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Medicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… this period, Davis Ethical was owned and operated by William Davis, a licensed pharmacist. Pursuant to allegations … made to Davis Ethical during the time it was owned by William Davis. Key Findings From January 1, 2008 through … payments, as warranted. Formally assess the conduct of William Davis and determine whether he should be allowed to …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followNew York Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… make the appropriate adjustments to the NYCCD’s CFRs and reimbursement rates Work with NYCCD officials to help ensure …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/new-york-center-child-development-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… Medicaid made improper payments to providers on behalf of dual-eligible individuals receiving hospice care covered … 2019. About the Program Hospice is a coordinated program of home and/or inpatient care that treats terminally ill … hospice services, while Medicaid is the payer of last resort. Several entities are responsible for …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… systems were not fully integrated so there was no central tracking database. We recommended that the Department review … cases; evaluate the feasibility of building a central tracking database of potential duplicate CINs; and implement …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… Objective To determine whether the Port Authority of New York and New Jersey has a tracking … 1, 2014 through August 9, 2018. About the Program The Port Authority of New York and New Jersey (PANYNJ) was … consent. Its area of jurisdiction is called the Port District, a region within a radius of approximately 25 …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs … Medicaid is at risk of making improper concurrent monthly premium payments for each CIN. Key Findings Medicaid made over $102.1 million in improper managed care premium payments on behalf of recipients with duplicate CINs. …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… (Report 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million active and retired State, local government and school district employees, and …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryUniversity Preparatory Charter School for Young Men – Student Enrollment and Billing (2013M-292)
… Purpose of Audit The purpose of our audit was to examine the School’s … Preparatory Charter School for Young Men is located in the City of Rochester and is governed by a 10-member … students’ files did not contain a proof of residency. In addition, three of the students had moved and their files …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/24/university-preparatory-charter-school-young-men-student-enrollment-andTown of Charlton – Internal Controls Over Billed Receivables for Water Operations (2014M-28)
… internal controls over water billing and collections for the period of January 1, 2012 through August 31, 2013. … of approximately 4,100 residents. Budgeted appropriations for 2013 totaled $2.1 million. Key Findings Water billing and … implement compensating controls. Require Board approval for adjustments to water customer accounts. …
https://www.osc.ny.gov/local-government/audits/town/2014/05/09/town-charlton-internal-controls-over-billed-receivables-water-operations-2014m-28Mount Sinai Fire District - Financial Condition and Price Quotations for Purchases (2019M-83)
Determine if the Board and District officials effectively managed the Districts financial condition
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/23/mount-sinai-fire-district-financial-condition-and-price-quotationsDiNapoli: Homeless New Yorkers Relying on CityFHEPS Face Significant Delays for Permanent Housing
… Inadequate oversight of a New York City rental assistance program is leading to significant delays in finding permanent housing for homeless people and those at risk of homelessness, according to an audit released today by New … Inadequate oversight of a New York City rental assistance program is leading to …
https://www.osc.ny.gov/press/releases/2024/10/dinapoli-homeless-new-yorkers-relying-cityfheps-face-significant-delays-permanent-housingNYS Comptroller DiNapoli Statement on Major Support for Racial Equity Audit at Amazon
… DiNapoli released the following statement in response to Amazon’s disclosure of vote results from its annual meeting … diversity, equity and inclusion won support from 44.18% of Amazon shareholders, an immense success for a first-time … majority support. “Shareholders sent a loud message to Amazon that they want the company to do more to address …
https://www.osc.ny.gov/press/releases/2021/05/nys-comptroller-dinapoli-statement-major-support-racial-equity-audit-amazonDiNapoli: Stable Government Funding Needed for NYC Health + Hospitals to Provide Essential Care
… funds. However, subsequent delays of $590 million in FEMA reimbursement have created financial pressure. While these … and coding, work with insurance companies to increase reimbursement rates, retain the new patients gained during …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-stable-government-funding-needed-nyc-health-hospitals-provide-essential-careDiNapoli: Unrestricted State Aid for Local Governments Failed to Keep Up With Inflation
… remained flat or declined over the last decade, according to a report issued today by New York State Comptroller Thomas … P. DiNapoli. When adjusted for inflation, unrestricted aid to local governments has actually declined by 24% since 2011, … cities. Also called revenue sharing, this funding comes to local governments from the Aid and Incentives for …
https://www.osc.ny.gov/press/releases/2022/02/dinapoli-unrestricted-state-aid-local-governments-failed-keep-inflationDiNapoli: State Needs To Do More for Growing Mental Health Crisis in Schools
… and limited oversight of mental health education for students, an audit by New York State Comptroller Thomas … upheaval caused by the COVID-19 pandemic created a crisis for many students in New York, but not enough is being done … intense school-related stress due to COVID-19. The Centers for Disease Control and Prevention reported that in 2020, …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-state-needs-do-more-growing-mental-health-crisis-schoolsDiNapoli: MTA Outlook Shows Growing Need for New Funding as Budget Gaps Widen
… the MTA has to fix is clearer now that it has scrapped its ill-advised plan to cover operating costs by borrowing,” … is clearer. Gaps are forecast at $2.5 billion in 2025 and 2026 as spending outpaces inflation projections, but could be … the hopes of persuading riders to come back. Its regular customer satisfaction surveys should help it better target …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-mta-outlook-shows-growing-need-new-funding-budget-gaps-widenDiNapoli: NYC Emergency Management Failing to Ensure the City is Prepared for Disasters
… event, according to an audit released today by New York State Comptroller Thomas P. DiNapoli. The audit of the New … incalculable loss when the next disaster occurs. I commend State Comptroller DiNapoli’s report and look forward to … Management: Hazard Mitigation and Coordination Track state and local government spending at Open Book New York . …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-nyc-emergency-management-failing-ensure-city-prepared-disastersDiNapoli: Improvements at NYS Parks Needed to Remove Barriers for People With Disabilities
… improve its communications with and responsiveness to the public.” Auditors reviewed 40 parks across New York State … and examined 1,446 amenities such as restrooms, campsites, swimming areas, playgrounds, pavilions, elevators, boat … found some parks had taken steps to improve accessibility. At many beaches and pools, wheelchairs were available and …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-improvements-nys-parks-needed-remove-barriers-people-disabilitiesDiNapoli: Environmental Facilities Corporation Faces Significant Funding Backlog for Essential Water Infrastructure Projects
… projects making it the largest revolving fund program to protect water in the nation but there is a …
https://www.osc.ny.gov/press/releases/2024/04/dinapoli-environmental-facilities-corporation-faces-significant-funding-backlog-essential-water