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United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … HealthCare - Overpayments for Services at the South Shore Ambulatory Surgery Center (2008-S-11) …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … risk of drugs ordered in this manner being diverted for inappropriate or unauthorized use. The supply limits that … Medicaid program paid pharmacy providers through the fee-for-service method and the managed care method. Under …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsSpecial Plan for Suffolk County Park Police Officers (Sections 89-r and 603(n))
… Information for members about Special Plan for Suffolk County Park Police Officers Sections 89r and 603n …
https://www.osc.ny.gov/retirement/publications/special-plan-suffolk-county-park-police-officers-sections-89-r-and-603nOversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency
… (DOH) are adequately ensuring that hotels and motels used for homeless and mixed-use temporary residency are … better monitor habitability standards of hotels and motels used for homeless housing. To OTDA and DOH: Seek out … of Health are adequately ensuring that hotels and motels used for …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-hotels-and-motels-used-homeless-and-mixed-use-temporary-residencyLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… fiscal years ended June 30, 2014. Background Lifeline is a Queens, New York-based not-for-profit organization authorized …
https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manualBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… three fiscal years, NYSARC, Inc. - Nassau County Chapter (AHRC), a related party, provided Brookville with management … including $42,897 in non-reimbursable bonuses paid to AHRC officials and $41,594 in unsupported vehicle expenses; …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy … the improper claims well outside of normal business hours and often lacked records verifying that patients actually … Ethical routinely submitted fraudulent claims to Medicaid and received payments for those claims. We coordinated our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followDiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources
… New York State Comptroller Thomas P. DiNapoli released the following statement regarding the arrest of Terry Williams for alleged theft of fuel from the Town of … New York State Comptroller Thomas P DiNapoli released the following statement regarding the arrest of Terry …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-statement-greenville-arrest-alleged-theft-taxpayer-funded-resourcesDiNapoli Announces Interim CIO for the New York State Common Retirement Fund
… New York State Comptroller Thomas P. DiNapoli today announced his appointment of Anastasia Titarchuk as Interim Chief Investment Officer of the New York State Common Retirement Fund. The Fund’s current CIO … New York State Comptroller Thomas P DiNapoli today announced …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-announces-interim-cio-new-york-state-common-retirement-fundMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… 29,289 fee-for-service pharmacy claims totaling $978,251 on behalf of 18,010 recipients whose pharmacy benefits were … paid 51 fee-for-service pharmacy claims totaling $1,736 on behalf of a recipient who was enrolled in a managed care …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careDiNapoli: Contractor Sentenced in Federal Court for Defrauding State of Over $360,000
… to federal fraud charges earlier this year, as a result of a joint investigation by New York State Comptroller Thomas … to a year and one day in prison and ordered to pay a total of $721,112 in restitution and criminal forfeiture. “Joseph … for cancer and used the money to fund his lavish lifestyle of world traveling and gambling,” DiNapoli said. “This …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-contractor-sentenced-federal-court-defrauding-state-over-360000United HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… office visits. The New York State Department of Civil Service contracts with United HealthCare (United) to process and pay medical claims from health care providers for services provided to Empire Plan members. … $8,665 as the reasonable and customary rate for the service. As a result, United paid $6,932 on the claim and the …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandDiNapoli Proposal Would Provide More Accountability for Personal Income Tax Check-Off Funds
… on their personal income tax forms, but too much of this money remains unused when it should be fighting … Fund and the World Trade Center Memorial Fund) at the end of state fiscal year (SFY) 2012-13. No spending had occurred out of two funds – the prostate cancer check-off and the …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposal-would-provide-more-accountability-personal-income-tax-check-fundsDiNapoli: Village of Candor Mayor Arrested for Allegedly Stealing From the Village
… in 2nd degree before Judge Sandra Lute in the Centralized Arraignment Part. His next appearance is scheduled for August …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-village-candor-mayor-arrested-allegedly-stealing-villageMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Purpose To determine whether the Department of Health's eMedNY system processes Medicaid claims for ancillary … ancillary services are processed by eMedNY, the Department's automated claims processing and management information … for review. Medicaid reimbursement rates for inpatient hospital claims include the costs of most medical care …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientState Pension Fund Adds $30 Million for Investments in New York Companies
… Partners. "This new commitment to Primary Venture Partners for state-based investments will help grow the pension fund and expand businesses and jobs across New York state," said DiNapoli. "With $293 … has been funded by investment returns. The Fund’s fiscal year ends March 31, 2015. …
https://www.osc.ny.gov/press/releases/2015/03/state-pension-fund-adds-30-million-investments-new-york-companiesDiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… for Early Learning Inc. (NYL) focused on $138 million in expenses the school claimed for special education services … for the recovery of this money. Department officials are in agreement with our recommendation." NYL is a … than 50,000 state contracts, visit www.openbooknewyork.com . The easy-to-use website was created by DiNapoli to …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expensesMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… reported Medicaid recipients were discharged within 24 hours of admission. There is a high risk that a portion of … medical records. For these 190 claims, 91 claims (48%), totaling $1,577,821, were billed improperly. Key …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMedicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
… Objective To determine if Medicaid made inappropriate fee-for-service payments to … on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made. The audit … To determine if Medicaid made inappropriate feeforservice payments to …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-improper-fee-service-pharmacy-payments-recipients-third-party-healthDiNapoli: Orange County Resident Arrested for Stealing Her Late Mother’s Pension Benefits
… State Comptroller Thomas P. DiNapoli, Orange County District Attorney David M. Hoovler, and the New York State Police today announced that Valerie White, of Middletown, was arrested and charged with grand larceny in the second degree (Class C … Comptroller DiNapoli Orange County District Attorney David M Hoovler and New York State …
https://www.osc.ny.gov/press/releases/2021/06/dinapoli-orange-county-resident-arrested-stealing-her-late-mothers-pension-benefits