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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… To determine whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were … with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on procedure codes …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59DiNapoli: As State Tax Check-Off Options Increase, Spending Lags for Most
… number of check-offs have grown over the last decade, only a fraction of the money has been actually spent on their … each year. “New York state offers many worthy causes for income tax filers to donate to on their income tax forms, … 1983-84, the first year a tax check-off option appeared, there were over 344,000 contributors. In SFY 2022-23, with 34 …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-state-tax-check-off-options-increase-spending-lags-mostDiNapoli: Tax Exemptions Jump While Job Gains Slow for IDA Projects
… Development Agencies (IDAs) provided $660 million in net tax exemptions in 2013, up $105 million from 2012 but … pace,” said DiNapoli. “IDAs can be an important catalyst for economic development in our state, but I urge local … of taxes, leaving the total net exemptions for the year at $660 million – an increase of $105 million, …
https://www.osc.ny.gov/press/releases/2015/05/dinapoli-tax-exemptions-jump-while-job-gains-slow-ida-projectsDebt Approvals for Public Authorities, Municipalities, School Districts and District Corporations
… ) Chuck Trimbach ( [email protected] ) Christian Brass ( [email protected] ) Various State statutes …
https://www.osc.ny.gov/debt/approvalsStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Starting Point Services for Children (Starting Point) on its Consolidated Fiscal Reports (CFRs) were …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… recommendations included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services … by managed care. We recommended the Department review the improper payments we identified and recover overpayments as …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … The State’s Medicaid program provides a wide range of health care services, including prescription drugs, to individuals …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal … provides preschool special education services to children with disabilities between the ages of three and five years. Astor …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… by the Milestone School for Child Development (Milestone) on its Consolidated Fiscal Reports (CFRs) were properly … documented, program related, and allowable pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included all expenses claimed on Milestone’s CFR for the fiscal year 2012-13, and certain …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualAll Services for Kids, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by All Services for Kids, Inc. (All Services) on its Consolidated Fiscal Reports (CFRs) are adequately documented and allowable pursuant to the State …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/all-services-kids-inc-compliance-reimbursable-cost-manualCharter School for Applied Technologies – Payment to Affiliated Entities (2013M-300)
… Most of the School’s students are from the City of Buffalo. Key Findings The Board approved transfers of School …
https://www.osc.ny.gov/local-government/audits/school-district/2014/01/17/charter-school-applied-technologies-payment-affiliated-entities-2013m-300Albany Leadership Charter High School for Girls – Professional Services (2013M-283)
… of our audit was to evaluate the effectiveness of the School’s compact contract with the Brighter Choice Foundation … May 31, 2013. Background The Albany Leadership Charter High School For Girls, located in the City of Albany, Albany …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/17/albany-leadership-charter-high-school-girls-professional-services-2013mBrighter Choice Charter Middle School for Girls – Financial Operations (2014M-301)
… the effectiveness of the School’s contract with a not-for-profit foundation for the period July 1, 2011 through … The Brighter Choice Charter Middle School for Girls is a public school that is not under the control of the local … Charter Schools Institute. Key Recommendations Determine what services will be contracted out and which of those …
https://www.osc.ny.gov/local-government/audits/charter-school/2015/03/06/brighter-choice-charter-middle-school-girls-financial-operations-2014m-301DiNapoli: Audits Reveal Millions in Lost Revenue for Local Water Systems
… governments are losing millions of dollars in revenue due to water loss, inaccurate meters or improper billing, … annually," said DiNapoli. "Across New York, my audits have revealed infrastructure problems, poor budget practices … loss as an issue and estimated that fixes could yield as much as $2.2 million in savings. More often than not, water …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-audits-reveal-millions-lost-revenue-local-water-systemsDiNapoli: Former Riverside Village Clerk Sentenced to Jail for $50K Theft
… used village funds to date on Match.com. She was able to do so because village officials provided no oversight of her fiscal activities. The audit prompted the village to tighten its fiscal controls. Johnson was fired in 2013 and … the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Report 2017-S-66 ). About the Program Opioid treatment programs (Treatment Programs) provide …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followDiNapoli and Hein Announce Training For Fire Districts and EMS Agencies
… Fire Chiefs Association and Third Assistant Chief of Highland Hose Company No. 1. “County Executive Hein …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-and-hein-announce-training-fire-districts-and-ems-agenciesDiNapoli: Former Director Allegedly Stole $1,700 From Hornell Partners for Growth
… in the First Degree for allegedly stealing $1,711 in cash from the HPG’s Annual Fourth of July festival and earmarked … for the city’s Business Improvement District, according to New York State Comptroller Thomas P. DiNapoli, the New … but depositing at least $1,711 into her personal bank account. Stevens worked at HPG from 2014 to 2018, and is …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-former-director-allegedly-stole-1700-hornell-partners-growthCity of Long Beach - Payments for Unused Leave Accruals (2019M-68)
… whether payments to certain City officers and employees for unused leave accruals were authorized and accurately … to 10 individuals appear inconsistent with the City’s code of ordinances (City Code) and/or collective bargaining …
https://www.osc.ny.gov/local-government/audits/city/2019/12/11/city-long-beach-payments-unused-leave-accruals-2019m-68Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… Objective To determine whether Empire BlueCross properly paid hospital … lens and replacing it with an intraocular lens (such as a plastic lens). Empire generally reimburses the intraocular … lens, the additional implant fee should not be paid. When hospitals send claims for reimbursement, in addition to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitals