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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate … United will not pay for certain procedure codes billed in combination with other procedure codes unless the provider includes a modifier code on the claim to further describe the services …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Practices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… Eagle Team), who enforce Transit’s Rules adopted by the MTA Board. Rule violations can include fare evasion, smoking, … limit had been reached. Key Finding We found that the MTA made progress in implementing the recommendations …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-followHomeless Housing and Assistance Program – Project Selection and Maintenance
… is provided through direct contracts with municipalities, not-for-profits, charitable organizations, or public … for 326 HHAP projects. However, 32 HHAP projects did not receive timely monitoring visits, with delays ranging … 980 days. HHAP officials are aware that their database is not always reliable and, in some instances, query results are …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/homeless-housing-and-assistance-program-project-selection-and-maintenanceDiNapoli: Fiscal Stress Down Slightly in Villages
… Fiscal Stress Monitoring System has identified 18 villages in New York in some level of fiscal stress. For 2015, three villages have been classified as in “significant fiscal stress,” four in “moderate fiscal …
https://www.osc.ny.gov/press/releases/2016/02/dinapoli-fiscal-stress-down-slightly-villagesOversight of Weights and Measures Programs
… Purpose To determine whether the Department of Agriculture and … commercial devices used to weigh and measure commodities sold on the basis of weight, volume, or size are to be … and vehicle and grocery scales. Gasoline and diesel fuels sold for use in motor vehicles are also subject to inspection …
https://www.osc.ny.gov/state-agencies/audits/2017/12/01/oversight-weights-and-measures-programsDiNapoli: SUNY Downstate Paid Consultant's Questionable Hotel and Dining Tabs
… Associates, Inc. (PMA), charged Downstate $83,156 in questionable travel and lodging expenses, exceeding the … and I urge the Joint Commission on Public Ethics to review this questionable behavior.” Downstate hired PMA to provide … travel expenses, including a prohibition on reimbursement for alcohol. In addition, the then president charged his …
https://www.osc.ny.gov/press/releases/2016/08/dinapoli-suny-downstate-paid-consultants-questionable-hotel-and-dining-tabsEast River Child Development Center – Compliance With the Reimbursable Cost Manual
… the 2013-14 school year, ERCDC served about 96 students in its center-based SC program. ERCDC is reimbursed for … June 30, 2014, ERCDC reported approximately $4.9 million in reimbursable costs for the audited cost-based programs. In addition to the cost-based preschool special education …
https://www.osc.ny.gov/state-agencies/audits/2017/07/21/east-river-child-development-center-compliance-reimbursable-cost-manualJust Kids Early Childhood Learning Center – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Just Kids Early Childhood Learning … expenses, including $117,986 for repairs, maintenance, office supplies, and utilities; $108,662 in employee day care … Just Kids’ less-than-arm’s-length (LTAL) lease and health service transactions for reasonableness and cost …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/just-kids-early-childhood-learning-center-compliance-reimbursable-cost-manualSusan E. Wagner Preschool – Compliance With the Reimbursable Cost Manual
… Teacher (SEIT), full-day and half-day Special Class (SC), and full-day Special Class in an Integrated Setting … the audited cost-based programs. In addition to the SEIT, SC, and SCIS preschool special education programs, Wagner …
https://www.osc.ny.gov/state-agencies/audits/2016/11/17/susan-e-wagner-preschool-compliance-reimbursable-cost-manualCUNY Bulletin No. CU-236
… of procedures needed to pay back Salary Withholding for eligible CUNY employees. Affected Employees Employees who … 10/13/05 Background The processing of Salary Withholding for CUNY employees in Bargaining Units TC, U2 and U6 was … bargaining units before March 2001 and had days withheld for the Salary Withholding process. OSC Actions OSC has …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-236-payback-salary-withholding-eligible-non-represented-cunyComptroller DiNapoli Releases School Audits
… district consistently appropriates fund balance that is not needed to fund operations. Two of the district’s reserves … recurring expenditures and, as a result, the budgets were not structurally balanced. As of June 30, 2014, the district … – Financial Condition (Warren County) The board did not adopt structurally balanced budgets that funded recurring …
https://www.osc.ny.gov/press/releases/2015/04/comptroller-dinapoli-releases-school-audits-0Village of Washingtonville – Budget Review (B24-6-1)
… the significant revenue and expenditure projections in the Village of Washingtonville’s (Village’s) 2024-25 … budget were reasonable. Background The Village is located in Orange County. Chapter 206 of the Laws of 2023 (the … million to liquidate the accumulated (actual) deficits in the general fund, water fund, sewer fund and capital …
https://www.osc.ny.gov/local-government/audits/village/2024/01/22/village-washingtonville-budget-review-b24-6-1DiNapoli: Audit Recommends Labor Department Step Up Investigations of Violations in NYC
… in holding violators accountable and attaining restitution for workers while allowing infractions to continue, according … but DiNapoli’s audit found many claims wait long periods for a determination. The audit reviewed 7,847 claims relating … New York City employers and found many listed as pending for long periods of time. Among them were 354 complaints that …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-audit-recommends-labor-department-step-investigations-violations-nycHandicapped Children’s Association of Southern New York, Inc. – Compliance With the Reimbursable Cost Manual
… is a not-for-profit special education provider located in Johnson City and serves students from four counties in the Southern Tier. HCA is authorized by SED to provide … to HCA using reimbursement rates set by SED. The State, in turn, reimburses the counties for a portion of the tuition …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/handicapped-childrens-association-southern-new-york-inc-compliance-reimbursable-cost-manualComptroller DiNapoli Releases State Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … November 2011 determined that certain Metro-North Railroad employees received costly payments due to long-term practices … Based Bus Safety Program (2015-S-71) In October 2013, DOT began to implement the bus safety program by revising its …
https://www.osc.ny.gov/press/releases/2016/03/comptroller-dinapoli-releases-state-audits-0DiNapoli: Georgia Woman Pleads Guilty to Stealing Her Deceased Father's NY State Pension Checks
… Albany County District Attorney David Soares and the New York State Police today announced that Alayne Bertolino pleaded guilty to stealing more than $240,000 in New York state pension payments made to her deceased father. … to Albany County District Attorney David Soares and the New York State Police for their partnership with my office’s …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-georgia-woman-pleads-guilty-stealing-her-deceased-fathers-ny-state-pension-checksDiNapoli: As Share of New Yorkers Without Health Insurance Reached New Low, Disparities Persisted Among Black, Asian, and Latino Populations
… From 2010 through 2021, the percentage of New Yorkers without health insurance declined every year to … the state in 2010 (11.9%), according to an analysis by New York State Comptroller Thomas P. DiNapoli. Rates of uninsured … the number of uninsured. Rates of New Yorkers enrolled in Medicaid increased from 20.2% in 2010 to 27.7% in 2021 and …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-share-new-yorkers-without-health-insurance-reached-new-low-disparities-persisted-among-blackCollection of Fines Related to Tenant Complaints (Follow-Up)
… Objective To assess the extent of implementation of the six recommendations included in our initial audit report, Collection of Fines Related to Tenant Complaints … are heard before an Administrative Law Judge. Depending on how they are resolved, harassment and non-compliance cases …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/collection-fines-related-tenant-complaints-followCollection of Petroleum Business Tax and Motor Fuel Excise Tax (Follow-Up)
… fee is imposed on gasoline and similar motor fuels. For the 2 State Fiscal Years ended March 31, 2021 and 2020, … million and $1.2 billion, respectively; MFT collections for the same 2 years totaled $425 million and $512 million, … to provide collateral security in an amount provided for in statute or determined by the Department. Distributors …
https://www.osc.ny.gov/state-agencies/audits/2022/06/08/collection-petroleum-business-tax-and-motor-fuel-excise-tax-followState Comptroller DiNapoli Releases Audits
… in correcting the problems identified in the initial report. State Education Department (SED): Mary Cariola …
https://www.osc.ny.gov/press/releases/2020/12/state-comptroller-dinapoli-releases-audits