to assess the extent of implementation, as of March 18, 2025, of the eight recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2025/05/21/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsOversight of Contract Expenditures of Bowery Residents’ Committee (Follow-up)
… JRR contract. The objective of our initial audit, issued on December 30, 2021, was to determine if DHS was effectively … or ensure that required year-end closeouts were completed on time. Consequently, for the 3 fiscal years ended June 30, …
https://www.osc.ny.gov/state-agencies/audits/2025/07/14/oversight-contract-expenditures-bowery-residents-committee-followUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… Purpose To determine whether Long Island Bone and Joint, LLP waived … Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government, …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpMaternal Health
… January 2018 through December 2023. About the Program One key indicator of the overall health of a population is its … press release, nationally, severe morbidity cases are on the rise, increasing from 146.8 per 10,000 discharges in … and an objective to decrease the rate of severe morbidity. Key Findings While DOH has made progress in addressing the …
https://www.osc.ny.gov/state-agencies/audits/2024/07/30/maternal-healthDiNapoli: Fiscal Stress Remains Low in Villages
… Fiscal Stress Monitoring System has identified 22 villages in New York in some level of fiscal stress . DiNapoli’s office evaluated … May 31. For 2014, three villages have been classified as in “significant fiscal stress,” four in “moderate fiscal …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-fiscal-stress-remains-low-villagesDiNapoli: Audit Uncovers $425 Million in Missed Medicaid Drug Rebates
… auditors alerted the department to rebates it missed out on, according to a report released today by State … auditors alerted the department to rebates it missed out on according to a report released today by State Comptroller …
https://www.osc.ny.gov/press/releases/2018/06/dinapoli-audit-uncovers-425-million-missed-medicaid-drug-rebatesComptroller DiNapoli and AG Schneiderman Announce Conviction in $130,000 Pension Theft
… New York State Comptroller Thomas P. DiNapoli and Attorney General … John H. Eydeler III, 66, a resident of Glendale, Arizona, on his guilty plea to Grand Larceny in the Second Degree, a … felony. On October 12, 2016, Eydeler admitted to stealing pension payments from the New York State and Local Employees …
https://www.osc.ny.gov/press/releases/2016/10/comptroller-dinapoli-and-ag-schneiderman-announce-conviction-130000-pension-theftDiNapoli: Some Taxpayer Check-Off Donations Not Utilized for Worthy Causes
… is piling up for some funds,” DiNapoli said. “It is past time to fix the problems that hinder some check-off programs … management. DiNapoli’s report, coming after recent news reports raised questions about significant problems with …
https://www.osc.ny.gov/press/releases/2014/01/dinapoli-some-taxpayer-check-donations-not-utilized-worthy-causes