Search
Medicaid Program - Overpayments for Services Also Covered by Medicare Part B (2012-S-27)
To determine if the Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s27.pdfDunkel Felony Complaint
Criminal complaint for the arrest of Department of Health (DOH) contractor George Dunkel for stealing more than $87,000.
https://www.osc.ny.gov/files/press/pdf/dunkel-felony-complaint.pdfOverview – Contribution Stabilization Program
… Program during the 2013 – 2014 billing cycle, go to our Alternate Contribution Stabilization Program page …
https://www.osc.ny.gov/retirement/employers/csp/overviewState Agencies Bulletin No. 2062
submitting new Time Entry overtime and Preshift Briefing earnings codes for overtime and PreShift Briefing payments outline new PreShift Briefing calculation of Earnings Code PS1 explain the retroactive adjustments systematically calculated by OSC account retroactive change overtime factor
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2062-changes-calculation-overtime-and-pre-shift-briefing-eligible-employeesUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … HealthCare - Overpayments for Services at the South Shore Ambulatory Surgery Center (2008-S-11) …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsMedicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber
… set forth by the Department of Health (Department) and the State Education Department. Our audit covered the period … The Department is responsible for administering New York State’s Medicaid program. Medicaid is a federal, state, and … paid Joia more than $7.7 million for 50,060 claims on behalf of 706 recipients. The Doctor was listed as the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/medicaid-program-medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriberOversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency
… (DOH) are adequately ensuring that hotels and motels used for homeless and mixed-use temporary residency are … better monitor habitability standards of hotels and motels used for homeless housing. To OTDA and DOH: Seek out … of Health are adequately ensuring that hotels and motels used for …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-hotels-and-motels-used-homeless-and-mixed-use-temporary-residencyLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Lifeline Center for Child Development, Inc. (Lifeline) on its Consolidated Fiscal … whether the costs reported by Lifeline Center for Child Development Inc on its Consolidated Fiscal Reports were …
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
… Purpose To determine whether the costs reported by Brookville Center for Children’s Services, Inc. (Brookville) on its Consolidated Fiscal Reports (CFRs) were … Manual (Manual). The audit included expenses claimed on Brookville’s CFR for the fiscal year ended June 30, 2014, and …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy … the improper claims well outside of normal business hours and often lacked records verifying that patients actually … Ethical routinely submitted fraudulent claims to Medicaid and received payments for those claims. We coordinated our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followDiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources
… and paid for by taxpayers," DiNapoli said. "Thanks to my ongoing partnership with the New York State Police, Mr. Williams' alleged acts have been brought to light and he will be held accountable." …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-statement-greenville-arrest-alleged-theft-taxpayer-funded-resourcesChanges in Federal Policies Pose Significant Risks for New York City's Budget
… Projected budget gaps for New York City in the coming years appear manageable, but … Projected budget gaps for New York City in the coming years appear manageable but …
https://www.osc.ny.gov/press/releases/2017/12/changes-federal-policies-pose-significant-risks-new-york-citys-budgetMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… 29,289 fee-for-service pharmacy claims totaling $978,251 on behalf of 18,010 recipients whose pharmacy benefits were … paid 51 fee-for-service pharmacy claims totaling $1,736 on behalf of a recipient who was enrolled in a managed care …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careDiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000
… to federal fraud charges earlier this year, as a result of a joint investigation by New York State Comptroller Thomas … to a year and one day in prison and ordered to pay a total of $721,112 in restitution and criminal forfeiture. “Joseph … for cancer and used the money to fund his lavish lifestyle of world traveling and gambling,” DiNapoli said. “This …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-contractor-sentenced-federal-court-defrauding-state-over-360000United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… office visits. The New York State Department of Civil Service contracts with United HealthCare (United) to process and pay medical claims from health care providers for services provided to Empire Plan members. … $8,665 as the reasonable and customary rate for the service. As a result, United paid $6,932 on the claim and the …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandDiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds
… on their personal income tax forms, but too much of this money remains unused when it should be fighting … Fund and the World Trade Center Memorial Fund) at the end of state fiscal year (SFY) 2012-13. No spending had occurred out of two funds – the prostate cancer check-off and the …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by … to as dual-eligibles), Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the … to delivering services, hospice providers are responsible for developing a comprehensive plan of care and coordinating …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followDiNapoli: State Needs to Help Addiction Support Providers Better Prepare for Emergencies
… reasons: the possibility of catching COVID-19, limited admission of visitors to treatment facilities, court closures …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-state-needs-help-addiction-support-providers-better-prepare-emergenciesDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… in 2nd degree before Judge Sandra Lute in the Centralized Arraignment Part. His next appearance is scheduled for August …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-village