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Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (2021-S-20)
To determine if Medicaid made inappropriate fee-for-service payments to pharmacies on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s20.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (2020-S-17)
To determine whether CVS Health paid pharmacy claims for Empire Plan members who were not eligible.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s17.pdfState Comptroller DiNapoli Releases Municipal Audits
… billing and collection process. In addition, the board does not properly monitor water loss. Town of Moreau – … of Spencer – Board Oversight (Tioga County) The board does not periodically review bank statements, bank … or any other supporting records. Additionally, the board does not perform the required annual audit of the …
https://www.osc.ny.gov/press/releases/2018/04/state-comptroller-dinapoli-releases-municipal-audits-1State Comptroller DiNapoli Releases School Audits
… year and achieved savings of approximately $850,000 in the first year of the change. Watervliet City School District – …
https://www.osc.ny.gov/press/releases/2014/11/state-comptroller-dinapoli-releases-school-auditsState Comptroller DiNapoli Releases School Audits
… agreements. Rye Neck Union Free School District – Health Insurance Cost Savings (Westchester County) District … could achieve cost-savings by offering a buyout in lieu of health insurance coverage. Total savings could range between …
https://www.osc.ny.gov/press/releases/2023/03/state-comptroller-dinapoli-releases-school-auditsCUNY Bulletin No. CU-659
… Purpose The purpose of this bulletin is to inform CUNY payroll staff of new PayServ codes to be used for employee Imputed Income. … imputed income submitted by the New York State Department of Civil Service. Background If active employees pay for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-659-new-additional-pay-earn-codes-cuny-imputed-incomeState Comptroller DiNapoli Releases Audits
… Transportation Authority (MTA) - New York City Transit: Maintenance and Inspection of Event Recorder Units …
https://www.osc.ny.gov/press/releases/2021/11/state-comptroller-dinapoli-releases-auditsChanges in Federal Policies Pose Significant Risks for New York City's Budget
… has reserves that could be used to narrow the budget gaps if not needed for other purposes. The city’s financial plan … on the city’s budget. New York City’s financial plan does not anticipate the potential impact of such actions, but … could increase the size of the FY 2019 budget gap by as much as $821 million. More than one-third of the risk stems …
https://www.osc.ny.gov/press/releases/2017/12/changes-federal-policies-pose-significant-risks-new-york-citys-budgetDiNapoli: New York City's Budget Benefits From Strong Economic Growth
New York Citys budget is balanced for fiscal year FY 2016 and the outyear budget gaps are manageable under current economic conditions according to an analysis released today by New York State Comptroller Thomas P DiNapoli at the annual meeting of the Financial Control Board
https://www.osc.ny.gov/press/releases/2015/08/dinapoli-new-york-citys-budget-benefits-strong-economic-growthState Contract and Payment Actions in April
… In April, the Office of the State Comptroller approved 1,190 … on these contracts and payments is available at Open Book New York . Major Contracts Approved Office of General … – Purchasing Contracts $3.4 billion with JP Morgan Chase Bank National Association for statewide purchasing …
https://www.osc.ny.gov/press/releases/2022/05/state-contract-and-payment-actions-aprilNew York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up) (2023-F-30)
To assess the extent of implementation of the four recommendations included in our initial audit report, New York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Use Services for Ineligible Members (Report 2021-S-18).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23f30.pdfTown of Frankfort - Board Oversight (2018M-58)
… to another employee. The Board did not properly authorize health insurance benefits averaging $183,000 annually for elected …
https://www.osc.ny.gov/local-government/audits/town/2018/06/08/town-frankfort-board-oversight-2018m-58Town of Essex – Internal Controls Over Selected Financial Operations (2015M-60)
… in incorrect payments, tax withholdings and deductions for health insurance premiums. Not all employees’ leave accrual records …
https://www.osc.ny.gov/local-government/audits/town/2015/08/07/town-essex-internal-controls-over-selected-financial-operations-2015m-60Cortland Enlarged City School District - Budget Review (B4-15-12)
… District’s has overestimated appropriations for payroll, health insurance, retirement, debt and utilities by $3.2 million. …
https://www.osc.ny.gov/local-government/audits/school-district/2015/04/15/cortland-enlarged-city-school-district-budget-review-b4-15-12Corning City School District – Claims Auditing (2023M-105)
… claims auditor properly audited and approved claims prior to payment. Key Findings The District’s claims auditor … $28,555 did not include a conference request pre-approval form or other supporting documentation. Key Recommendations … conference approval forms. Ensure all claims for GST BOCES service charges are independently audited. District officials …
https://www.osc.ny.gov/local-government/audits/school-district/2023/11/10/corning-city-school-district-claims-auditing-2023m-105Medicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… related to the terminal illness. Hospice can be provided in the home or in an inpatient setting and includes nursing and physician … medical social services, drugs for symptom control and pain relief, counseling, and physical and occupational …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careVillage of Suffern – Budget Review (B18-6-4)
… $2.6 million for health and medical costs. However, we project the cost to be $2.7 million based on an average … on collections of water and sewer rents in prior years, we estimate the 2018-19 collections will be approximately …
https://www.osc.ny.gov/local-government/audits/village/2018/04/13/village-suffern-budget-review-b18-6-4UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… who routinely billed for higher-level E/M services, and if out-of-network providers billed United for higher-paying … For the period January 1, 2016 through December 31, 2016, we determined 42 claims (47 percent of the 90 claims sampled) … or unsupported for the higher level of care billed. We found United’s method for monitoring out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesState Contract and Payment Actions in July
… Comptroller approved 1,627 contracts for state agencies and public authorities valued at $2.9 billion and approved … Services – Corcraft $4.1 million with Avery Dennison Corporation for reflective license plate sheeting. … childhood education and social services under the Agri-Business Child Development Program. Department of Civil …
https://www.osc.ny.gov/press/releases/2019/08/state-contract-and-payment-actions-julyState Contract and Payment Actions in December
… Construction Company Inc. for bridge replacement on North Main Street over I-90 in Madison County. Department of … Grant to childcare providers to help cover unexpected business costs associated with the COVID-19 pandemic and to …
https://www.osc.ny.gov/press/releases/2023/02/state-contract-and-payment-actions-december