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Empire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2011 Through December 31, 2011 (2012-S-3)
To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the agreements between Empire and its mem
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s3.pdfNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30)
To assess the extent of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f30.pdfWestchester Attorney Indicted for Fraud and False Statement Charges Arising From His Attempt to Embezzle From a Decedent's Estate for Which He Was Court-Appointed Administrator
… New York, returned an Indictment yesterday charging GUY PARISI, a Westchester attorney, with conspiracy, mail … the State to protect unclaimed funds in our custody." "Guy Parisi, a Westchester attorney, allegedly embezzled funds …
https://www.osc.ny.gov/press/releases/2018/08/westchester-attorney-indicted-fraud-and-false-statement-charges-arising-his-attempt-embezzleYork College – Time and Attendance Practices for Public Safety Staff (Follow-Up)
To determine the extent of implementation of the seven recommendations included in our initial audit report Time and Attendance Practices for Public Safety Staff
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/york-college-time-and-attendance-practices-public-safety-staff-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
… made in our initial audit report, Medicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber … paid Joia Pharmacy, Inc. (Joia) more than $7.7 million for 50,060 claims on behalf of 706 Medicaid recipients. One … pertaining to the Doctor’s prescribing activity for the period January 1, 2013 through June 30, 2016. Our …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… Purpose To determine whether Medicaid made improper fee-for-service (FFS) payments for …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Northside Center for Child Development … $75,737 in salaries charged to the cost-based programs where Northside did not provide documents to support that …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualMay 1998: Accounting Requirements and Program Information for Multi-Modal Transportation Program
… in subsidiary revenue account code 3505 - Multi-Modal Program and expenditures will be classified by functional … assets and recognize revenue using account 3505. Program Information The following overview is based on …
https://www.osc.ny.gov/local-government/publications/may-1998-accounting-requirements-and-program-information-multi-modal-transportation-programReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… made in our initial audit report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 … with end stage renal disease (ESRD) who were eligible for, but not enrolled in Medicare. Medicaid recipients with ESRD may be eligible for Medicare coverage if they meet certain conditions. When …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followDiNapoli: More Security Needed for Hazardous Materials at SUNY University Centers
… Two of the State University of New York’s (SUNY) flagship campuses, Buffalo and Stony Brook, did not properly monitor or restrict … audit. Read the report , or go to: https://www.osc.state.ny.us/audits/allaudits/093019/sga-2019-17s51.pdf Find out how …
https://www.osc.ny.gov/press/releases/2018/12/dinapoli-more-security-needed-hazardous-materials-suny-university-centersRevenue Enhancement Ideas: Cash Management for Local Governments and School Districts
… Identify major revenues and expenditures and their expected timing when formulating the budget. Review … allowable by law. Accelerate Collection and Depositing of Receipts Increasing the frequency of the collection and … late fees may be incurred if bill payments are delayed too long. Analyze disbursements to identify vendors that offer …
https://www.osc.ny.gov/local-government/publications/revenue-enhancement-ideas-cash-management-local-governments-and-school-districtsDiNapoli: Strong Growth for Local Sales Tax Collections Halfway Into 2018
… grew 6 percent in the first six months of 2018, according to a report released today by State Comptroller Thomas P. … June, local collections totaled $8.5 billion compared to $8 billion during the same period last year. This is the … Find out how your government money is spent at Open Book New York . …
https://www.osc.ny.gov/press/releases/2018/08/dinapoli-strong-growth-local-sales-tax-collections-halfway-2018Interdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… requirements. Other Related Audits/Reports of Interest Lifeline Center for Child Development, Inc.: Compliance With …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualDiNapoli: Former City of Corning Clerk Arrested for Stealing Public Funds
… P. DiNapoli today announced the arrest of former city of Corning clerk Stephanie Burlew. She was charged with grand larceny in the third degree, a class D felony, for allegedly misappropriating more than $5,000 in public … in place to protect public funds. I commend the city of Corning police department and District Attorney Baker for …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-former-city-corning-clerk-arrested-stealing-public-fundsMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… whether Medicaid overpaid hospitals by reimbursing for higher levels of medical care than those actually provided to patients. The audit covers the period April 1, 2005 through … rehabilitative and psychiatric care. When billing Medicaid for inpatient services, hospitals must indicate a patient's …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsMedicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
… will increase. Medicaid will only pay for medical care and services that are medically necessary, whose necessity is … from documentation in the patient’s medical record, and that meet existing standards of professional practice. … were not following recommended guidelines for identifying and documenting severe malnutrition on these claims. Key …
https://www.osc.ny.gov/state-agencies/audits/2019/04/08/medicaid-program-improper-medicaid-payments-recipients-diagnosed-severe-malnutritionHamburg Recreation Worker Sentenced to Jail and Probation for Stealing $156K
… to grand larceny, false filing and official misconduct. “Little by little, Ms. Erickson systematically fleeced the … $156,000,” DiNapoli said. “Now, thanks to the hard work of my office in partnership with District Attorney John Flynn, … will continue to prosecute those who steal from taxpayers. I hope that the public feels justice has been served by Ms. …
https://www.osc.ny.gov/press/releases/2019/03/hamburg-recreation-worker-sentenced-jail-and-probation-stealing-156kCity of Batavia – Awarding Contracts for Goods and Services (2013M-296)
… they are receiving the desired service at a competitive price. … City of Batavia Awarding Contracts for Goods and …
https://www.osc.ny.gov/local-government/audits/city/2014/01/24/city-batavia-awarding-contracts-goods-and-services-2013m-296Administration of the Contract With the Postgraduate Center for Mental Health
… Housing Contract C007374 with the Postgraduate Center for Mental Health (PCMH) by ensuring that contracted services … contractors to operate many of these programs. PCMH, a not-for-profit entity, is one of New York’s largest providers of … services. PCMH is authorized to serve a maximum of 725 clients. Through the supportive housing program, PCMH assigns …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… supported expenses were reimbursed. The audit covered ICL’s Consolidated Fiscal Report (CFR) for the contract year … variety of inpatient, outpatient, residential, and family care programs. One of OMH’s major programs is “supportive housing,” which combines affordable housing and varying levels of community-based …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-living