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United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… the rates participating providers agree to accept for the same services. Consequently, to encourage members to use less … for Services Provided by Eastern Orange Ambulatory Surgery Center (2015-S-53) United HealthCare: New York State Health …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… made in our initial audit report, Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician ( 2012-S-35 ). Background Our initial audit report, … warranted Medicaid payment. This included $712,250 for 19,031 fee-for-service claims and $327,154 for 5,664 …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… for each newborn enrolled in the MCO. The MCO, in turn, is responsible for the provision of covered health care …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine if Davis Ethical Pharmacy inappropriately billed United … reimburses United for all properly adjudicated claims. Davis Ethical Pharmacy (Davis Ethical) is an independently owned pharmacy located in … To determine if Davis Ethical Pharmacy inappropriately billed United …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine whether Davis Ethical Pharmacy (Davis Ethical) inappropriately billed Medicaid for … Program provides prescription drug coverage for enrollees. Davis Ethical is an independently owned pharmacy located in … To determine whether Davis Ethical Pharmacy Davis Ethical inappropriately billed …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followNew York Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… on its Consolidated Fiscal Reports CFRs were reasonable ne …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/new-york-center-child-development-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… that are not allowed in conjunction with hospice (such as Assisted Living) and services that are covered by the …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… has a tracking system that accurately accounts for all its properties, including all leases; whether it has identified … it has followed required procedures in the leasing of its properties. This audit covered the period January 1, 2014 … The PANYNJ uses two systems to track the status of its properties and to track rent and revenues – SAP and YARDI. …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… were paid on behalf of recipients with duplicate Client Identification Numbers. The audit covered the period January … who applies for Medicaid benefits is assigned a Client Identification Number (CIN), a unique identifier. However, … were paid on behalf of recipients with duplicate Client Identification Numbers …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million … health benefit plan is the Empire Plan. UnitedHealthcare (United) administers the medical/surgical portion of the … procedures). Ambulatory Surgery Centers (ASCs) are health care facilities focused on providing same-day surgical care. …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryDiNapoli: Five Major Companies Adopt Pension Fund's Call for Transparency on Political Contributions
… Company, The Travelers Companies Inc., United States Steel Corp., Waste Management Inc., Western Union Co. and Wynn … Chemical H&R Block Marathon Oil Valero Energy 2014 Comcast Corp. CF Industries (2014 agreement followed 66% support in …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-five-major-companies-adopt-pension-funds-call-transparency-political-contributionsDiNapoli: Federal Funding Uncertainty Jeopardizes Impact of Inflation Reduction Act for New Yorkers
… A new report by State Comptroller Thomas P. DiNapoli details New York’s … Act (IRA), including close to $2 billion in funds for environmental and energy purposes that could help lower … programs managed by several U.S. agencies. New York state agencies and authorities, municipalities, businesses …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-federal-funding-uncertainty-jeopardizes-impact-inflation-reduction-act-new-yorkerseBay Publicly Commits to Gender and Racial Diversity in Search for Board Members
… withdrawn the shareholder proposal they filed at eBay Inc. after the company agreed to revise its Governance Guidelines … female director on its board consisting of 15 members after the May 1 annual meeting. About the New York State … withdrawn the shareholder proposal they filed at eBay Inc after the company agreed to revise its Governance Guidelines …
https://www.osc.ny.gov/press/releases/2015/03/ebay-publicly-commits-gender-and-racial-diversity-search-board-membersNYS Comptroller DiNapoli Statement on Major Support for Racial Equity Audit at Amazon
… racial diversity, equity and inclusion won support from 44.18% of Amazon shareholders, an immense success for a … The Fund has consistently been ranked as one of the best managed and best funded plans in the nation. The Fund's fiscal year ends …
https://www.osc.ny.gov/press/releases/2021/05/nys-comptroller-dinapoli-statement-major-support-racial-equity-audit-amazonNYS Comptroller DiNapoli Continues to Hold Corporate America Accountable for Poor Climate Policies
… environmental policies and practices and take steps to address climate risk. “Climate change is a significant threat … environmental policies and practices and take steps to address climate risk …
https://www.osc.ny.gov/press/releases/2019/09/nys-comptroller-dinapoli-continues-hold-corporate-america-accountable-poor-climate-policiesMount Sinai Fire District - Financial Condition and Price Quotations for Purchases (2019M-83)
… Recommendations Adopt financial plans for the maintenance of a reasonable level of fund balance, the funding and use of reserves and a multiyear financial plan. Adopt budgets …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/23/mount-sinai-fire-district-financial-condition-and-price-quotationsUniversity Preparatory Charter School for Young Men – Student Enrollment and Billing (2013M-292)
… our audit was to examine the School’s student enrollment and billing process for the period July 1, 2011 through July … School for Young Men is located in the City of Rochester and is governed by a 10-member Board. The School’s budgeted … Key Finding We selected a random sample of 25 students and found that the School did not maintain adequate …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/24/university-preparatory-charter-school-young-men-student-enrollment-andIV.4.C General State Charges – IV. Accounting Codes - Uses and Descriptions
… and 546 Real Property Law Claims, Awards, Judgments, and Settlement Agreements Business Units are to use the following … or arbitrator, a final judgment issued by a court, a settlement agreement reached by an agency and another party … under a collective bargaining agreement is pending, or a settlement agreement reached by an agency and another party …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv4c-general-state-chargesHousing Trust Fund Corporation: Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly Program (2020-S-4)
To determine whether Local Program Administrators (LPAs) were selected appropriately and their selection was properly documented by Homes and Community Renewal, and whether selected LPAs were properly administering the Residential Emergency Services to Offer Home Repairs to the Elderly program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s4.pdf