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DiNapoli: 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. … Fraud Hotline at 1-888-672-4555, by filing a complaint online at https://www.osc.state.ny.us/investigations , or by mailing a complaint to: Office of …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudTown of Hornellsville – Financial Management and Town Clerk Operations (2014M-21)
… $1.8 million. Key Findings Repeated appropriation of fund balance drove the year-end total of unassigned funds to … balanced budgets with less dependence on using fund balance to finance operations. Develop a comprehensive …
https://www.osc.ny.gov/local-government/audits/town/2014/05/21/town-hornellsville-financial-management-and-town-clerk-operations-2014m-21Retirement Option Election Form with Partial Lump Sum Payment For Tier 1 Members Designating Multiple Beneficiaries (RS6420-A)
For NYSLRS Tier 1 members to elect a pension payment option at retirement with a partial lump sum payment and to designate multiple beneficiaries.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6420-a.pdfOpinion 2001-2
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion …
https://www.osc.ny.gov/legal-opinions/opinion-2001-2DiNapoli: Employment Recovery for New Yorkers with Disabilities Lags Nation
… in unemployment, New Yorkers with disabilities continue to face a higher unemployment rate than the national average … 13.9% and 13.4%, respectively. The national rate dropped to 8.2% in 2022, but in New York it was 11.9%. “For people … increased remote work,” DiNapoli said. “New York needs to address barriers to equal employment and invest in …
https://www.osc.ny.gov/press/releases/2023/04/dinapoli-employment-recovery-new-yorkers-disabilities-lags-nationDiNapoli: Some Taxpayer Check-Off Donations Not Utilized for Worthy Causes
… accumulated in six check-off funds, with nearly 90 percent of that for health-related causes including breast cancer, … annually on the use of check-off funds, including the award process used, the amount awarded by recipient, and how … not provide needed accountability or transparency. For a copy of the report, visit …
https://www.osc.ny.gov/press/releases/2014/01/dinapoli-some-taxpayer-check-donations-not-utilized-worthy-causesEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… of Civil Service contracts with EmblemHealth Plan, Inc. (Emblem) to process and pay claims for services on behalf of … coverage (referred to as subscriber plans), making Emblem both the primary and secondary payer. For instance, in … and as a dependent on their spouse’s subscriber plan. With Emblem as both the primary and secondary payer for each …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). … made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare health insurance coverage, known as "dual eligibles." For the three-year audit period ended May 31, 2010, we …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… government-funded program that provides a wide range of health care services to those who are economically … have special health care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s … the Island Peer Review Organization (IPRO), to review inpatient claims. Our initial audit report, which was issued …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followMedicaid Program – Overpayments for Services Also Covered by Medicare Part B
… if the Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance. The audit covers the period … 31, 2009. Background Medicare is a federal health program for the elderly and disabled. It consists of several parts. …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Crossroads Center … Crossroads provides preschool special education services to children with disabilities who are between the ages of …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualDiNapoli: Local Sales Tax Collections Down for Third Quarter 2020
… than last year. “The third quarter sales tax figures show a significant improvement from the 27.1 percent decline we … The federal government must come up with a plan on how it is going to provide financial help to local governments … the pre-COVID first quarter. Although it is not yet clear what is driving the growth in sales tax collections outside …
https://www.osc.ny.gov/press/releases/2020/10/dinapoli-local-sales-tax-collections-down-third-quarter-2020Center for Disability Services – Compliance With the Reimbursable Cost Manual
… Reimbursable Cost Manual (Manual). Our audit covered the calendar year ended December 31, 2013. Background CFDS is an … costs must comply with Manual requirements. For the calendar year ended December 31, 2013, CFDS reported about …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up)
… components, including an interactive benefits advisement calculator, automated life coaching communications, and …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/benefits-advisement-services-individuals-disabilities-seeking-employment-followMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … than if the patient was simply discharged home from the hospital. Key Findings The audit identified 2,808 managed …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesVillage of Waterville – Payroll and Time and Attendance Records (2017M-281)
… 31, 2017. Background The Village of Waterville is located in the Towns of Sangerfield and Marshall in Oneida County. The Village, which has a population of … time records and require all supervisors to approve and sign time records. … Village of Waterville Payroll and Time …
https://www.osc.ny.gov/local-government/audits/village/2018/04/06/village-waterville-payroll-and-time-and-attendance-records-2017m-281Wall Street Profits for 2014 May Not Reach 2013 Level
… (the traditional measure of industry profitability) may not exceed the level of 2013, according to a report issued … holding companies, including their securities operations, have agreed to pay an estimated $130 billion in settlement … down profits in the first half of 2014 and are likely to do so in the second half as well given the announcements of …
https://www.osc.ny.gov/press/releases/2014/10/wall-street-profits-2014-may-not-reach-2013-levelImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two … of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as the severity of the malnutrition diagnosis increases, Medicaid’s payment to a hospital will increase. We issued our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followReview of the Financial Plan of the City of New York - May 2016
On April 26, 2016, the Mayor of the City of New York released his executive budget for FY 2017 and a financial plan for fiscal years 2016 through 2020.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-1-2017.pdfDiNapoli: State Tax Collections Outperform Budget Division Projections for 2023-24
… Tax collections for State Fiscal Year (SFY) 2023-24 totaled $106.4 billion, … or 6.2%. Collections were $70.4 million lower than DOB’s latest projections. Business tax collections totaled $27.7 … bank tax. Total business tax collections exceeded DOB’s latest projections by $527.2 million. All Funds spending …
https://www.osc.ny.gov/press/releases/2024/04/dinapoli-state-tax-collections-outperform-budget-division-projections-2023-24