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New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan members who were not …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesTown of Hanover – Town Supervisor and Town Clerk Operations (2013M-40)
… Purpose of Audit The purpose of our audit was to review the processes and procedures for the Town … financial operations for the period January 1, 2011, to January 18, 2013. Background The Town of Hanover is … functions that serve as checks against one another that do not exist unless they are performed by separate …
https://www.osc.ny.gov/local-government/audits/town/2013/05/10/town-hanover-town-supervisor-and-town-clerk-operations-2013m-40Town of Gardiner – Selected Financial Activities (2013M-67)
… 30, 2012. Background The Town of Gardiner is located in Ulster County and has a population of approximately 5,700. … Key Recommendations Segregate incompatible duties in the cash receipts and disbursements processes, or …
https://www.osc.ny.gov/local-government/audits/town/2013/06/07/town-gardiner-selected-financial-activities-2013m-67Use of Vendor-Supported Technology (Follow-Up)
… August 29, 2019, examined whether NFTA was complying with requirements to maintain its systems at vendor-supported … that remain unaddressed. Generally, NFTA officials agreed with our recommendations and indicated they would take …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/use-vendor-supported-technology-followTown of Scio – Highway Fund Financial Condition and Records and Reports (2013M-279)
… Purpose of Audit The purpose of our audit was to review the Town’s financial operations … 1, 2012 through August 12, 2013. Background The Town of Scio is located in Allegany County. The elected …
https://www.osc.ny.gov/local-government/audits/town/2014/02/14/town-scio-highway-fund-financial-condition-and-records-and-reports-2013m-279City of Mechanicville – Records and Reports (2012M-162)
… The City of Mechanicville is located in Saratoga County and has approximately 5,200 residents. The City government is … services mainly through real property taxes, State aid, and fees charged to residents. Key Findings Due to the poor condition of the City’s financial records and reports, City officials were unable to determine the …
https://www.osc.ny.gov/local-government/audits/city/2013/02/01/city-mechanicville-records-and-reports-2012m-162Comptroller DiNapoli Releases School Audits
… P. DiNapoli today announced his office completed audits of the Chazy Union Free School District , Dobbs Ferry Union Free … School District , Saranac Central School District and the South Seneca Central School District . “In an era of limited resources and increased accountability, …
https://www.osc.ny.gov/press/releases/2016/01/comptroller-dinapoli-releases-school-audits-2Travel Advisory No. 15
… Effective August 20, 2021, the temporary eligibility for full personal vehicle mileage reimbursement is no longer applicable for business-related travel when a more cost-effective option … and agencies returning to pre-pandemic operation. For information about determining the most economical method …
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/15-covid-19-travel-and-expense-temporary-exceptionsTown of Fishkill – Apparent Misappropriation of Senior Center Funds (2013M-246)
… to March 31, 2013. Background The Town of Fishkill located in Dutchess County. The Town Board is the legislative body … of unsecured cash ($19,732) and checks ($1,794) was found in a Department file cabinet. Of this amount, $4,003, was in a sealed envelope and appeared to be ready to be remitted …
https://www.osc.ny.gov/local-government/audits/town/2014/02/21/town-fishkill-apparent-misappropriation-senior-center-funds-2013m-246State Comptroller DiNapoli Releases Audits
… providers have met the regulatory requirements for collecting and disposing of unneeded drugs. However, … that date, the required processing time frame had elapsed for 1,681 kits (88 percent). Department of Taxation and … to provide collateral security in an amount provided for in statute or determined by the department. Distributors …
https://www.osc.ny.gov/press/releases/2020/06/state-comptroller-dinapoli-releases-auditsMedicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… These Medicare Advantage Plans typically have networks of participating providers whom they reimburse directly for … the entire Part C cost-sharing amount claimed, regardless of the amount. Key Findings During the audit period, Medicaid … could have saved up to $69 million if it limited payments of Medicare Part C cost-sharing liabilities such that the …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cComptroller DiNapoli Releases School Audits
… past three years. Also, the district maintained reserve funds but had no plans for their use.; Lyons Central School District – Multiyear … and without sufficient documentation to support the basis for the selection of vendors. Valhalla Union Free School …
https://www.osc.ny.gov/press/releases/2016/03/comptroller-dinapoli-releases-school-audits-2State Comptroller DiNapoli Releases State Audits and Examinations
… Program (NYSHIP): United HealthCare: Overpayments for Services Provided by Long Island Bone and Joint LLP … members' required out-of-pocket cost-sharing obligations for services provided. The Empire Plan is the primary health benefits plan for NYSHIP. The New York State Department of Civil Service …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-state-audits-and-examinationsState Comptroller DiNapoli Releases Municipal Audits
… operations, and the public did not have an opportunity to exercise its rights to approve reserves by a vote. The board also did not … they sought competition or properly used a valid exception to the competitive bidding requirements. Upper Jay Fire …
https://www.osc.ny.gov/press/releases/2023/06/state-comptroller-dinapoli-releases-municipal-auditsVillage of Westbury – Purchasing, Claims Audit and Information Technology (2013M-301)
… as required by the Village’s procurement policy. The Board does not review claims for payment; instead, one Trustee is …
https://www.osc.ny.gov/local-government/audits/village/2014/01/24/village-westbury-purchasing-claims-audit-and-information-technology-2013m-301Medicaid Program – Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes
… Medicaid managed care organizations inappropriately paid for durable medical equipment, prosthetics, orthotics, and … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of health care services for Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-medicaid-managed-care-payments-durable-medical-equipmentX.4.D Location – X. Guide to Vendor/Customer Management
… The “Location” section of the Vendor Record contains payment values defined by the vendor. Agencies should note … account). To designate the payment method for a voucher, online agencies must navigate to the Location tab on the … the vendor to the New York State Vendor Self- Service Portal at https://esupplier.sfs.ny.gov/psp/fscm/SUPPLIER . …
https://www.osc.ny.gov/state-agencies/gfo/chapter-x/x4d-locationIX.6.F Agency Draw Procedures – IX. Federal Grants
… loan authority has been granted which allows the use of state funds for federal program spending with the … actions that can be taken to improve the cash management of their grants. OSC BSAO recognizes that different federal … different guidelines and requirements on the reimbursement of their grants. This will be taken into consideration when …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix6f-agency-draw-proceduresDiNapoli: Former Village of Bemus Point Clerk-Treasurer Pleads Guilty to Embezzling Village Funds
… of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by mailing a …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-former-village-bemus-point-clerk-treasurer-pleads-guilty-embezzling-village-funds