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Medicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine whether Davis Ethical Pharmacy (Davis Ethical) … operated by William Davis, a licensed pharmacist. Pursuant to allegations of improper billing practices, there have been … 2011, Davis Ethical was sold. We limited our audit to claim payments made to Davis Ethical during the time it …
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
… whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated … The audit included all expenses claimed on NYCCD’s CFR for the fiscal year ended June 30, 2014, and certain expenses claimed on NYCCD’s CFRs for the two fiscal years ended June 30, 2013. Background …
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
… hospice care covered by Medicare. This audit covered the period January 1, 2015 through July 31, 2019. About the Program Hospice is a coordinated program of home and/or … and Medicare (referred to as dual-eligibles), Medicare is the primary payer for Medicare-covered hospice services, …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… and whether it has followed required procedures in the leasing of its properties. This audit covered the period … The PANYNJ does not have written procedures describing the leasing process. Moreover, based on the lease files we … and that files include complete documentation of the leasing process. …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… of the two recommendations included in our initial audit report, Overpayments for Out-of-Network Anesthesia Services Provided at In-Network … of the two recommendations included in our initial audit report Overpayments for OutofNetwork Anesthesia Services Provided at InNetwork …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMount Sinai Fire District - Financial Condition and Price Quotations for Purchases (2019M-83)
… Determine if the District is seeking competition for purchases that are under the bidding threshold. Key … balance. District officials did not always seek quotations for purchases under the bidding threshold. Key Recommendations Adopt financial plans for the maintenance of a reasonable level of fund balance, …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/23/mount-sinai-fire-district-financial-condition-and-price-quotationsUniversity Preparatory Charter School for Young Men – Student Enrollment and Billing (2013M-292)
… the School’s student enrollment and billing process for the period July 1, 2011 through July 16, 2013. Background The University Preparatory Charter School for Young Men is located in the City of Rochester and is … by a 10-member Board. The School’s budgeted appropriations for the 2013-14 fiscal year are approximately $4.9 million. …
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)
… Purpose of Audit The purpose of our audit was to determine if the Town established internal controls over … been established. The water clerk could make adjustments to customer accounts without prior Board approval. Key … 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-28DiNapoli Calls for NYC to Bolster Reserves as Economy Rebounds Amid Rising Spending
… York City faces economic uncertainty as it emerges from the pandemic,” DiNapoli said. “The city must balance the … significantly higher than traditional spending increases at this point in the fiscal year. Revenue Upside Boosts … lower pension expenses, which have been fueled by strong market returns in FY 2021 and are expected to offset future …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-calls-nyc-bolster-reserves-economy-rebounds-amid-rising-spendingDiNapoli: Stable Government Funding Needed for NYC Health + Hospitals to Provide Essential Care
… provided critical financial support to New York City Health and Hospitals (H+H), but reliable funding and timely payments … provided critical financial support to New York City Health and Hospitals but reliable funding and timely payments from …
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
… of the total in SFY 2005. In SFY 2006, the city received $328 million, but AIM funding for the city was eliminated in …
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
… runs out, but in that time, it must develop plans to cover budget gaps that start at $2.5 billion in 2025 and grow in … operations and achieve structural budgetary balance.” Budget Gaps Entering July 2022, transit ridership continued … holes in its operating costs through debt, its structural budget imbalance is clearer. Gaps are forecast at $2.5 …
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
… Ten years after Superstorm Sandy devastated the New York City metropolitan area, killing dozens of people and causing billions of dollars in damage, the city needs to be better prepared for another … Ten years after Superstorm Sandy devastated the New York City …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-nyc-emergency-management-failing-ensure-city-prepared-disastersDiNapoli: NYC Tax Collections Expected to Fall for First Time Since Great Recession
… from $1 billion to $100 million, the statutory minimum at the start of a fiscal year. The city is entering a period … of New York Find out how your government money is spent at Open Book New York . Track municipal spending, the state's …
https://www.osc.ny.gov/press/releases/2020/05/dinapoli-nyc-tax-collections-expected-fall-first-time-great-recessionDiNapoli: Local Sales Tax Collections Down 3.9 Percent for First Quarter of 2021
… in New York State declined by 3.9 percent in the first quarter compared to the same period last year, … totaled $4.3 billion, which was $173 million less than the first quarter of 2020. “Although collections remain down … are down by 11.8 percent or $2.2 billion. Despite the first-quarter decline, collections have shown a gradual …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-local-sales-tax-collections-down-3-point-9-percent-first-quarter-2021DiNapoli: Improvements at NYS Parks Needed to Remove Barriers for People With Disabilities
… fixing rough or uneven access routes, increasing the number of wheelchair accessible stalls in restrooms and … playground, and Letchworth State Park had an Autism Nature Trail, featuring sensory stations to help children with … a general complaint form and email address for patrons to contact, the agency had not established or published …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-improvements-nys-parks-needed-remove-barriers-people-disabilitiesDiNapoli: State Paid $14.5 Billion for Medicaid Home Care Services That Lacked Verification
… home care services for New Yorkers without the required verification that the services took place, according to a new audit from State Comptroller Thomas … funds.” New York state implemented an electronic visit verification program to confirm the delivery of Medicaid …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-state-paid-145-billion-medicaid-home-care-services-lacked-verificationDiNapoli: Federal Funding Uncertainty Jeopardizes Impact of Inflation Reduction Act for New Yorkers
… and clean energy projects.” IRA Grants Energy, clean air and conservation programs funded through the IRA provide … grants to assist communities in identifying sources of air pollution and engaging with regulators to address them … of pollutants that cause climate change and other air pollution problems. The Internal Revenue Service has …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-federal-funding-uncertainty-jeopardizes-impact-inflation-reduction-act-new-yorkers