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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
… Purpose To determine the implementation status of the three recommendations made in our audit report, … benefits plan for NYSHIP. The New York State Department of Civil Service (Department) contracts with UnitedHealthcare … 2013. In our initial audit, we reviewed a random sample of 245 claims with modifier 59. We identified 13 claims that …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-followDiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources
… and the New York State Police. "Mr. Williams allegedly abused his position by taking, for his own personal use, fuel …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-statement-greenville-arrest-alleged-theft-taxpayer-funded-resourcesDiNapoli Announces Interim CIO for the New York State Common Retirement Fund
… week of July 30 after six years of service. "My thanks go to Vicki Fuller, during whose tenure the Fund has reached a … our target rate," DiNapoli said. "The Fund is fortunate to have Anastasia Titarchuk, who brings a wealth of experience to the position and has proven her skill and knowledge over her years as our Deputy CIO. I …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-announces-interim-cio-new-york-state-common-retirement-fundSchool for Language and Communication Development – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. SLCD is reimbursed for preschool special education … SLCD’s tuition reimbursement rates. Remind SLCD officials of the pertinent SED requirements that relate to the … Compliance With the Reimbursable Cost Manual ( 2016-S-74 ) Kennedy Child Study Center: Compliance With the Reimbursable …
https://www.osc.ny.gov/state-agencies/audits/2018/04/16/school-language-and-communication-development-compliance-reimbursable-cost-manualUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… Surgery Centers that were contractually required to use in-network anesthesia providers. The audit covered the … United for the payments it makes. United contracts with in-network (participating) health care providers who agree to … providers. United’s contracts with certain in-network Ambulatory Surgery Centers (ASCs) contain contract …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated Fiscal Reports (CFR) were properly … Cost Manual (RCM). The audit covered expenses reported on CUTE’s CFR for the fiscal year ended June 30, 2016 and …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualEducators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Educators for Children, Youth … paid by OCFS represented over 98 percent of the total expenditures submitted for payment to OCFS. We … report. However, no funds have yet been recovered and all three recommendations have only been partially …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/educators-children-youth-and-families-inc-use-contract-funds-followDiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000
… statewide to combat corruption in the misuse of public funds.” Junkovic, 49, of the Bronx, pleaded guilty in March …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-contractor-sentenced-federal-court-defrauding-state-over-360000West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)
… the 2013 fiscal year, the Company reported approximately $20,000 in revenues from foreign fire insurance, fundraising activities and donations, and also …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/12/05/west-corners-fire-company-accounting-cash-receipts-andDiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses
… Alcoholism and Substance Abuse Services must recoup this money, which should have been used for cost-effective … is included in the final report. The audit can be found online at …
https://www.osc.ny.gov/press/releases/2019/01/dinapoli-state-pays-drug-treatment-center-nearly-4-million-ineligible-expensesDiNapoli Audit Highlights Need for Better Compliance with School Violence Reporting Law
… school year, despite the SAVE Act requirement that it do so annually. By not designating these schools, SED failed …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audit-highlights-need-better-compliance-school-violence-reporting-lawLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual … ended June 30, 2014. Background Lifeline is a Queens, New York-based not-for-profit organization authorized by SED to …
https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manualBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Brookville Center for Children’s Services, Inc. (Brookville) on its … The audit included expenses claimed on Brookville’s CFR for the fiscal year ended June 30, 2014, and certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2013. Background …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… Objective To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMedicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… made inappropriate fee-for-service payments to pharmacies on behalf of recipients who had third-party insurance and, if … audit period, Gainwell’s third-party liability recoveries on FFS pharmacy payments totaled almost $53 million. Key … recovery process to ensure all available recoveries on FFS pharmacy payments were made. We also found claim …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… New York has been slow when it comes to using some federal … housing crisis, according to an audit released today by New York State Comptroller Thomas P. DiNapoli. The audit … to ensure the unprecedented federal relief funds help New Yorkers in need and are not lost because of unnecessary …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housingDiNapoli Announces Nominee for the Commission on Ethics and Lobbying in Government
… today announced his nomination of Nancy G. Groenwegen to the Commission on Ethics and Lobbying in Government. Groenwegen previously served as counsel to the Comptroller from 2010 to 2019. “Nancy is well known for her integrity and …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-announces-nominee-commission-ethics-and-lobbying-governmentDiNapoli: Former Village of Sherman Treasurer Arrested for Alleged Theft of $20,000
… dollar not spent on the community. No one should use their public office for personal gain.” Ms. Gilbert allegedly … taking office in 2007, DiNapoli has committed to fighting public corruption and encourages the public to help fight fraud and abuse. New Yorkers can report …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-former-village-sherman-treasurer-arrested-alleged-theft-20000St. Mary’s Hospital for Children, Inc. – Compliance With the Reimbursable Cost Manual
… primarily on expenses claimed on St. Mary’s CFR for the calendar year ended December 31, 2019 and certain expenses … to as the SED preschool cost-based program. During calendar year 2019, St. Mary’s served approximately 131 … St. Mary’s reports to SED on its annual CFRs. For the 3 calendar years ended December 31, 2019, St. Mary’s reported …
https://www.osc.ny.gov/state-agencies/audits/2022/11/09/st-marys-hospital-children-inc-compliance-reimbursable-cost-manualSpecial 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))
… (Return to Top) (Return to Top) VO1873 (Rev. 7/11) © 2011, New York State and Local Retirement System (Return to Top) … …
https://www.osc.ny.gov/retirement/publications/special-25-year-plan-institutional-safety-officers-sections-89-t-and-604q