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Medicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… two separate payments are made: a payment for the first hospital’s claim and a payment for the second hospital’s claim. However, according to the Department’s … when a recipient is transferred from the first hospital to a merged or consolidated division or hospital, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesAdministration of the Contract With the Center for Urban Community Services
… prescribed services, and ensured that CUCS was reimbursed only for appropriate contract expenses. Background DOHMH …
https://www.osc.ny.gov/state-agencies/audits/2016/02/16/administration-contract-center-urban-community-servicesAll Services for Kids, Inc. – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by All Services for Kids, Inc. (All Services) on its Consolidated Fiscal … To determine whether the costs reported by All Services for Kids Inc All Services on its Consolidated Fiscal Reports …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/all-services-kids-inc-compliance-reimbursable-cost-manualCalculating the Maximum Amount Eligible for Amortization or the Graded Payment – Contribution Stabilization Program
… . Graded rates are calculated based on a System average rate that does not include employer Group Term Life Insurance … years’ adjustments). Determines the employer’s average rate Divides the normal contribution by the billable salary. Determines the employer’s graded rate Multiplies the System graded rate by the ratio of the …
https://www.osc.ny.gov/retirement/employers/csp/calculating-maximum-amount-eligible-amortization-or-graded-paymentCharter School for Applied Technologies – Payment to Affiliated Entities (2013M-300)
… with its affiliated entities and any related payments for the period July 1, 2010 through January 11, 2013. … private entities which the Board caused to be established for the purpose of enabling the School to engage in what are … entity’s financial records. The School made payments for services to one of the entities without a written …
https://www.osc.ny.gov/local-government/audits/school-district/2014/01/17/charter-school-applied-technologies-payment-affiliated-entities-2013m-300Brighter Choice Charter Middle School for Boys – Financial Operations (2013M-348)
… of the School’s compact contract with the Foundation for the period July 1, 2011 through July 31, 2013. Background The Brighter Choice Charter Middle School for Boys is located in the City of Albany, and is governed by … members voted in favor of the compact agreement, except for the Board Chairman, who recused himself from voting …
https://www.osc.ny.gov/local-government/audits/school-district/2014/02/07/brighter-choice-charter-middle-school-boys-financial-operations-2013m-348Albany Leadership Charter High School for Girls – Professional Services (2013M-283)
… $32,218 to become a member of the charter school network and receive services stated in the compact. We reviewed the compact document and did not identify a specific declaration made by the … activities it will engage in to achieve the stated goals and objectives. Also, the compact did not contain a specific …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/17/albany-leadership-charter-high-school-girls-professional-services-2013mBrighter Choice Charter Middle School for Girls – Financial Operations (2014M-301)
… Foundation but did not disclose this information on the financial disclosure forms with the Charter Schools … Brighter Choice Charter Middle School for Girls Financial Operations 2014M301 …
https://www.osc.ny.gov/local-government/audits/charter-school/2015/03/06/brighter-choice-charter-middle-school-girls-financial-operations-2014m-301Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
… hospitals for inpatient and outpatient services. A recipient’s status in a hospital—inpatient versus … treatment and recovery. Generally, outpatient services are medical procedures that can be performed in the same day, and … of DOH guidance to assist hospitals in determining when to bill services as inpatient or outpatient likely contributed …
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followAdministration of the Contract With the Postgraduate Center for Mental Health
… Supportive Housing Contract C007374 with the Postgraduate Center for Mental Health (PCMH) by ensuring that contracted … Mental Hygiene: Administration of the Contract With the Center for Urban Community Services (2014-N-5) Office of Mental Health: Sky Light Center Inc. - Supported Housing Program (2012-S-37) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Starting Point Services for Children (Starting Point) on its Consolidated Fiscal Reports (CFRs) were … The audit included all expenses claimed on Starting Point’s CFR for the fiscal year ended June 30, 2013, and …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). Background Our … of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We recommended the Department review … - Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (2014-S-5) …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… made in our audit report, Improper Payments for Controlled Substances That Exceed Allowed Dispensing … which was issued on February 6, 2015, determined that, for the period January 1, 2009 through December 31, 2013, Medicaid overpaid pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followDiNapoli: NYC Area Is Country's Second Largest Market for Venture Capital
… has been fueled by investment in artificial intelligence (AI), with that sector’s share of total investment nationwide … of at least 13,000 employees. As investors have supported AI-related firms in recent years, they have increasingly … efforts to support the growth of VC, particularly through AI initiatives. The Enacted Budget for State Fiscal Year …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-nyc-area-countrys-second-largest-market-venture-capitalDiNapoli: South Carolina Woman Arrested for Stealing $147,455 in Pension Payments
… System of her mother’s death until April 2024 and then only confirmed her passing after being confronted with …
https://www.osc.ny.gov/press/releases/2025/11/dinapoli-south-carolina-woman-arrested-stealing-147455-pension-paymentsDiNapoli: Despite Labor Force Gains, Disparities Remain for Workers With Disabilities
… the state’s nondisabled workforce. Despite this progress, only 28.8% of individuals with disabilities participated in …
https://www.osc.ny.gov/press/releases/2025/11/dinapoli-despite-labor-force-gains-disparities-remain-workers-disabilitiesUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… Purpose To determine whether Long Island Spine Specialists, P.C. waived Empire Plan members’ … Our audit focused on claims submitted to United by Long Island Spine Specialists, P.C. (Long Island Spine), a non-participating provider located in Long … To determine whether Long Island Spine Specialists PC waived Empire Plan members …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included all expenses claimed for the … $154,563 in reported costs that did not comply with Manual requirements and recommend such costs be disallowed. …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualDiNapoli: Timely Remediation Essential for Success of State's Brownfield Cleanup Program
… DiNapoli. The audit examined the New York State Department of Environmental Conservation’s (DEC) management of the program and found it must be strengthened to ensure … private parties follow through on the timely remediation of their contaminated sites. “By encouraging private parties …
https://www.osc.ny.gov/press/releases/2025/06/dinapoli-timely-remediation-essential-success-states-brownfield-cleanup-programUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, UnitedHealthcare Insurance Company of New York – Overpayments … a vaccine) that is administered by a health care provider in a physician’s office or other outpatient clinical setting. …
https://www.osc.ny.gov/state-agencies/audits/2025/05/21/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugs