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United HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to … medical services to Empire Plan members. Members pay a nominal co-payment to the participating provider for the … LLP (Hudson Valley), a non-participating provider that has two offices located in Westchester County, New York. During …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … determined that Davis Ethical likely fabricated nearly all of the improper claims. Davis Ethical processed many of the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyDiNapoli: NYC Projects Budget Surplus For 2017, But Faces Risks With Federal Budget Cuts
… New York City projects a surplus of $3.7 billion in fiscal year (FY) 2017, but faces the risk of losing substantial federal funding in the years ahead with … for federal budget cuts and the possible roll back of the Affordable Care Act." The current projected surplus …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… The MTA should publish a new assessment of its long-term capital needs that pays particular attention … to the system, not just when they’re completed; tracking how completed projects change the MTA’s state of good repair …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… school district demographic and financial information from nine separate regions outside New York City. “School … of the total revenues (53.1 percent), a modest increase from 2007-08 (51.9 percent). Over the same period, state aid as a percent of total revenues increased slightly from 37.1 percent to 38.3 percent, while the remaining shares …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… State Homes and Community Renewal’s (HCR) lax oversight of the Residential Emergency Services to Offer Home Repairs … the agency needs to do more to increase the participation of local providers who help distribute the money as roughly only half of New York’s counties received funding under the program. …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… from applicants who had virtually no chance of getting an apartment in their lifetime, an audit released today by New York State Comptroller Thomas P. DiNapoli found. The audit …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… and injustice. The long lines of people waiting for food speak to the inequities many face when it comes to accessing food. While uncertainty haunts the pandemic, the need to … U.S. Census Bureau data confirms the stark reality of food insecurity: 1.3 million adult New Yorkers live in …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-op-ed-democrat-chronicle-calls-swift-action-address-growing-food-insecurityHarrisville Central School District – Transportation State Aid and Debt for Bus Purchases (2020M-48)
… new bus acquisitions resulting in a potential revenue loss of $477,200. During our audit, the Business Manager prepared and submitted State aid forms for three of these buses. The District unnecessarily borrowed more than …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
New York City is projecting a $34 billion surplus for city fiscal year FY 2021 because of betterthanprojected revenues from income and corporate taxes debt service savings from lower interest rates and a deferral of labor costs to FY 2022
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… managed care organizations and hospitals for low birth weight newborn claims. The audit covered the period April 1, … April 1, 2012, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn weighing less …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified … (Department) administers the State’s Medicaid program in accordance with a federally approved Medicaid State Plan. … Consequently, Medicaid overpaid the provider $1,346.32 in this instance. Key Recommendations Review and recover …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… Purpose To determine whether the New York State Liquor Authority (Authority) appropriately … new and renewed licenses in accordance with the State’s Alcoholic Beverage Control Law (ABC Law) and the related …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… Purpose To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed … January 1, 2007 through December 31, 2011. Background Dr. Riaz Ahmad is a physician located in New York City who …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: New York City's Government Workforce Expected to Increase for First Time Since Pandemic
… The city is projected to end the 2024 Fiscal Year (FY) in June with at least 283,000 full-time employees, up from … and outreach to potential applicants through the city’s online job hub. For example, the Department of Citywide … 75,489 in FY 2021, to 119,599 in FY 2023, with DCAS also reporting that the number of employment applications received …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-new-york-citys-government-workforce-expected-increase-first-time-pandemicDiNapoli: Former Erie County Deputy Clerk Arrested for Stealing More Than $200,000 From County
… J. Flynn, and Erie County Sheriff John C. Garcia announced the arrest of former Deputy Erie County Clerk Alexander McDougall for allegedly stealing over $200,000 in county funds. … John Flynn and Erie County Sheriff John Garcia, he is being held accountable for his crimes.” District Attorney …
https://www.osc.ny.gov/press/releases/2024/03/dinapoli-former-erie-county-deputy-clerk-arrested-stealing-more-200000-countyXI.4.B Standard Contract Language for Grant Contracts: Fixed Term, Multiyear Contracts and Simplified Renewals – XI. Procurement and Contract Management
… of this section is to present standard contract language for each of those types of agreements for grant contracts, and to provide guidance for their use. As detailed in the New York State Grants …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi4b-standard-contract-language-grant-contracts-fixed-term-multiyear-contracts-and-simplifiedRFP#24-07 – Professional Auditing Services for New York State’s Annual Financial Statements and eMedNY
… in Adobe Acrobat PDF format and may be opened with the free Acrobat reader, available through this link: …
https://www.osc.ny.gov/procurement/rfp24-07The North Country Is Among the Top Regions in the State for Agricultural Sales
… The critical role farms play in New York cannot be … part of our food supply system. This is especially true in the North Country where sales of farm products topped $1.2 billion in 2022, making it the second highest producing region in the state. Access to …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-agriculture-report-reveals-economic-growth-and-challenges-facing-new-york-farms-north-countryDiNapoli Report Looks at New York's Social Insurance Programs for Unemployed and Injured Workers
… pandemic, one of three states that continues to carry a balance. As DiNapoli has previously reported , federal and … risen and federal taxes will continue to rise until this balance is repaid. Employers will also continue to be subject …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-report-looks-new-yorks-social-insurance-programs-unemployed-and-injured-workers