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Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… $471,321 in overpayments for claims billed with incorrect information pertaining to other health insurance coverage …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016State Agencies Bulletin No. 2308
… information for the 2024 Form W-2. Affected Employees: All employees who receive a Form W-2 Wage and Tax Statement …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2308-form-w-2-wage-and-tax-statement-tax-year-2024Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, MCOs are required … employer-based coverage or Medicare Part D). Medicaid is considered the payer of last resort and, as such, MCOs are …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthMaximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… (MCOs) a monthly premium for each enrolled recipient, and the MCOs pay health care providers for services rendered. … claims (called encounters) to report to DOH about each medical service provided to recipients. The Medicaid Drug Rebate Program (MDRP) reduces state and federal expenditures for Medicaid prescription drugs. The …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followDiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… Department of Health (DOH) erroneously made $16.6 million in Medicaid payments to 95 home health providers over a 3 1/2-year period, largely … the agency mistakenly paid for more days of care than what was provided, according to an audit released today by …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careNew York’s Balance of Payments in the Federal Budget: Federal Fiscal Year 2019
… than they paid. Federal budget deficits (or surpluses) change over time, depending on many factors including shifts …
https://www.osc.ny.gov/reports/new-yorks-balance-payments-federal-budget-federal-fiscal-year-2019New York’s Balance of Payments in the Federal Budget: Federal Fiscal Year 2020
… they reflect short-term measures, not an enduring policy change. As the COVID-19 pandemic wanes and the temporary … paid that year. Federal budget deficits (or surpluses) change over time, depending on many factors including shifts …
https://www.osc.ny.gov/reports/new-yorks-balance-payments-federal-budget-federal-fiscal-year-2020State Comptroller DiNapoli Releases Audits
… its Event Recorder System; however, it was not always in compliance with the program. For example, from Jan. 1, 2014 … 1,952 (20 percent) did. Auditors also found material non-compliance with the office’s protocols to minimize the risk … Department (SED): Bank Street College of Education: Compliance With the Reimbursable Cost Manual (2017-S-5) For …
https://www.osc.ny.gov/press/releases/2018/12/state-comptroller-dinapoli-releases-auditsDiNapoli: Fairport Audits Reveal Unauthorized Practices for Economic Development Agencies
… $187,000. Questionable Payments FIDA made a $42,000 contribution to the village in 2014 but had no basis for the … $250,000 in assets to the FLDC and also made an annual contribution to the village, totaling $10,560 for the 2014 … a contract stipulating the services to be covered by this contribution. In addition, all FURA disbursements are made …
https://www.osc.ny.gov/press/releases/2016/03/dinapoli-fairport-audits-reveal-unauthorized-practices-economic-development-agenciesIX.7.E Disaster Assistance – IX. Federal Grants
… Disaster Assistance Accounting process will be used each time there is a disaster event. This process requires the participation of staff in the Division of Budget (DOB), Department of Homeland … COA Change Request Form can be found at https://www.sfs.ny.gov/secure/files/infocenters/COA_ChangeRequestForm.xlsx . …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix7e-disaster-assistanceDiNapoli: After-School Provider Misused $194,320 in Public Funds
The SCO Family of Services SCO a provider of extended school day programs for the State Education Department SED submitted $194320 in reimbursement claims for expenses that were unnecessary not allowable or unrelated to its programs
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-after-school-provider-misused-194320-public-fundsExamination of Center for Economic Growth, Inc.
… Purpose The objective of our examination was to determine if the Center for … grant funds and associated matching expenses, reporting of revenue, and procurements complied with the terms and conditions of contract C110087. Background The claims for payment we …
https://www.osc.ny.gov/state-agencies/audits/2018/08/14/examination-center-economic-growth-incEducators for Children, Youth and Families, Inc. – Use of Contract Funds (Follow-Up)
… that offer after-school services to children. To receive reimbursement for its program-related expenditures, Educators …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/educators-children-youth-and-families-inc-use-contract-funds-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… period). While some of the dental services reimbursed by these payments may be legitimate services provided in good …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followXIX.3 Project IDs with Multiple Funding Sources – XIX. Project Costing (PCIP)
… obsolete. PCIP enables agencies to use the Project ID in SFS to manage and report on the total cost to the overall … the implementation of PCIP, Project IDs will be required for any project that is funded with Capital funds and are still required for any project that is funded with Federal funds. This …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xix/xix3-project-ids-multiple-funding-sourcesMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… Interest State Education Department: Audit of the Tuition Reimbursement Account for the Three Fiscal Years Ended March …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoSelected Employee Travel Expenses
To determine whether the use of travel monies by selected government employees complied with rules and regulations and is free from fraud waste and abuse
https://www.osc.ny.gov/state-agencies/audits/2013/09/04/selected-employee-travel-expensesExamination of Superstorm Sandy Expenses
… received, (ii) disposed of in a manner contrary to the State Finance Law, or (iii) was not recovered. This includes …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/examination-superstorm-sandy-expensesState Comptroller DiNapoli Releases School District Audits
… oversight was lacking. Officials did not provide support for 12 of the 15 balance sheet accounts auditors reviewed. … in a timely manner. Only four of the 349 journal entries for 2018-19 and only 60 of the 292 journal entries for … $49,607 to $345,221. Find out how your government money is spent at Open Book New York . Track municipal spending, …
https://www.osc.ny.gov/press/releases/2021/07/state-comptroller-dinapoli-releases-school-district-auditsUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… Objective To assess the extent of implementation of the two recommendations included in our initial audit report, … identified in the initial audit. Of the initial report’s two audit recommendations, both were partially implemented. … report. … To assess the extent of implementation of the two recommendations included in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-services