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Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… for Medicaid recipients who were enrolled in a managed care plan; $684,457 in overpayments for Comprehensive … limits; $465,257 in improper episodic payments to home health care providers; and $172,052 in other overpayments for …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… including, but not limited to: physician office visits, diagnostic testing, outpatient surgery, physical therapy, and …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMission Statement and Performance Measures
… To determine whether the New York State Thruway Authority is achieving its performance measures and properly reporting … The New York State Thruway Authority (Authority) is a public benefit corporation created by the State … of highways crossing New York State. The Canal Corporation is responsible for a 524-mile canal system. The Authority …
https://www.osc.ny.gov/state-agencies/audits/2014/07/11/mission-statement-and-performance-measuresRailroad Bridge Inspection Program
… railroads operating in the State to ensure they meet the bridge inspection requirements. This audit covers the period … 1, 2010 through June 30, 2013. Background The Railroad Bridge Inspection Program (Program) provides oversight of the … to ensure public safety and decrease the risk of railroad bridge failures. Department regulations require railroad …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programSelected Aspects of Discretionary Spending
… 1962 to expedite the completion of the $700 million master plan for the State University of New York (SUNY). This master plan enabled SUNY to accommodate twice the number of students … resources. To accomplish its mission, the Fund incurs direct costs for specific program purposes and it incurs …
https://www.osc.ny.gov/state-agencies/audits/2014/09/19/selected-aspects-discretionary-spendingProperty Tax Freeze Credit
… objective of our examination was to determine whether the Property Tax Freeze Credit (PTF Credit) payments approved by the Department of Taxation and Finance (Department) were … Credit for tax year 2015, homeowners must receive the STAR property tax exemption (i.e., the property must be the …
https://www.osc.ny.gov/state-agencies/audits/2016/11/08/property-tax-freeze-creditAccounts Payable Advisory No. 1
… Secure to find job aids related to paying a credit card. SIGN UP TO RECEIVE ADVISORIES BY EMAIL …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/1-complex-entity-jpmorgan-chase-bank-naOverpayments of Claims for Selected Professional Services (Follow-Up)
… of Claims for Selected Professional Services (Report 2010-S-73). Background Our initial audit report, which was … physical therapy, and occupational therapy during the calendar years 2010 and 2011. In each case, both the provider and the …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followDiNapoli Urges New Yorkers To Spend Holiday Gift Cards
… be turned over by retailers to the Comptroller’s Office of Unclaimed Funds (OUF). In 2024, the office recovered over $21 … gift cards early this new year and remember to check for unclaimed funds . “Tis the season of giving, not losing, so … please spend those gift cards and check to see if you have unclaimed funds,” DiNapoli said. “Many New Yorkers don’t …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-urges-new-yorkers-spend-holiday-gift-cardsConservation Fund – Sources and Uses of Funds
… Department of Environmental Conservation's (Department) fish, wildlife, and marine resources program (Program), which includes activities such as operating fish hatcheries and game farms and managing fish and wildlife populations. The Fund's primary source of …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-fundsAnthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with … To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareMedicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2016, eMedNY processed about 202 million claims, resulting in payments to providers of about $29 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016Medicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid … requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2015 through … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015Unity House of Troy – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs submitted by Unity House of Troy (Unity) on its Consolidated Fiscal Report (CFR) were properly … Determine whether the costs submitted by Unity House of Troy on its CFR were properly calculated adequately …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/unity-house-troy-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases State Audits
… Office of Temporary and Disability Assistance: National Directory of New Hires Data Security (2016-S-27) The office … to comply with the federal requirements for securing directory data. Auditors found that the office is fully … to comply with the federal requirements for securing directory data Auditors found that the office is fully …
https://www.osc.ny.gov/press/releases/2016/08/state-comptroller-dinapoli-releases-state-auditsMedicaid Program – Oversight of Managed Care Provider Networks
… reported timely and accurately, including issuing guidance detailing MCO responsibilities within the deficiency review …
https://www.osc.ny.gov/state-agencies/audits/2025/10/22/medicaid-program-oversight-managed-care-provider-networksDiNapoli: Former Vernon Center Fire Department Treasurer Sentenced to Prison for Theft of Over $300,000
… and the New York State Police Superintendent Steven G. James announced today. Rose pled guilty to the sole count in … by emailing a complaint to investigations@osc.ny.gov or by mailing a complaint to: Office of the State … Division of Investigations , 8th Floor, 110 State St., Albany, NY 12236. …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-former-vernon-center-fire-department-treasurer-sentenced-prison-theft-over-300000Infrastructure Inspection and Maintenance
… procedures ensure that all high and intermediateimportance str …
https://www.osc.ny.gov/state-agencies/audits/2015/05/26/infrastructure-inspection-and-maintenanceAnthem Blue Cross – Effectiveness of the Recovery Process
… Objective To determine whether Anthem Blue Cross (Anthem) effectively … Department of Civil Service (Civil Service) was entitled to. The audit covered the period from January 2019 through … To determine whether Anthem Blue Cross Anthem effectively administered the recovery …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processMedicaid – Federal Funding and New York
… state with a 90 percent FMAP for these individuals. In SFY 2025, federal Medicaid spending totaled $69.2 billion out of … in Medicaid is second only to California. In February 2025, enrollment in Medicaid totaled 6.9 million, and is … enrollment hit a high of a little over 8 million in June 2023 because federal legislation enacted during the …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/medicaid