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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… in our initial audit report, United HealthCare - 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, the … fraudulent claims to NYSHIP and received payments for those claims. We coordinated our audit and investigative …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United … pay a nominal co-payment to the participating provider for the services rendered. Members may also choose to receive …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpState Health Department Unnecessarily Paid over $1 Billion for Patients Covered by Private Insurance
… for enrollees who already had private insurance, according to an audit released today by State Comptroller Thomas P. … and the third-party provider are the same, the state can remove the recipients from managed care retroactively and … Find out how your government money is spent at Open Book New York . …
https://www.osc.ny.gov/press/releases/2018/06/state-health-department-unnecessarily-paid-over-1-billion-patients-covered-private-insuranceDiNapoli: Audit Shows Former Highway Superintendent Took Taxpayers for a Ride in Town of Erin
… The former highway superintendent for the Town of Erin in Chemung County made personal … purchases and used gas, oil and other town supplies for his own use, totaling nearly $70,000, according to an … C felony, and four counts of offering a false instrument for filing, a class E felony. The arrest was the result of a …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-audit-shows-former-highway-superintendent-took-taxpayers-ride-town-erinStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… the manufacture and distribution of alcoholic beverages for the purpose of fostering and promoting temperance in their consumption and respect for and obedience to law. The ABC Law gives the Authority the power to issue licenses and permits for the manufacture, wholesale distribution, and retail sale …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the Hebrew Institute for the Deaf and Exceptional Children (Hebrew Institute) on … audit included expenses claimed on Hebrew Institute’s CFRs for the three fiscal years ended June 30, 2014. Background Hebrew Institute is a Brooklyn, New York, not-for-profit organization approved by SED to provide full-day …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… Medicaid managed care plans) paid Dr. Ahmad $1,039,404 for 24,695 office visits. During this period, the Medicaid program also paid approximately $15 million for medications Dr. Ahmad prescribed in connection with those … program are required to maintain complete, legible records for each Medicaid patient treated. The records must include …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingSpecial 25-Year Plan for County Probation Department Peace Officers (Sections 89-t and 603(p))
… and Local Retirement System (Return to Top) … Information for members about 25 year special retirement plan for peace officers who serve in the probation department …
https://www.osc.ny.gov/retirement/publications/special-25-year-plan-county-probation-department-peace-officers-sections-89-t-and-603pMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Medicaid overpaid managed care organizations and hospitals for low birth weight newborn claims. The audit covered the … June 1, 2014. Background Medicaid reimburses providers for newborn services using the fee-for-service and managed care payment methods. Under …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified … rates. With approval from the federal Centers for Medicare and Medicaid Services, the Department amended … FQHCs billed incorrect reimbursement rates on their claims for group therapy services. The FQHCs billed an approximate …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… program contributed to delays in urgent home repairs for seniors. The audit found the agency needs to do more to … program. “The RESTORE program has been a vital resource for seniors across our state whose homes may be at risk if … receiving no service through the program. LPAs (not-for-profit organizations and municipalities) apply to the …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… a complex set of state rules and local needs to determine how to best educate our children and pay for it,” DiNapoli … to be wealthier and spend more per pupil. The report notes many factors can affect the differences in spending including … just seven school districts. New York City, which is many times larger than the next largest school district in the …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… Despite waiting lists for Mitchell Lama apartments being very long and turnover … we’ve found. Collecting fees with virtually no chance for an apartment gives applicants false hope and compromises … go to: https://osc.state.ny.us/audits/allaudits/093020/sga-2020-18n4.pdf Find out how your government money is spent at …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… The MTA should publish a new assessment of its long-term capital needs that pays particular attention to the growing threat climate change poses to transit, and … to Comptroller Thomas P. DiNapoli’s latest report . “The MTA is getting a large infusion of federal infrastructure …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli: Many NYC Senior Citizens Remaining Too Long on DFTA Wait Lists for Services
Too many seniors are waiting months on the New York City Department for the Agings DFTA client wait lists to get critical assistance like home delivered meals housekeeping and personal care services because the agency is not doing enough to monitor the service providers it hires
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-many-nyc-senior-citizens-remaining-too-long-dfta-wait-lists-servicesDiNapoli: New Law Makes It Easier for the Comptroller To Return Your Lost Money
… Thomas P. DiNapoli issued the following statement today following the Governor signing legislation enabling the … over $19 billion in unclaimed funds, and we want to make sure that every New Yorker can easily claim their money. By … money.” The average claim paid out is between $50 and $100. Every day, DiNapoli’s office returns over $1.5 million. …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-new-law-makes-it-easier-comptroller-return-your-lost-moneyDiNapoli: Disgraced Top Officials at School for At-Risk Students Arraigned on Public Corruption Charges
… New York State Comptroller Thomas P. DiNapoli and Westchester … Wednesday morning before Westchester County Court Judge Anne Bianchi on the charges of Second-Degree and Third-Degree … The investigation was conducted by the Office of the New York State Comptroller and the Economic Crimes and Public …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-disgraced-top-officials-school-risk-students-arraigned-public-corruption-chargesDiNapoli: Former CFO of St. Johnsville Volunteer Ambulance Corp. Arrested for Stealing Over $26,000
… A former chief financial officer of the St. Johnsville Volunteer Ambulance Corp. today was … be held responsible for their actions,” Pearson said. “I would like to personally thank the Office of the State …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-former-cfo-st-johnsville-volunteer-ambulance-corp-arrested-stealing-over-26000RFP#24-07 – Professional Auditing Services for New York State’s Annual Financial Statements and eMedNY
… Request for Proposals Issued by the Office of the State Comptroller Issued November 12, 2024 Through this Request for Proposals (“RFP”), Thomas P. DiNapoli, Comptroller of the … other information as it becomes available, is available for download through the following link(s): Request for …
https://www.osc.ny.gov/procurement/rfp24-07DiNapoli: Town of Alexander Clerk Arrested for Allegedly Stealing Nearly $3,000 of Taxpayer Funds
… nearly $3,000 from the town and altering town records to cover her theft. “Ms. Tiede was entrusted to safeguard public finances but instead she allegedly abused her position to steal town funds and attempted to hide her crime,” …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-town-alexander-clerk-arrested-allegedly-stealing-nearly-3000-taxpayer-funds