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Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… of the property as well as reasonable charges for services and lot/plot prices. This information, as well as a … and available for visitors. The Division has issued two online manuals to assist cemeteries in meeting these and … in over seven years. The Division’s Mainframe information system is antiquated and captures only limited data. …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… Purpose To determine whether the Office of Mental Health (OMH) is … contractors to operate many of these programs. PCMH, a not-for-profit entity, is one of New York’s largest providers … scattered throughout the local communities as well as in multiple dwelling units. PCMH must file an annual …
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
… Purpose To determine whether the Office of Mental Health (OMH) is effectively … June 30, 2014. We also performed on-site observations of ICL staff, clients, facilities, and reviewed prior year …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingChildren’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… We identified $797,438 in reported costs that should not have been reimbursed, as follows: $741,942 in salary and … to help ensure that only allowable costs are included on any of their CFRs prepared after our scope period. Direct … to disclose all “less-than-arm’s-length” transactions on any CFRs prepared after the scope period and prior to ceasing …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualLife Changes: Getting Your Affairs in Order and A Guide for Survivors
… were receiving any benefits, you will become eligible at age 60 (or immediately if you have a child age 16 or younger). You will need certified death and …
https://www.osc.ny.gov/retirement/publications/getting-your-affairs-order-and-guide-survivorsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… obligations. However, if a non-participating provider does not collect (i.e., waives) the member’s out-of-pocket … and the member’s out-of-pocket portion of the claim should have been $2,700. However, Long Island Laparoscopic accepted … accepted $10,800 as the full payment, United should have only paid $8,640 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… paying claims for services to Medicaid recipients who also have health insurance through Medicare. During the four year … about $600 million in Medicaid payments that could have been avoided had the Department taken more comprehensive … claims incorrectly reported that Medicare had not made any payment toward the billed charges. We recommended the …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… and Office of the Medicaid Inspector General officials have taken significant actions in correcting the problems we … Of the three prior audit recommendations, all of them have been implemented. Other Related Audit/Report of Interest …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… obligations. However, if a non-participating provider does not collect (i.e., waives) the member’s out-of-pocket … and the member’s out-of-pocket portion of the claim should have been $1,160. However, Long Island Spine accepted the … Spine accepted $4,640 as the full payment, United should have only paid $3,712 on the claim. This resulted in an …
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
… fiscal years ended June 30, 2012. Background Whitestone is a not-for-profit organization that provides a full-day …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… of the tumor. Consequently, the provider should not have billed, and United should not have paid, $6,250 for the repair of the blood vessels and … review the claims of higher risk providers and recover any overpayments identified. Other Related Audit/Report of …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Medicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… enrolled recipients. The Department uses encounter data for numerous purposes, including, but not limited to, quality … Accountability Act-compliant transaction sets (one each for professional, institutional, dental, and pharmacy … 10 of 52 Medicaid MCOs had successfully completed testing for the new system, including all four transaction sets. An …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemDiNapoli: Tennessee Woman Sentenced for Stealing Deceased Mother's NYS Pension Checks
… District of Tennessee, we uncovered this fraud, and Ms. Schwinzer has now been held accountable for her crimes.” On March 10, 2022, Schwinzer pleaded guilty to a charge of one count of wire fraud. She admitted that she … by filing a complaint online at https://www.osc.state.ny.us/investigations , or by mailing a complaint to: Office …
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
… man was sentenced today to up to ten-and-a-half years in prison for his role in a $12 million Ponzi scheme that targeted nearly 50 victims—many of them seniors—between 2015 and 2017. Matthew Eckstein, 52, … defendant preyed upon seniors and hard-working men and women, duping them out of their retirement savings and other …
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
… to increase employment among individuals with a disability have fallen short. Better management and collaboration can … to providers in NYESS’ TTW program and 11,833 customers have been enrolled. However, since 2019, the number of … revenue, as well as revenue received by providers, have declined. OMH has not undertaken a strong proactive …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-employment-services-system-new-yorkers-disabilities-underutilizedXIII.11 Submitting Travel and Expense Reimbursement Requests for Inactive Employees – XIII. Employee Expense Reimbursement
… section is to provide guidance to agencies on submitting Travel and Expense reimbursement requests for inactive employees for expenses that were incurred during …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii11-submitting-travel-and-expense-reimbursement-requests-inactive-employeesTroy City School District – Payments for Unused Leave Accruals (2020M-167)
… We reviewed payments totaling $270,000 that were paid to 14 employees and found District officials accurately … retirees. These errors were reported in submissions to the New York State Local Retirement System. Although these …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/04/troy-city-school-district-payments-unused-leave-accruals-2020m-167DiNapoli: Local Sales Tax Collections Drop for Second Quarter of 2020
… The drop in statewide local collections would likely have been worse if not for changes implemented in 2019 … hit early and hardest by the pandemic and the effects have lingered longest, with more businesses still unable to … 5.1 percent drop for the month of June, however, would have been larger had it not been for an August 2019 tax rate …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-local-sales-tax-collections-drop-second-quarter-2020DiNapoli: Former Potter Town Clerk Arrested for Theft of Nearly $24,000
… was arrested Friday for allegedly stealing nearly $24,000 in cash payments to the town. The thefts allegedly took place … of her community by allegedly diverting nearly $24,000 in town funds to subsidize her personal lifestyle,” said … professional assistance of the State Comptroller’s Office in this criminal investigation that has been ongoing since …
https://www.osc.ny.gov/press/releases/2020/11/dinapoli-former-potter-town-clerk-arrested-theft-nearly-24000DiNapoli: Former Riverside Village Clerk Sentenced to Jail for $50K Theft
… “Thanks to my partnership with District Attorney Brooks Baker, Ms. Johnson is going to jail and will repay …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theft