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Appendix B – Selected Legal References Pertaining to the Audit of Claims Function – Improving the Effectiveness of Your Claims Auditing Process
… 2523(2), 2524-2526, 2554(2-a), 2580 BOCES – Education Law Section 1950(4-k) Villages – Village Law Sections 4-402(d), … 29(7), 34(1), 1 8, 1 9, 125 and 215(1-b); Highway Law Section 284 Fire Districts – Town Law Section 176(4-a), 177 Counties – County Law Sections 369, …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/appendix-b-selected-legal-references-pertaining-audit-claims-functionDiNapoli: Otsego County Woman Pleads Guilty to Stealing From School District
… and was prosecuted by Assistant U.S. Attorney Michael Barnett. Since taking office in 2007, DiNapoli has committed …
https://www.osc.ny.gov/press/releases/2021/01/dinapoli-otsego-county-woman-pleads-guilty-stealing-school-districtXII.6.A.A Using the Real Estate Module to Pay Lease Vouchers – XII. Expenditures
… SECTION OVERVIEW AND POLICIES The Statewide Financial System (SFS) has added functionality to allow for the management of Real Estate assets and leases. This section … The Statewide Financial System SFS has added functionality to …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6aa-using-real-estate-module-pay-lease-vouchersDiNapoli: Former Riverside Village Clerk Sentenced to Jail for $50K Theft
… clerk-treasurer Kristina Johnson was sentenced to jail time for repeatedly stealing village funds to cover her … announced today. Johnson was sentenced to 60 days in jail, five years probation and ordered to pay full … District Attorney Brooks Baker, Ms. Johnson is going to jail and will repay taxpayers.” Johnson pleaded guilty to …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftDiNapoli: School District Tax Levy Growth to Remain Below Two Percent
… Property tax levy growth for school districts will be capped at 1.26 percent for the 2017-18 fiscal year, according to data released today by State Comptroller … Property tax levy growth for school districts will be capped at 126 percent for the 201718 fiscal year according to data released today by State Comptroller …
https://www.osc.ny.gov/press/releases/2017/01/dinapoli-school-district-tax-levy-growth-remain-below-two-percentRisk Assessment and Implementation of Measures to Address Extreme Weather Conditions
… developed plans to mitigate the effect of extreme weather conditions and flooding; and whether the plans were … that can be activated for extreme weather-related conditions and detailed procedures to be followed leading up … assessment, document progress made, and report on any new conditions requiring mitigation. Monitor projects to ensure …
https://www.osc.ny.gov/state-agencies/audits/2025/01/02/risk-assessment-and-implementation-measures-address-extreme-weather-conditionsImproper Payments Related to the Center of Excellence for Cancer Program
… of service during the period from January 2019 through December 2024. About the Program The New York State Health … led Anthem and United to make multiple payments to health care providers for the same services related to the Cancer … condition, for services provided after December 31, 2025. Key Recommendations Review the nearly $9.4 million in …
https://www.osc.ny.gov/state-agencies/audits/2026/01/27/improper-payments-related-center-excellence-cancer-programMedicaid Program – Appropriateness of Payments to Transportation Management Contractors and Providers
To determine whether the Department of Health made improper Medicaid payments for transportation services
https://www.osc.ny.gov/state-agencies/audits/2017/12/15/medicaid-program-appropriateness-payments-transportation-management-contractors-andFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances
… for the oversight of correctional facilities and for responding timely to complaints and inmate grievances. Our audit scope covers the period … 54 State correctional facilities, four Office of Children and Family Services facilities, 74 local correctional … for the oversight of correctional facilities and for …
https://www.osc.ny.gov/state-agencies/audits/2018/01/19/facility-oversight-and-timeliness-response-complaints-and-inmate-grievancesExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… recommendations included in our initial audit report, Excessive Medicaid Payments for Services to Recipients … Related Audit/Report of Interest Department of Health: Excessive Medicaid Payments for Services to Recipients … of 3 recommendations incld in our initial audit report Excessive Medicaid Payments for Services to Recipients …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… audit report, Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Report 2009-S-25). Background … on September 24, 2010, examined whether selected home health care providers properly used Medicaid funds for the … (RTR) of direct care staff and whether the Department of Health (Department) was effectively overseeing this funding. …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followMedicaid Program – Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists
… disadvantaged and/or have special health care needs. For dental care, the State's Medicaid program requires care to … ended March 31, 2011, Medicaid paid about $321 million for dental claims. From January 1, 2007 through June 8, 2011, … Department of Health: Inappropriate Medicaid Billings for Dental Restorations (2007-S-71) Department of Health: …
https://www.osc.ny.gov/state-agencies/audits/2013/04/04/medicaid-program-suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentistsCost-Saving Ideas: A Guide to Justice Court Consolidation in Villages and Towns
… Phone: (800) 268-7869 Email: [email protected] Web: http://www.nycourts.gov/admin/index.shtml New York State … Association Phone: (800) 669-6247 Email: [email protected] Web: https://www.nysma.net New York State Association of … Clerks Phone: (516) 599-0722 Email: [email protected] Web: www.nysamcc.com New York Conference of Mayors Phone: …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-guide-justice-court-consolidation-villages-and-townsMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Further, an MCO is only eligible to receive the SMCP if it submits encounter data as evidence of the delivery and … Medicaid SMCPs totaled almost $4.7 billion. Key Findings We identified about $55 million in improper and questionable … payments. The Department’s eMedNY claims processing system does not have access to maternity encounter data to verify …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… initial audit report, Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Report 2017-S-36 … Many Medicaid recipients are also enrolled in Medicare Part B (Part B), which provides supplemental insurance coverage for … initial audit report Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY Report 2017S36 …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followAdministration and Monitoring of Financial Assistance to New York City Businesses
… sources, and project the full-time equivalent (FTE) jobs that would be created or retained if the financial … on every application. Focus on creating or retaining jobs. The 23 projects we sampled had 2,517 employees and … to projects that do not create the anticipated number of jobs. Revise the financial analysis template to ensure the …
https://www.osc.ny.gov/state-agencies/audits/2024/06/12/administration-and-monitoring-financial-assistance-new-york-city-businessesServices to Workers Under the Worker Adjustment and Retraining Notification Act
… by closings and layoffs that are covered under the Worker Adjustment and Retraining Notification Act (WARN Act … by closings and layoffs that are covered under the Worker Adjustment and Retraining Notification Act and is …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/services-workers-under-worker-adjustment-and-retraining-notification-actRisk Assessment and Implementation of Measures to Address Extreme Weather Conditions
… (Transit) identified potential damage to its system and developed plans to mitigate the effect of extreme weather conditions and flooding. We also determined whether the MTA … Transit Transit identified potential damage to its system and developed plans to mitigate the effect of extreme weather …
https://www.osc.ny.gov/state-agencies/audits/2023/09/29/risk-assessment-and-implementation-measures-address-extreme-weather-conditionsSelected Aspects of Parking Violations Operations to Collect Fines and Fees
… (DOF) identifies and collects fines and fees that are due for parking violations. This audit covered the period from … to February 4, 2019. About the Program DOF is responsible for collecting and processing payments for parking fines for the approximately 30 entities that can …
https://www.osc.ny.gov/state-agencies/audits/2019/12/04/selected-aspects-parking-violations-operations-collect-fines-and-feesControlling Access to Student Grading Systems in School Districts (2015-MS-3)
… pdf] We also released six letter reports to the following School Districts: Arlington Central School District [pdf] , Elmira City School District [pdf] , … districts are adequately controlling access to their Student Grading Systems (Systems) for the period July 1, 2013 …
https://www.osc.ny.gov/local-government/audits/school-district/2015/09/21/controlling-access-student-grading-systems-school-districts-2015-ms-3