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United HealthCare – Overpayments for Services Provided by Dr. John Gomes

… of Dr. John Gomes routinely waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments … 2011 through September 30, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health … United pays these “participating providers” directly based on claims they submit for the services rendered. Members pay …

Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)

… recommendations made in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions … care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s “level of care” on a … overpayments. The overpayments occurred primarily because hospitals billed Medicaid for higher (and more costly) levels …

Annual Assessment of Market Orders for 2012, 2013, and 2014

… that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 … written guidelines for expenses deemed necessary for NYAA’s performance under its contract, including travel … of Revenues, Expenses and Changes in Fund Balances (2009-S-7) …

Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)

… Background Our initial audit report, which was issued on April 18, 2012, examined whether the Department of Health … care payments (totaling about $111 million) that were made on behalf of 45,000 Medicare recipients who were ineligible …

Village Official Heading to Prison for Stealing More Than $100,000

… village of Altmar in Oswego County, was sentenced to 2 to 6 years in state prison after pleading guilty to stealing $117,000 in public funds. Bailey was charged in … village of Altmar in Oswego County was sentenced to 2 to 6 years in state prison after pleading guilty to …

DiNapoli Announces State Contract and Payment Actions for August 2014

… State Comptroller Thomas P. DiNapoli announced today his … million due to fraud, waste or other improprieties. As the state’s chief financial officer, DiNapoli’s office reviews contracts for all state agencies and certain contracts for state public … State Comptroller Thomas P DiNapoli announced today his …

DiNapoli: Former Fire District Treasurer Arrested for Stealing Public Funds

… former treasurer of Pulteney Fire District #2 in Steuben County. Lisa Stone, 44 of Hammondsport, was charged with … funds. Stone confessed to DiNapoli’s staff and the Steuben County Sheriff’s Department that she wrote herself extra … individuals to justice. I want to commend the Steuben County Sheriff’s Department for working closely with my staff …

DiNapoli: Audit Cites East Clinton Fire District For Improper Gifts

… Officials in Dutchess County’s East Clinton Fire District improperly paid nearly $35,000 in personal expenses for members, including rent, cable … to uncover lax oversight and misuse of taxpayer dollars in fire districts. I will continue to audit these entities so …

York College – Time and Attendance Practices for Public Safety Staff

… College had adequate controls over the time and attendance of Public Safety employees to provide reasonable assurance … 1, 2012 to May 31, 2014. Background The City University of New York (CUNY) consists of 11 senior colleges, six community colleges, and several …

Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)

… Buy-In Premiums for Ineligible Recipients (Report 2020-S-35 ). About the Program The Department of Health (Department) …

DiNapoli: Employment Recovery for New Yorkers with Disabilities Lags Nation

A new report released today by State Comptroller Thomas P DiNapoli finds that after a nationwide spike in unemployment New Yorkers with disabilities continue to face a higher unemployment rate than the national average for those with disabilities

“Nation’s Report Card” Underscores New York’s Need for Academic Recovery

… drops were in fourth grade math, with declines in average test scores that were double any other drops in the past 20 … Tracker  through January 31, New York’s school districts have spent roughly 40 percent of these federal funds. The … et al., COVID-19 Learning Delay and Recovery: Where Do US States Stand? , McKinsey & Company, January 11, 2023, …

Albany Leadership Charter School for Girls – Cash Collections (2022M-165)

… Determine whether Albany Leadership Charter School for Girls (School) Board of Trustees (Board) and officials ensured collections were properly accounted for and deposited in a timely manner. Key Findings The Board … did not ensure collections were properly accounted for and deposited timely. Also, the School’s cash receipts …

Cantalician Center for Learning – Compliance With the Reimbursable Cost Manual

… to children with disabilities who are between the ages of 3 and 5 years. Cantalician is reimbursed for these services through … included: $347,406 in personal service costs, consisting of unsupported salaries and associated fringe benefits. …

DiNapoli Releases Fiscal Stress Scores for Villages and Some Cities

… fiscal years ending between Feb. 28 and July 31. DiNapoli’s office evaluated the fiscal health of 519 villages, which … 17 cities with non-calendar fiscal years, including the “Big 4” cities of Buffalo, Rochester, Syracuse and Yonkers, … stress scores since 2015 and 2013 respectively. DiNapoli’s office continues to make sure local governments are aware …

IX.3 Establish & Maintain Federal Grants in SFS for Non-Onboarding Agencies – IX. Federal Grants

EmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits

… To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State … To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans under the New …

DiNapoli Announces State Contract and Payment Actions for April 2015

… State Comptroller Thomas P. DiNapoli announced today his … 18,000 payments valued at more than $35.2 million. As the state’s chief financial officer, DiNapoli’s office reviews contracts for all state agencies and certain contracts for state public … State Comptroller Thomas P DiNapoli announced today his …

DiNapoli: Housing Cost Burdens for New Yorkers Among Nation's Highest

… Almost three million New York households are dealing with housing … and affordable housing. DiNapoli’s report examines three categories of housing insecurity: high housing costs; … Almost three million New York households are dealing with housing …