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Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering … services according to contracts it negotiates with hospitals. The hospital contracts include reimbursement fee … recover all overpayments, as warranted. Ensure adequate payment controls over intraocular lens claims are implemented. …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsDiNapoli: Clerk Admits Writing Nearly $5,000 in Village Checks for Herself
… P. DiNapoli’s office. Barnes, 44, admitted before Judge Richard Gumo in Delhi Town Court that she issued four checks …
https://www.osc.ny.gov/press/releases/2019/12/dinapoli-clerk-admits-writing-nearly-5000-village-checks-herselfTown of Cheektowaga – Awarding Contracts for Goods and Services (2013M-293)
… of all overpayments identified in this report after consultation with the Town Attorney. …
https://www.osc.ny.gov/local-government/audits/town/2014/04/18/town-cheektowaga-awarding-contracts-goods-and-services-2013m-293Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… fee-for-service, after the comprehensive TPHI paid for a medical service, Medicaid could be responsible for paying a … percent) was not recoverable per the Medicaid Managed Care Model Contract (Model Contract) because the managed care organization and …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followDiNapoli: Former Riverside Village Clerk Sentenced to Jail for $50K Theft
… stealing village funds to cover her household expenses, State Comptroller Thomas P. DiNapoli announced today. Johnson … Mountain, N.C. To read the audit, visit: http://www.osc.state.ny.us/localgov/audits/villages/2014/riverside.pdf Since … by filing a complaint online at investigations@osc.state.ny.us , or by mailing a complaint to: Office of the …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… Objective To determine the extent of implementation of the three … an opioid use disorder. The State maintains a database to monitor controlled substance prescription drug use, known … of controlled substance prescriptions. I-STOP is a tool to assist prescribers in determining the most appropriate …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followDiNapoli and Hein Announce Training For Fire Districts and EMS Agencies
… New York State Comptroller Thomas P. DiNapoli today announced his office will conduct a training session in cooperation with Ulster County Executive Michael … New York State Comptroller Thomas P DiNapoli today announced his office will conduct a training session in …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-and-hein-announce-training-fire-districts-and-ems-agenciesDiNapoli: Former Director Allegedly Stole $1,700 From Hornell Partners for Growth
… to hold accountable those who misuse or abuse the public trust." Since taking office in 2007, DiNapoli has committed …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-former-director-allegedly-stole-1700-hornell-partners-growthOverpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… recipients, health care providers are required to bill Medicare, which is generally the primary payer, before … audit concluded that the State’s Medicaid program paid $20.1 million for services that, according to the claims data, … therapists. As a result, the providers often did not bill Medicare for the services or incorrectly reported a …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-followDiNapoli: Audits Reveal Millions in Lost Revenue for Local Water Systems
… noted: Several municipalities were routinely transferring money into the water fund from other funds, which continued …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-audits-reveal-millions-lost-revenue-local-water-systemsMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program. The … to November 30, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid … eligibility requirements. The State’s Local Departments of Social Services (Local Districts) determine eligibility …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… in Medicare Part B (Part B), which provides supplemental insurance coverage for outpatient medical services, physician services, … the payment of coinsurance for non-covered services as well as excessive annual deductibles. We recommended the …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followGASB Statement No. 33 "Accounting and Financial Reporting for Nonexchange Transactions"
… County, City, Town and Village Chief Fiscal Officers GASB Statement No. 33 provides accounting and reporting guidelines … between services provided and supporting revenues. The statement describes four categories of nonexchange … The purpose of this bulletin is to discuss the Statement No. 33 impact on revenue recognition when using the …
https://www.osc.ny.gov/local-government/publications/gasb-statement-no-33-accounting-and-financial-reporting-nonexchange-transactionsDebt Approvals for Public Authorities, Municipalities, School Districts and District Corporations
… to sell their bonds or notes at private sale, regardless of limitations on private sales otherwise in law. New York … County must secure the Comptroller’s approval of the terms and conditions of their bonds and notes when they are … and criteria for the State Comptroller's review of the terms and conditions of certain municipal and public …
https://www.osc.ny.gov/debt/approvalsState Comptroller DiNapoli Announces New Cybersecurity Training Webinars for Local Governments
… The Office of the State Comptroller has developed five new “10-minute Tech Talk” cybersecurity training webinars for …
https://www.osc.ny.gov/press/releases/2022/10/state-comptroller-dinapoli-announces-new-cybersecurity-training-webinars-local-governmentsDiNapoli: Tennessee Woman Sentenced for Stealing Deceased Mother's NYS Pension Checks
… Thomas P. DiNapoli today announced the sentencing of Leslie Schwinzer, of Knoxville, Tennessee, for stealing pension checks that had … in United States District Court for the Eastern District of Tennessee at Knoxville. “Leslie Schwinzer lied about her … Thomas P DiNapoli today announced the sentencing of Leslie Schwinzer of Knoxville Tennessee for stealing …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-tennessee-woman-sentenced-stealing-deceased-mothers-nys-pension-checksDiNapoli: Syosset Man Sentenced for Role in $12 Million Ponzi Scheme
… New York State Comptroller Thomas P. DiNapoli and Nassau … sentenced today to up to ten-and-a-half years in prison for his role in a $12 million Ponzi scheme that targeted … charges on Sept. 26, 2019, but later withdrew his plea. A new indictment was secured in August 2020, but court closures …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-syosset-man-sentenced-role-12-million-ponzi-schemeDiNapoli: Employment Services System for New Yorkers with Disabilities Is Underutilized
… adults with disabilities are more likely to be living in poverty (28%) compared to working-age adults (12%). … than 1% while the number of individuals with a disability living in poverty decreased by 3%. Despite the promise of … Security Income and Social Security Disability Insurance reach their employment goals and reduce their …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-employment-services-system-new-yorkers-disabilities-underutilizedDiNapoli Urges NYC to Continue to Prepare for Shifting Fiscal Landscape
… standards, averaging 5.3% from fiscal years 2024 through 2026, the city will have to prepare for the potential … FY 2024 but could rise to an additional $3 billion by FY 2026. Education funding levels remain uncertain at this time. … and local government spending at Open Book New York . Under State Comptroller DiNapoli’s open data initiative, …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-urges-nyc-continue-prepare-shifting-fiscal-landscapeMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… for drugs from manufacturers that did not enter into a national drug rebate agreement (NDRA). The audit covered the … for drugs from manufacturers that did not enter into a national drug rebate agreement NDRA …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreement