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State Comptroller DiNapoli Releases Audits
… Claims Processing Activity April 1, 2018 through Sept. 30, 2018 (2018-S-13) Auditors identified over $134 million in … City Transit: Maintenance and Inspection of Event Recorder Units (2018-S-19) Auditors found train car inspections were … Manual (2018-S-47) For the three fiscal years ended June 30, 2016, auditors identified $232,606 in reported costs that …
https://www.osc.ny.gov/press/releases/2019/09/state-comptroller-dinapoli-releases-auditsMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed … The Department’s eMedNY computer system processes Medicaid claims submitted by providers for services rendered to … it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, 2016, …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016CUNY Bulletin No. CU-566
… instructions for processing the CUNY Rate Increase for High Pressure Plant Tender. Affected Employees CUNY employees in the title of High Pressure Plant Tender Background A Consent Determination … Council 37, AFSCME, AFL-CIO for employees in the title High Pressure Plant Tender. The agreement provides for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-566-cuny-rate-increases-high-pressure-plant-tenderMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… Objective To determine whether the Department of Health (Department) took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from … To determine whether the Department of Health took appropriate steps to collect …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2013 through March 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid program. … not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in overpayments for pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014State Agencies Bulletin No. 1808
… to inform agencies of the content information for the 2019 Form W-2. Affected Employees All employees who received a Form W-2 Wage and Tax Statement for calendar year 2019 are … 5, (Circular E) for 2019, and the Instructions for Form W-2 (Wage and Tax Statement), employers are required to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1808-form-w-2-wage-and-tax-statement-calendar-year-2019DiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… announced James “Jay” Spina was sentenced in federal court for running a large-scale health care insurance fraud scheme. … systematically double-billed insurers, charged for services never rendered, created shell companies and … Spina and three others were charged with billing insurers for medically unnecessary services and procedures, submitting …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… audit report, Improper Medicaid Payments for Terminated Drugs (Report 2019-S-45 ). About the Program The State’s … medically necessary prescription and non-prescription drugs. Drugs may be removed from the market (i.e., terminated) for … audit report Improper Medicaid Payments for Terminated Drugs Report 2019S45 …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followState Agencies Bulletin No. 1711
… To inform agencies of the content information for the 2018 Form W-2 Affected Employees All employees who received a Form W-2 Wage and Tax Statement for calendar year 2018 … 15 (Circular E) for 2018, and the Instructions for Form W-2 (Wage and Tax Statement), employers are required to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1711-form-w-2-wage-and-tax-statement-calendar-year-2018State Comptroller DiNapoli Releases Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits and examinations have been issued. … for improper newborn birth claims. About $4.5 million of the overpayments were recovered by the end of audit fieldwork. Auditors also identified …
https://www.osc.ny.gov/press/releases/2018/08/state-comptroller-dinapoli-releases-auditsExamination of Sunset LG Realty, LLC
We examined more than $5,000 in select bonuses that Sunset LG Realty, LLC (Sunset) paid, and requested reimbursement for, in 2016 under contract L120019 with SU
https://www.osc.ny.gov/files/state-agencies/audits/pdf/bse-2018-10-30.pdfMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up) (2019-F-29) 30-Day Response
To determine the extent of implementation of the three recommendations made in our initial audit report, Medicaid Payments to Medicare Advantage Plan...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f29-response.pdfComptroller DiNapoli Releases School Audits
… and the Valley Stream Central High School District . “In an era of limited resources and increased accountability, … The significant revenue and expenditure projections in the proposed budget are reasonable. The district’s … was created by Comptroller DiNapoli to promote openness in government and provide taxpayers with better access to the …
https://www.osc.ny.gov/press/releases/2016/04/comptroller-dinapoli-releases-school-audits-0Motor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Fiscal Year Ended March 31, 2014
… motor vehicles driven in New York State possess adequate insurance coverage, or are financially secure, to compensate those persons they might injure or whose property they might damage as a result of an accident. …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-fiscalWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… year 2012-13 and certain expenses for the two fiscal years ended June 30, 2012. Background Whitestone is a not-for-profit … and neighboring boroughs. For the fiscal year ended June 30, 2013, Whitestone reported approximately $2.3 million in …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… adequate controls to prevent duplicate and excessive Medicaid payments to clinics and outpatient facilities … from December 1, 2008 through May 29, 2013. Background The Medicaid program reimburses outpatient services using the APG … surgery centers on September 1, 2009. Key Findings Medicaid made $32.1 million in actual and potential …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessUse of Federal Funding for Election Technology and Security
… Objective To determine whether the Board of Elections utilized available funding from the 2018 Help … 1, 2018 to February 11, 2021. About the Program The Board of Elections (BOE) is responsible for administering and … To determine whether the Board of Elections BOE utilized available funding from the 2018 …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityAmsterdam Housing Authority – Claims Processing and Related Not-for-Profit Corporations (2013M-126)
… Background The Amsterdam Housing Authority is located in the City of Amsterdam in Montgomery County. The Authority was established pursuant to Section 428 of the Public Housing Law to provide low-rent housing for qualified … Housing Law, and the rules and regulations prescribed by the Federal Department of Housing and Urban Development. …
https://www.osc.ny.gov/local-government/audits/city/2013/08/23/amsterdam-housing-authority-claims-processing-and-related-not-profit-corporationsRoosevelt Public Library – Board Oversight of Library Operations (2014M-297)
… January 1, 2013 through December 31, 2013. Background The Roosevelt Public Library, which is located in the Town of … Roosevelt Public Library Board Oversight of Library …
https://www.osc.ny.gov/local-government/audits/library/2015/01/30/roosevelt-public-library-board-oversight-library-operations-2014m-297Empire BlueCross – Improper Payments for Special Items Billed by Hospitals Within Long Island Health Network
… Recover the remaining $3,335,221 out of $3,597,688 in special item claim overpayments. Develop a corrective … with LIHN hospitals to prevent these errors from occurring in the future. …
https://www.osc.ny.gov/state-agencies/audits/2019/11/29/empire-bluecross-improper-payments-special-items-billed-hospitals-within-long-island-health