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Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care (2023-S-23) 180-Day Response

To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care.

Nanuet Fire District - Credit and Gasoline Cards (2018M-193)

Determine if claims for credit card bills were audited and the purchases were for appropriate purposes.

DiNapoli: Wall Street Bonuses Declined in 2010

… employees declined by nearly 8 percent to $20.8 billion in 2010, about one third less than paid out in 2007 before the financial crisis, according to an  … today by State Comptroller Thomas P. DiNapoli. The decline in the cash bonus pool reflects changes adopted by the …

Comptroller DiNapoli and Attorney General Underwood Announce Criminal Conviction and False Claims Act Settlement with Bottini Fuel for Diverting Customers' Credit Balances for Their Own Benefit

… substantial indications of knowingly fraudulent conduct on the part of the company and its principals. Thereafter, …

State Agencies Bulletin No. 844

… to perform chauffeur services must be included. For example, assume that A, a Commissioner for a State Agency, … to be used more than minimally for personal purposes. For example: Vehicle is clearly marked with permanently affixed …

State Agencies Bulletin No. 766

… to perform chauffeur services must be included. For example, assume that A, a Commissioner for a State Agency, … to be used more than minimally for personal purposes. For example: Vehicle is clearly marked with permanently affixed …

Children’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual

… 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 … two fiscal years ended June 30, 2015. About the Program CUTE, an SED-approved provider located in Broome County, New …

Educators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)

Determine the extent of implementation of the 3 recs included in our initial audit report Educators for Children Youth Families Inc Use of Contract Funds

West Corners Fire Company – Accounting for Cash Receipts and Disbursements (2014M-215)

… the Treasurer was properly accounting for cash receipts and disbursements for the period January 1, 2013 through May … Company is a volunteer organization that is located in, and provides fire protection services for, the Town of Union … from foreign fire insurance, fundraising activities and donations, and also reported approximately $14,600 in …

Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)

To determine the extent of implementation of the four recommendations included in our initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79

Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program

… opioid use disorder. This audit covered the period October 1, 2013 through September 30, 2017. Background The United … medical records for a sample of 25 recipients who received 1,065 opioid prescriptions while in a Treatment Program for … with regard to opioid prescriptions occurred for 59 of the 1,065 prescriptions (6 percent). Key Recommendations Take …

Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY

… of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age … programs are commonly referred to as “dual-eligible.” The Medicare program has multiple parts. Medicare Part B provides supplementary medical insurance …

School for Language and Communication Development – Compliance With the Reimbursable Cost Manual

… not-for-profit special education provider located in Nassau County, New York. SLCD provides preschool special … June 30, 2015, SLCD reported approximately $8.1 million in reimbursable costs on its CFRs for the three rate-based … fiscal years ended June 30, 2015, we identified $38,741 in ineligible costs that SLCD reported on its CFRs for the …

UnitedHealthcare – 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 …

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 3, 4, 5 and 6 Members

Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members – Sheriffs, Undersheriffs and Deputy Sheriffs Special Plan for ERS Tier 1 and 2 Members

Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance

… health care needs. The Department administers the State’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s Medicaid program had approximately 7.4 million …

UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)

… of modifier 59. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide …

Special 25-Year Plan for Institutional Safety Officers (Sections 89-t and 604(q))

… and Local Retirement System  (Return to Top) … Information for members about special 25 year retirement plan providing an alternative retirement benefit for institutional safety officers and safety and secur …

United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center

… provided to Empire Plan members. United contracts with in-network participating providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … waives) the member’s out-of-pocket costs, it will result in United making an excessive payment on the claim. Our audit …