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Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up) (2023-F-12)
To assess the extent of implementation of the four recommendations included in our initial audit report, Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Report 2020-S-61).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f12.pdfDiNapoli: Two Capital Region Residents Indicted for $1 Million Medicaid Transportation Fraud Scheme
… New Yorkers. Our joint investigation will ensure justice is served in this case and I hope it is a warning to anyone who would try and defraud New York’s … Police Chief Christopher Witzenburg said, “This operation is a perfect example of what can be accomplished through …
https://www.osc.ny.gov/press/releases/2024/03/dinapoli-two-capital-region-residents-indicted-1-million-medicaid-transportation-fraud-schemeXII.10.C Verifying Vendor Licenses, Certifications, Registrations, Insurance, and Qualifications – XII. Expenditures
… Section Overview and Policies: The purpose of this section is to remind Business Units to verify vendor qualifications prior to making payment when the vendor is: required to be licensed, certified or registered to … registration and filing status. http://www.charitiesnys.com/RegistrySearch/search_charities.jsp For more …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii10c-verifying-vendor-licenses-certifications-registrations-insurance-and-qualificationsNew York’s Economy and Finances in the COVID-19 Era
… billion from March 1 through July 17, with steep increases in payments following the onset of the pandemic. In the most recent weeks for which data are available, … during the first half of July added $5.7 billion to those in the preceding months shown in the nearby chart. By …
https://www.osc.ny.gov/reports/covid-19-july-22-2020State Comptroller DiNapoli Releases Audits
… examinations have been issued: State Education Department: Kennedy Child Study Center: Compliance with the Reimbursable Cost Manual (2017-S-7) Kennedy is a New York City-based not-for-profit organization … of three and five years. During the 2013-14 school year, Kennedy served about 345 students. The New York City …
https://www.osc.ny.gov/press/releases/2018/01/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases Audits
… in the initial report. Department of Motor Vehicles (DMV): Registration and Enforcement of Automotive Service, Sales, … Facilities (Follow-Up) (2018-F-25) State law outlines DMV's responsibilities for administering the registration and …
https://www.osc.ny.gov/press/releases/2018/12/state-comptroller-dinapoli-releases-audits-1Continuing Crisis: Drug Overdose Deaths in New York
… rise in opioid-related deaths, which grew by almost 300 percent between 2010 and 2020 to comprise 85 percent of … Orange 450 111 404,525 Ulster 200 109 182,951 Dutchess 300 101 297,112 Monroe 750 99 755,160 Rockland 325 96 339,227 … Lawrence 100 93 108,051 Jefferson 100 86 116,295 Suffolk 1,300 85 1,526,344 Broome 150 76 197,240 Queens 1,625 70 …
https://www.osc.ny.gov/reports/continuing-crisis-drug-overdose-deaths-new-yorkXI.11.D Equipment and Software Maintenance Contracts – XI. Procurement and Contract Management
… maintenance procurements in the New York State Contract Reporter (Contract Reporter). If the agency is seeking a waiver from advertising in the Contract Reporter, OSC must approve the exemption before the contract …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi11d-equipment-and-software-maintenance-contractsControls Over Equipment
… period July 1, 2016 through August 7, 2018. Background H+H is a public benefit corporation created by the New York City … H+H, the largest public health care system in the nation, is a network of 22 facilities, including 11 acute care … tagged and the tag number recorded in FAM. When equipment is disposed of, information pertaining to that item is purged …
https://www.osc.ny.gov/state-agencies/audits/2019/01/09/controls-over-equipmentAmerican Academy of Pediatrics, District II
… Unit, we examined select payments the Department of Health (Department) made to the American Academy of Pediatrics, District II (AAP) under contract C028275.After … Key Findings To date, we found that the Executive Director of AAP falsely certified and submitted to the Department 16 …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiDiNapoli: State Failed to Block Payments to Providers Supplying Controlled Substances Beyond Legal Limits
… that are highly prone to abuse are limited to a five-day supply, while others that carry less risk are limited to a 30-day supply. DiNapoli’s auditors determined DOH’s eMedNY claims … pharmacies for controlled substances that exceeded the supply limits put in place by the Controlled Substances Act …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-state-failed-block-payments-providers-supplying-controlled-substances-beyond-legal-limitsMedicaid Program – Overpayments for Services Also Covered by Medicare Part B
… 1, 2009 through December 31, 2009. Background Medicare is a federal health program for the elderly and disabled. It … for medical care provided in outpatient settings. Medicaid is a joint state and federal health program for certain … "dual eligibles." For dual eligible recipients, Medicare is generally the primary payer while Medicaid is the …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bVillage of Suffern – Budget Review (B18-6-4)
… However, we project the cost to be $2.7 million based on an average increase of 8 percent over the last five years. … million in water meter and sewer revenue. However, based on collections of water and sewer rents in prior years, we …
https://www.osc.ny.gov/local-government/audits/village/2018/04/13/village-suffern-budget-review-b18-6-4Reducing the Cost of Hospital Services Provided to County Inmates (2013-MS-4)
… audit was to determine if counties are controlling inmate hospital costs and paying the appropriate rates for the … on a county’s financial resources. For example, inmate hospital health care costs in the eight counties audited … about $1.4 million, or 50 percent, was for inpatient hospital services while $1.4 million, or 50 percent, was for …
https://www.osc.ny.gov/local-government/audits/county/2014/09/19/reducing-cost-hospital-services-provided-county-inmates-2013-ms-4Procurement Opportunities
… of the State Comptroller’s (OSC) competitive procurement opportunities. These procurements are in a period of …
https://www.osc.ny.gov/procurementMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… (intensive) levels of care that should have been based on less costly "alternate" levels of care, which caused …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Improper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… for inpatient medical care. The DRG methodology classifies patients according to their diagnosis and severity of …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followComptroller DiNapoli, Manhattan D.A. Bragg Announce Guilty Plea of Former NYU Director of Finance for Major Fraud
… an approximately $3.5 million 6-year fraud relating to two New York University (“NYU”) programs. TAPPE used her … Equity and Transformation of Schools (the “Metro Center”) to divert approximately $3.5 million intended for minority … women owned businesses. She ultimately routed $3.3 million to bank accounts held by two shell companies TAPPE created, …
https://www.osc.ny.gov/press/releases/2024/02/comptroller-dinapoli-manhattan-da-bragg-announce-guilty-plea-former-nyu-director-finance-major-fraudOpinion 89-29
… of property rather than an outright sale of its land. This is in reply to your letter in which you ask whether, in … street. You state that the value of the two parcels is approximately equal and that the federal agency desires an … of the United States or any agency or department thereof is provided by section 72-h(a) the General Municipal Law …
https://www.osc.ny.gov/legal-opinions/opinion-89-29DiNapoli Releases Upper Manhattan Economic Snapshot
… New York State Comptroller Thomas P. DiNapoli. The report is part of a series by DiNapoli examining economic issues … State Comptroller DiNapoli for conducting research that is invaluable to promoting economic growth in Washington … Comptroller DiNapoli's report on the state of our economy is an important compass to help guide us in the creation of …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-releases-upper-manhattan-economic-snapshot