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Franklin Square Public Library - Claims Audit (2018M-48)
… conducted a proper audit of claims. Key Finding The Board does not audit claims. Instead, two of the Board members …
https://www.osc.ny.gov/local-government/audits/library/2018/08/24/franklin-square-public-library-claims-audit-2018m-48Accounts Payable Advisory No. 48
… efficiencies for the State. Also, in the event of unclaimed funds, a standard name format increases the likelihood of …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/48-paying-single-payment-vendorOpinion 91-8
… of executing the district's bonds and issuing checks for the payment of principal and interest, and has no other powers and duties with respect to the sale, issuance or payment of bonds, the secretary-treasurer … has the duty to execute the bonds, and to issue checks for the payment of principal and interest, but has no other …
https://www.osc.ny.gov/legal-opinions/opinion-91-8DiNapoli Announces $500 College Savings Sweepstakes
… $500 sweepstakes to help a lucky New Yorker plan ahead for college. Winnings from the sweepstakes will be put in a new or existing 529 College Savings Program Direct Plan account. The New York 529 College Savings Program, an investment tool designed to help …
https://www.osc.ny.gov/press/releases/2015/05/dinapoli-announces-500-college-savings-sweepstakesAccuracy of Medicaid Eligibility Determined by NY State of Health (Follow-Up)
… ). About the Program NY State of Health (NYSOH) is the online health plan marketplace organized under the Department … in Medicaid. An individual’s Medicaid eligibility and enrollment information is transmitted from NYSOH to the … timely information from NYSOH to update eligibility and enrollment data necessary to make appropriate claim payments. …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/accuracy-medicaid-eligibility-determined-ny-state-health-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… with end stage renal disease who were entitled to Medicare coverage at the time of the claims; $1.1 million in improper episodic payments to home health care providers; $845,824 in overpayments for newborn claims … for inpatient, durable medical equipment, clinic, child care, and transportation services; $160,759 in overpayments …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016Opinion 91-43
… asked us to reconcile two opinions of this Office, 34 Opns St Comp, 1978, p 6, and 1990 Opns St Comp, No. 90-21, p 50. You suggest that the two are … other than the town clerk. We did not suggest in 34 Opns St Comp, 1978, p 6, supra , however, that the statutory …
https://www.osc.ny.gov/legal-opinions/opinion-91-43Medicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… costs in determining mainstream managed care premium rates. Our audit covered the period January 1, 2011 … care. Under managed care, Medicaid pays MCOs a monthly premium payment for each enrolled Medicaid recipient and the … fiscal year 2014-15, and an additional $56.8 million is at risk of overpayment over the following three years. The …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumComptroller DiNapoli Releases School Audits
… and the Ravena-Coeymans-Selkirk Central School District . “In an era of limited resources and increased accountability, … total of $16,348 because payments were not calculated in accordance with terms of their collective bargaining … Board of Cooperative Educational Services – Claim Payments (2015M-350) Most claims reviewed were properly …
https://www.osc.ny.gov/press/releases/2016/03/comptroller-dinapoli-releases-school-audits-0UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… December 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP), administered by the … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, serving … and potential overpayments for services not supported by provider documentation and for duplicate payments during our …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesComptroller DiNapoli Releases State Audits
… of Mental Health (OMH): Assertive Community Treatment (ACT) Program (2014-S-25) OMH is not effectively overseeing the ACT program to ensure that provider teams are complying with … treatment plans are not completed on time, with required team leaders’ approvals. As a result, program recipients’ …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-state-auditsImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Covered by Managed Long-Term Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followExamination of Unemployment Insurance Benefits
… payments for examination based on ris k . We reviewed the high risk claims identified by the filters and file matches … The results contained in our report cover select high risk payment requests and payments DOL processed from … 31, 2013, prior years’ payments associated with those high risk payment requests and payments, and prior years’ …
https://www.osc.ny.gov/state-agencies/audits/2014/06/09/examination-unemployment-insurance-benefitsElizabethtown-Lewis Central School District – Claims Processing (2015M-297)
… The purpose of our audit was to review the District’s claim processing for the period July 1, 2014 through … The Elizabethtown-Lewis Central School District is located in the Towns of Chesterfield, Lewis and Westport in Essex County. The District, which has approximately 240 …
https://www.osc.ny.gov/local-government/audits/school-district/2016/01/29/elizabethtown-lewis-central-school-district-claims-processing-2015m-297Village of Asharoken – Claims Audit and Treasurer's Duties (2025M-82)
… Area The audit of claims is often the last line of defense for preventing unauthorized, improper or fraudulent claims … and determined that 18 listings did not include check numbers and check dates. The Board also adopted resolutions … 14 of the resolutions did not specify the range of check numbers. Although the Board provided some compensating …
https://www.osc.ny.gov/local-government/audits/village/2026/03/06/village-asharoken-claims-audit-and-treasurers-duties-2025m-82United HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center (2015-S-53) New York State Health Insurance Program: …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpSachem Public Library – Claims Processing (2016M-327)
… Purpose of Audit The purpose of our audit was to examine the Library’s claims auditing … library that serves over 83,000 residents in the Towns of Brookhaven, Islip and Smithtown in Suffolk County. The …
https://www.osc.ny.gov/local-government/audits/library/2016/12/02/sachem-public-library-claims-processing-2016m-327Medicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
… to the providers. The audit covered the period April 1, 2018 through September 30, 2018. About the Program The … weekly cycles, which averaged over 5.9 million claims and $1.4 billion in payments to providers. Key Findings The audit … comprehensive third-party health insurance (TPHI); $6.1 million was paid for an inpatient claim that contained an …
https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018Village of Farmingdale - Procurement, Claims Audit and Check Signing (2018M-100)
… the bidding threshold. The Board conducts a proper audit of claims. The Village’s check signing process is adequate. Key Findings Village officials did not seek competition for nine of 10 professional service providers paid $733,497. The Board … Village of Farmingdale Procurement Claims Audit and Check Signing …
https://www.osc.ny.gov/local-government/audits/village/2017/10/26/village-farmingdale-procurement-claims-audit-and-check-signing-2018m-100Medicaid Program – Medicaid Claims Processing Activity October 1, 2017 Through March 31, 2018
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … reasonably ensured that Medicaid claims were submitted by approved providers were processed in accordance with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2019/02/05/medicaid-program-medicaid-claims-processing-activity-october-1-2017-through-march-31-2018