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UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… Purpose To determine whether UnitedHealthcare overpaid for out-of-network anesthesia … health and substance abuse. Civil Service contracts with UnitedHealthcare (United) to administer the medical/surgical … services. Other Related Audits/Reports of Interest UnitedHealthcare: Improper Payments for Medical Services …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMission Statement and Performance Measures
… To determine whether the New York State Thruway Authority is achieving its performance measures and properly reporting … The New York State Thruway Authority (Authority) is a public benefit corporation created by the State … of highways crossing New York State. The Canal Corporation is responsible for a 524-mile canal system. The Authority …
https://www.osc.ny.gov/state-agencies/audits/2014/07/11/mission-statement-and-performance-measuresReStacking Occupancy Initiative
… OGS calculated cost savings separately from expenses and only accumulated costs on an agency by agency basis, not at a …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/restacking-occupancy-initiativeRailroad Bridge Inspection Program
… railroads operating in the State to ensure they meet the bridge inspection requirements. This audit covers the period … 1, 2010 through June 30, 2013. Background The Railroad Bridge Inspection Program (Program) provides oversight of the … to ensure public safety and decrease the risk of railroad bridge failures. Department regulations require railroad …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programWage Theft Investigations
… of more than 12,700 employees. Key Findings The Division does not complete wage theft investigations timely. As of … payment. Of these, 12,938 cases (75 percent) had been open more than one year since the initial claim was received. … of Interest Department of Agriculture and Markets: Food Safety Monitoring (2013-S-27) Department of Labor: …
https://www.osc.ny.gov/state-agencies/audits/2014/06/06/wage-theft-investigationsLow-Income Housing Trust Fund Program
… audit covers the period April 1, 2008 through December 11, 2013. Background The Housing Trust Fund Corporation's … about 4,400 low-income housing units, due to: questionable award decisions; lax monitoring or enforcement of … adhere to its own policies regarding the project award process. During our audit period, the Program awarded …
https://www.osc.ny.gov/state-agencies/audits/2014/08/28/low-income-housing-trust-fund-programState Comptroller DiNapoli Releases School Audits
… New York State Comptroller Thomas P. DiNapoli today announced his office completed audits of the Alden Central School District , East Aurora Union Free School District and … expenditures or reduce the tax levy. For access to state and local government spending and nearly 50,000 state …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-school-auditsState Agencies Bulletin No. 2308
… is to inform agencies of the content information for the 2024 Form W-2. Affected Employees: All employees who receive … a Form W-2 Wage and Tax Statement for calendar year 2024 are affected. Background: According to IRS Publication 15 (Circular E) for 2024, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2308-form-w-2-wage-and-tax-statement-tax-year-2024Sky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programComptroller DiNapoli and Mayor Brown Urge Buffalo Residents to Claim $88 Million in Lost Money
… million in lost money to people who live in Buffalo. It only takes five minutes to see if we have any of your money," …
https://www.osc.ny.gov/press/releases/2017/03/comptroller-dinapoli-and-mayor-brown-urge-buffalo-residents-claim-88-million-lost-moneyComptroller DiNapoli Releases Municipal Audits
… , Town of Ticonderoga and the Upper Mohawk Valley Memorial Auditorium Authority . “In today’s fiscal climate, … and 2014 annual financial reports. Upper Mohawk Valley Memorial Auditorium Authority – Procurement (Oneida County) … Salamanca Town of Ticonderoga and the Upper Mohawk Valley Memorial Auditorium Authority …
https://www.osc.ny.gov/press/releases/2016/03/comptroller-dinapoli-releases-municipal-auditsDiNapoli: Local Sales Tax Collections Up 2.2% in Second Quarter
… was slightly stronger than the 1.6% increase seen in the first quarter, still lagging growth rates realized after the first quarter in 2021. However, it was not unusual to see … 2024 Local Sales Taxes Data Regional Table Related Report First Quarter 2024 Local Sales Taxes …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-local-sales-tax-collections-22-second-quarterMonitoring of Prevailing Wage Compliance on Construction Contracts
… Purpose To determine whether the Dormitory Authority of the State of New York (Authority) monitors the contractors and … is to finance and construct buildings for a variety of public and not-forprofit entities, including universities, … To determine whether the Dormitory Authority of the State of New York Authority monitors the contractors …
https://www.osc.ny.gov/state-agencies/audits/2017/04/04/monitoring-prevailing-wage-compliance-construction-contractsBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… services to children with disabilities between the ages of three and five years. During the 2013-14 school year, … by SED. Counties are reimbursed by SED for a portion of their payments to Brookville. For the three fiscal years … to help ensure their compliance with the provisions of the Manual. To Brookville: Ensure that all costs reported …
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)
… included in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, … fraudulent claims to Medicaid and received payments for those claims. We coordinated our audit and investigative …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followInspire (Orange County Cerebral Palsy Association) – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Inspire on its Consolidated Fiscal … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). Our audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/inspire-orange-county-cerebral-palsy-association-compliance-reimbursable-cost-manualMedicaid Program – Oversight of Managed Care Provider Networks
… has provided adequate oversight of Medicaid managed care provider networks to ensure cost efficiency and access to … access to all services covered under the contract. If the provider network cannot provide services, the member can go out of network. MCOs are required to submit their provider network to DOH quarterly using the Provider Network …
https://www.osc.ny.gov/state-agencies/audits/2025/10/22/medicaid-program-oversight-managed-care-provider-networksMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… with third-party insurers prior to billing Medicaid for services. After processing a claim from a provider, the … Group codes include PR (patient responsibility) and CO (contractual obligation). CARC 45 occurs when the charge … Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsState Agencies Bulletin No. 2407
… is to inform agencies of the content information for the 2025 Form W-2. Affected Employees: All employees who receive … a Form W-2 Wage and Tax Statement for calendar year 2025 are affected. Background: According to IRS Publication 15 (Circular E) for 2025, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2407-form-w-2-wage-and-tax-statement-tax-year-2025Selected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… State costs related to site investigation and remediation, bill for and collect these costs from responsible parties in … billing process and the timeliness of billing. However, bill preparation is a very time-consuming process and billing … which delays recovery of some State costs until the next bill is prepared. We reviewed 21 bills for eight sites and …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recovery