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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, United HealthCare - Payments for … many of the improper claims well outside of normal business hours and often lacked records verifying that … Davis Ethical Pharmacy, pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. William …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… the manufacture and distribution of alcoholic beverages for the purpose of fostering and promoting temperance in their consumption and respect for and obedience to law. The ABC Law gives the Authority the power to issue licenses and permits for the manufacture, wholesale distribution, and retail sale …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Hebrew … documented, program related, and allowable pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpDiNapoli: Audit Shows Former Highway Superintendent Took Taxpayers for a Ride in Town of Erin
… The former highway superintendent for the Town of Erin in Chemung County made personal … purchases and used gas, oil and other town supplies for his own use, totaling nearly $70,000, according to an … C felony, and four counts of offering a false instrument for filing, a class E felony. The arrest was the result of a …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-audit-shows-former-highway-superintendent-took-taxpayers-ride-town-erinDiNapoli Announces $2B Strategic Partnership With Goldman Sachs Asset Management For Global Equity Investments
… New York State Comptroller Thomas P. DiNapoli today announced that the New York State Common Retirement Fund (CRF or the Fund) has … (GSAM) to invest in a diverse group of global equity strategies viewed as having strong potential to enhance the …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-2b-strategic-partnership-goldman-sachs-asset-management-global-equity-investmentsMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… the patient’s progress and response to treatment; notation of all medications prescribed, including dosage and regimen; and a description of any diagnostic tests and the results of such tests. In addition, the patient record should include …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: NYC Projects Budget Surplus For 2017, But Faces Risks With Federal Budget Cuts
… New York City projects a surplus of $3.7 billion in fiscal year (FY) 2017, but faces the risk … FY 2018, balancing that year's budget. The city's latest financial plan shows that FY 2018 budget is balanced, but the … the impact with its own funds rather than allowing vital services to be cut. These estimates exclude most federal …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: Many NYC Senior Citizens Remaining Too Long on DFTA Wait Lists for Services
… seniors are waiting months on the New York City Department for the Aging’s (DFTA) client wait lists to get critical … to ensure they complied with the agency’s standards for delivering services to seniors. A random sample of 53 … instances where providers failed to meet DFTA’s standards for delivering timely services to 18 of the clients (34%). …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-many-nyc-senior-citizens-remaining-too-long-dfta-wait-lists-servicesUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… (Report 2020-S-7 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the … insurance coverage to over 1.2 million active and retired State, local government, and school district employees, and …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… Despite waiting lists for Mitchell Lama apartments being very long and turnover … we’ve found. Collecting fees with virtually no chance for an apartment gives applicants false hope and compromises … York Hill on the Upper East Side. They held six lotteries for applicants to get on waiting lists for apartments in …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… by New York State Comptroller Thomas P. DiNapoli shows the challenges faced by the state’s school districts are as … a complex set of state rules and local needs to determine how to best educate our children and pay for it,” DiNapoli … identifies the regional changes and trends that could impact district budgets now and in the future. It is a useful …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… climate change poses to transit, and its most recent 20-year needs assessment shows many capital needs are overdue … transit system.” To prepare for the release of its five-year capital programs, the MTA creates a 20-year capital … 2015-2019 capital program — to replace those over 40 years old and prone to break downs — but the new cars are not …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… program contributed to delays in urgent home repairs for seniors. The audit found the agency needs to do more to … program. “The RESTORE program has been a vital resource for seniors across our state whose homes may be at risk if … receiving no service through the program. LPAs (not-for-profit organizations and municipalities) apply to the …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… ] Audit Objective Determine whether the District applied for all transportation State aid for new bus acquisitions. Determine whether the Board and District officials properly issued and accounted for debt issued for new bus acquisitions. Key Findings The …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli: New York City's Government Workforce Expected to Increase for First Time Since Pandemic
… was in effect from October 2023 through February 2024 as part of the city’s Program to Eliminate the Gap, but staffing …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-new-york-citys-government-workforce-expected-increase-first-time-pandemicDiNapoli: Former Erie County Deputy Clerk Arrested for Stealing More Than $200,000 From County
… of former Deputy Erie County Clerk Alexander McDougall for allegedly stealing over $200,000 in county funds. … County Sheriff John Garcia, he is being held accountable for his crimes.” District Attorney Flynn said: “This … Comptroller’s Office and Erie County Sheriff’s Office for their work in this ongoing investigation. While …
https://www.osc.ny.gov/press/releases/2024/03/dinapoli-former-erie-county-deputy-clerk-arrested-stealing-more-200000-countyDiNapoli: Former Oneida City Chamberlain Arrested for Stealing More Than $78,000 in City Funds
… Gabor, and the New York State Police for their work in uncovering this theft.” “The District Attorney’s Office is … Andrews, 77, is charged with allegedly stealing $78,881.55 in tax, water and sewer payments that were made in cash … grand larceny, corrupting the government, falsifying business records and tampering with public records, all …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-former-oneida-city-chamberlain-arrested-stealing-more-78000-city-fundsImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments … the State’s Medicaid program. Individuals may enroll in Medicaid through Local Departments of Social Services or … than one CIN assigned to them during the time they are in receipt of benefits; however, only one CIN should have …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientDiNapoli: Town of Alexander Clerk Arrested for Allegedly Stealing Nearly $3,000 of Taxpayer Funds
… of Shannon Tiede, the clerk of the Town of Alexander, for allegedly stealing nearly $3,000 from the town and … “I thank District Attorney Finnell and the State Police for their ongoing partnership in combatting public … Mui, the State Comptroller and the New York State Police for their hard work on this investigation.” New York State …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-town-alexander-clerk-arrested-allegedly-stealing-nearly-3000-taxpayer-funds