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State Comptroller Thomas P. DiNapoli Statement on New York City Adopted Budget Agreement
… New York State Comptroller Thomas P. DiNapoli issued the … statement regarding the agreement announced today on New York City’s adopted budget. "The adopted budget agreement between the New York City Council and Mayor Adams shows the city has … New York State Comptroller Thomas P DiNapoli issued the …
https://www.osc.ny.gov/press/releases/2022/06/state-comptroller-thomas-p-dinapoli-statement-new-york-city-adopted-budget-agreementDiNapoli Seeks Information on Safety Measures Taken by Businesses Involved in Shipping Oil
… sent letters to 14 companies, including Exxon Mobil Corp., Hess Corp. and CSX Corp., seeking information about measures the businesses are …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-seeks-information-safety-measures-taken-businesses-involved-shipping-oilDiNapoli Honors Community Leaders During Lunar New Year Celebration
… State Comptroller Thomas P. DiNapoli hosted a reception in celebration of Lunar New Year on Thurs., Jan. 30 in Brooklyn, New York. Photos of the event, including the … State Comptroller Thomas P DiNapoli hosted a reception in celebration of Lunar New Year on Thurs Jan 30 in Brooklyn …
https://www.osc.ny.gov/press/releases/2020/02/dinapoli-honors-community-leaders-during-lunar-new-year-celebrationEmpire BlueCross – Overpayments for Physician-Administered Drugs (Follow-Up)
… members with four types of health insurance coverage: hospital, prescription drug, mental health and substance use, … (Anthem), formerly Empire BlueCross, to administer the Hospital Program of the Empire Plan and to process and pay claims for hospital services. Hospital benefits cover a range of …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/empire-bluecross-overpayments-physician-administered-drugs-followUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… Purpose To determine whether UnitedHealthcare overpaid for … Surgery Centers that were contractually required to use in-network anesthesia providers. The audit covered the … To determine whether UnitedHealthcare overpaid for …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryBrookville Center for Children’s Services, Inc. – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Brookville Center for Children’s Services, Inc. (Brookville) on its … The audit included expenses claimed on Brookville’s CFR for the fiscal year ended June 30, 2014, and certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2013. Background …
https://www.osc.ny.gov/state-agencies/audits/2017/10/04/brookville-center-childrens-services-inc-compliance-reimbursable-cost-manualMonitoring of Prevailing Wage Compliance on Construction Contracts
… public and not-forprofit entities, including universities, health care facilities, and State agencies. Most Authority … and Women-Owned Business Enterprises (2014-S-7) Office of Mental Health: OMH Contract With Shorefront Mental Health Board - Compliance With Prevailing Wage Law …
https://www.osc.ny.gov/state-agencies/audits/2017/04/04/monitoring-prevailing-wage-compliance-construction-contractsMultiple Same-Day Procedures on Ambulatory Patient Groups Claims (Follow-Up)
… audit report, Multiple Same-Day Procedures on Ambulatory Patient Groups Claims (Report 2012-S-163). Background The … reimburses outpatient services according to the Ambulatory Patient Groups (APG) payment methodology, which is based on patient condition and complexity of service. The Department …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/multiple-same-day-procedures-ambulatory-patient-groups-claims-followImproper Payments to a Physical Therapist (Follow-Up)
… are also enrolled in Medicare, the federal health insurance program for the elderly and disabled. Individuals … Medicare is generally the primary payer for medical services provided to dual-eligible people. As the … needed. Of the initial report’s two audit recommendations, one was partially implemented and one was not implemented. …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followLong Island Association for AIDS Care
… 30, 2014, we issued report 2012-0063 , entitled the Long Island Association for AIDS Care, Inc. (LIAAC). Based on … LIAAC purchased group medical benefits from the Long Island Network of Community Services (LINCS), which is … On September 30 2014 we issued report 20120063 entitled the Long Island Association for AIDS Care Inc LIAAC …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careMedicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… State developed the New York State of Health (NYSOH) as a new online marketplace for individuals to obtain health … assistance benefits, including Medicaid, are assigned a Client Identification Number (CIN) that uniquely identifies … Using other Medicaid data sources, we determined that a range of design and process flaws in NYSOH’s eligibility …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… of the three recommendations made in our audit report, New York State Health Insurance Program: Empire … for the Period January 1, 2012 Through June 30, 2012 (Report 2012-S-132). Background The New York State Health … for 38,381 claims for special items. Our initial audit report, which was issued on December 13, 2013, found that …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Payments for hospital services are generally based on standard fee schedules that are negotiated between Empire … special items. Our initial audit report, which was issued on January 16, 2014, found that Empire did not have adequate … 31, 2012, Empire made a net overpayment of $898,541 on 96 claims from hospitals that had contracts with Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) acquired Medco. Our initial audit report, … throughout the course of our initial audit, United and Express Scripts delayed access to information we requested …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… made in our audit report, Overpayments of Certain Medicare Crossover Claims (2011-S-28). Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 years … programs are referred to as “dual-eligibles.” Generally, Medicare is the primary payer for medical services provided …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followControls and Accountability of Court, Trust and Bail Funds
… Department of Finance accurately accounts for Court, Trust and Bail funds. This audit covered from January 1, 2011 … Section 2601 of the New York State Civil Practice Law and Rules requires that all moneys paid into the New York … or no heirs able or willing to administer the estates), and other miscellaneous funds. Finance's Court Assets …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/controls-and-accountability-court-trust-and-bail-fundsSelected Procurement and Contracting Practices
… communicated these procedures to the campuses. Our tests at seven campuses and System Administration found they … SUNY’s requirements to manage cost and could serve as best practice examples if more widely shared among the campuses. …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/selected-procurement-and-contracting-practicesReStacking Occupancy Initiative
… Background One cost-saving initiative recommended by the State’s Savings and Government Efficiency (SAGE) Commission, … established by the Governor in January 2011 to streamline State government, was targeted at decreasing the amount of leased property occupied by State agencies. The Commission predicted this initiative …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/restacking-occupancy-initiativeMedicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… the new APR DRG-based hospital inpatient payment system for Medicaid services when patient deaths occur within one … a change to the Medicaid reimbursement methodology used to compensate hospitals for inpatient medical care. The new methodology, based on All Patient Refined Diagnosis Related Groups (APR DRG), was implemented to …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsConservation Fund – Sources and Uses of Funds
… Department of Environmental Conservation's (Department) fish, wildlife, and marine resources program (Program), which includes activities such as operating fish hatcheries and game farms and managing fish and wildlife populations. The Fund's primary source of …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-funds