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DiNapoli: Majority of Cities and Villages Statewide Below Fiscal Stress Threshold
… In January, DiNapoli released fiscal stress scores for school districts. In September, his office will release …
https://www.osc.ny.gov/press/releases/2019/03/dinapoli-majority-cities-and-villages-statewide-below-fiscal-stress-thresholdUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… for higher-paying Evaluation and Management services than what were actually performed. The audit covered the period … December 31, 2016. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … Plan’s medical/surgical program. Medical/surgical benefits cover a range of services such as office visits, outpatient …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesJune 2002: GASB Statement 34
… Previous Accounting Releases June 2002 GASB Statement 34 …
https://www.osc.ny.gov/local-government/publications/june-2002-gasb-statement-34United HealthCare – Empire Plan Drug Rebates
… under its contract with the Department for selected drug manufacturers. The audit covered the period January 1, 2011 … 31, 2013 and included a review of revenue from five drug manufacturers. Background The New York State Health Insurance … United is required to negotiate agreements with drug manufacturers for rebates, discounts, and other …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesDiNapoli: Former Pharmacist Charged In $232,000 Medical Claims Fraud
… sending phony prescription records for reimbursement to Medicaid and the New York State Health Insurance Program … the taxpayers of New York by submitting fraudulent billing claims,” Acting Nassau County District Attorney Singas said. … read the two audit reports, visit: http://www.osc.state.ny.us/audits/allaudits/093013/12s11.pdf and …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-former-pharmacist-charged-232000-medical-claims-fraudState Comptroller DiNapoli Releases Municipal Audits
… revenue estimates for metered water sales and income tax surcharge may not be achievable. The city will incur … additional debt and interest costs by bonding the cost of tax certiorari claims instead of financing them through the …
https://www.osc.ny.gov/press/releases/2018/05/state-comptroller-dinapoli-releases-municipal-audits-1United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… determine if Davis Ethical Pharmacy inappropriately billed United HealthCare for prescription medications under the … Department of Civil Service (Department) contracts with United HealthCare (United) to administer the prescription drug benefit portion … determine if Davis Ethical Pharmacy inappropriately billed United HealthCare for prescription medications under the …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyComptroller DiNapoli and A.G. Schneiderman Announce Sentencing of Former West Ghent Volunteer Fire Company Treasurer Who Embezzled Funds to Bankroll Personal Business
… working with the Division of Local Government and School Accountability. Since taking office in 2007, DiNapoli …
https://www.osc.ny.gov/press/releases/2017/08/comptroller-dinapoli-and-ag-schneiderman-announce-sentencing-former-west-ghent-volunteer-fire-companyDiNapoli: Contractor Failed to Turn Over $1.5 Million in Prescription Drug Rebates to NYS
… A company that was supposed to collect rebates from drug manufacturers on behalf of the New York State Health Insurance Plan (NYSHIP) failed to turn over nearly $1.5 million in rebates to the state over a four-year period, according to an audit … A company that was supposed to collect rebates from drug manufacturers on behalf of the …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-contractor-failed-turn-over-15-million-prescription-drug-rebates-nysNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… and members are paying excessively for dual Empire Plan Family coverage. The audit covered the period January 1, 2014 … policies and procedures. The annual cost for Empire Plan Family coverage ranged from $20,570 to $28,953 during the … to the full cost of coverage. The State does not allow two Family coverages for its employees; if a member and their …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… Objective To determine whether Empire BlueCross paid hospital claims … Program (NYSHIP), which provides health insurance coverage to over 1.2 million active and retired State, local … Civil Service contracts with Empire BlueCross (Empire) to administer the plan’s hospital benefits. From January 1, …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesAuditory Oral Learning Center – Compliance With the Reimbursable Cost Manual
… day, and Preschool Integrated Special Class to children with disabilities who are between the ages of three and five … be eligible for reimbursement, reported costs must comply with the RCM’s requirements and be reasonable, necessary, … in costs that AOLC reported on its CFR that did not compy with the RCM and recommend such costs be disallowed. Among …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/auditory-oral-learning-center-compliance-reimbursable-cost-manualEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012
… to the provisions of the agreements between Empire and its member hospitals. The audit covered the period from … Program (NYSHIP) provides health coverage to active and retired State, participating local government and school district employees and their dependents. The …
https://www.osc.ny.gov/state-agencies/audits/2013/12/13/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughState Comptroller DiNapoli Releases State Audits and Examinations
… (SBHCs) did not follow DOH inventory control regulations for medications and potentially hazardous medical supplies. For example, 10 of the 11 SBHCs sampled had shortages in … An initial audit issued in July 2015 found that applicants for Mitchell-Lama-financed units who were next in line for a …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-state-audits-and-examinations-0Canarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual
… 2017-18 school year, CCC served approximately 90 students in its cost-based Preschool Full-Day Special Class Program. … come from the New York City Department of Education (DOE). In addition to the cost based program, CCC also performs … and provides 1:1 Aide services to children enrolled in the cost-based program. However, payments for services …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/canarsie-childhood-center-inc-compliance-reimbursable-cost-manualE&D Children Center, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by E&D Children Center, Inc. (E&D) on its … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented, pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/ed-children-center-inc-compliance-reimbursable-cost-manualEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… Purpose To determine if the recommendations made in our initial audit report, Empire BlueCross … 23, 2012, were implemented. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … documentation for payments which predate a certain point in time. However, we obtained cost data for 11 of the …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followDiNapoli: Oswego Teacher Charged With Stealing Over $4,000 From CiTi BOCES
… County District Attorney Gregory S. Oakes, and State Police Acting Superintendent Steven Nigrelli announced that … with District Attorney Oakes and the New York State Police, he will be held accountable.” New York State Police Acting Superintendent Steven A. Nigrelli said, “I …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-oswego-teacher-charged-stealing-over-4000-citi-bocesDiNapoli: New Federal Funds Give New York a Chance To Expand Broadband, Close Digital Divide
… The recent announcement that New York state will get nearly $665 million in federal funding to invest in improvements to broadband … internet is imperative for equality of opportunity. How New York utilizes this federal funding will set a critical … The recent announcement that New York state will get nearly $665 million in federal …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-new-federal-funds-give-new-york-chance-expand-broadband-close-digital-divideQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal … To determine whether the costs reported by Queens Centers for Progress QCP on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manual