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Medicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… therapy session for eight recipients. The provider did not bill the appropriate FQHC payment rate of $35.16 for group … Clarify to the FQHCs that were overpaid how to properly bill Medicaid for group therapy services. Ensure all FQHCs bill Medicaid the correct reimbursement rate for group …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… At the time of our follow-up review, William Davis made full restitution of $231,919 to the State, of which $137,459 …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… with any local laws or policies that could impact licensing in specific communities, including “on premises” … distribution, and retail sale of all alcoholic beverages. A three-member Board of Commissioners oversees the … they are in compliance with the ABC Law. When a licensee is non-compliant, the Authority can impose a fine on the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… Deaf and Exceptional Children (Hebrew Institute) on its Consolidated Fiscal Reports (CFRs) were properly documented, … the Deaf and Exceptional Children Hebrew Institute on its Consolidated Fiscal Reports CFR …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Bone and Joint Surgeons, LLP waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments … 1, 2011 through October 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health … it will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpDiNapoli: Audit Shows Former Highway Superintendent Took Taxpayers for a Ride in Town of Erin
… Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected], or by mailing a …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-audit-shows-former-highway-superintendent-took-taxpayers-ride-town-erinDiNapoli Announces $2B Strategic Partnership With Goldman Sachs Asset Management For Global Equity Investments
… provide customized access to our broad open-architecture platform, due diligence expertise, and portfolio construction …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-announces-2b-strategic-partnership-goldman-sachs-asset-management-global-equity-investmentsDiNapoli: School District and Big City Tax Levy Cap at 2% for Second Straight Year
… Property tax levy growth for school districts and the state’s biggest cities will be … DiNapoli’s office calculated the inflation factor at 8% for those with a June 30, 2024 fiscal year end. “School and … 2% allowable levy growth affects the tax cap calculations for 676 school districts and 10 cities with fiscal years …
https://www.osc.ny.gov/press/releases/2023/01/dinapoli-school-district-and-big-city-tax-levy-cap-2-percent-second-straight-yearMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the … authorities. Key Findings Frequently, Dr. Ahmad’s medical records did not meet the minimum standards to support … his Medicaid claims. Our review of a sample of Dr. Ahmad’s medical records found that they contained inadequate and …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingDiNapoli: NYC Projects Budget Surplus For 2017, But Faces Risks With Federal Budget Cuts
… in Washington, according to a report released today by State Comptroller Thomas P. DiNapoli. "The President's … law, would reduce future Medicaid funding to New York state. Any legislation that reduces Medicaid funding could impact the state's budget, which could affect the city's fiscal …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-nyc-projects-budget-surplus-2017-faces-risks-federal-budget-cutsDiNapoli: Many NYC Senior Citizens Remaining Too Long on DFTA Wait Lists for Services
… its oversight of service providers to ensure seniors are getting the support they depend on in a timely manner.” DFTA … enroll eligible clients in services. When services cannot be provided immediately, clients are placed on wait lists. … its oversight of them by using existing data to determine how quickly clients are assessed and get services they need. …
https://www.osc.ny.gov/press/releases/2023/07/dinapoli-many-nyc-senior-citizens-remaining-too-long-dfta-wait-lists-servicesUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… included in our initial audit report, UnitedHealthcare Insurance Company of New York: Improper Payments for … 2020-S-7 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureDiNapoli: Some Bright Spots for NYC Finances in FY21, but Long-Term Challenges Looming
… New York City is projecting a $3.4 billion surplus for city fiscal year (FY) 2021 because of better-than-projected revenues from income and corporate taxes, debt service savings from lower … New York City is projecting a $34 billion surplus for city fiscal year FY 2021 because of betterthanprojected …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-some-bright-spots-nyc-finances-fy21-long-term-challenges-loomingMitchell Lama Applicants Charged $200 for Virtually No Chance of Apartment in Their Lifetime
… found that HPD had not established criteria to decide how many applicants should be selected and placed on waiting … because they didn’t pay their fees. They could not explain how this supposed error occurred, but neither HPD nor the … to be returned. The audit found that management needed to do more to return fees to applicants or inform applicants …
https://www.osc.ny.gov/press/releases/2019/12/mitchell-lama-applicants-charged-200-virtually-no-chance-apartment-their-lifetimeDiNapoli Report Analyzes Regional Trends in Education for School Districts Outside New York City
… set of state rules and local needs to determine how to best educate our children and pay for it,” DiNapoli said. “My … most districts since 2007-08. According to the U.S. Census Bureau, about 14 percent of children in New York state …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-report-analyzes-regional-trends-education-school-districts-outside-new-york-cityDiNapoli: MTA Needs to Refocus Attention on Overdue Upgrades and Preparations for Extreme Weather
… needs assessment shows many capital needs are overdue for attention, according to Comptroller Thomas P. DiNapoli’s … all aspects of our regional transit system.” To prepare for the release of its five-year capital programs, the MTA … assessment detailing long-term infrastructure priorities for maintaining and improving its system. The last …
https://www.osc.ny.gov/press/releases/2021/12/dinapoli-mta-needs-refocus-attention-overdue-upgrades-and-preparations-extreme-weatherDiNapoli: Lack of Oversight Delayed Access to Emergency Home Repairs for Elderly New Yorkers
… Homes and Community Renewal’s (HCR) lax oversight of the Residential Emergency Services to Offer Home Repairs to the … Audit Housing Trust Fund Corporation: Oversight of the Residential Emergency Services to Offer Home Repairs to the … Homes and Community Renewals HCR lax oversight of the Residential Emergency Services to Offer Home Repairs to the …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-lack-oversight-delayed-access-emergency-home-repairs-elderly-new-yorkersDiNapoli Op-Ed in Democrat & Chronicle Calls for Swift Action to Address Growing Food Insecurity
… Project has found that food insecurity in households with children has more than doubled over pre-pandemic levels nationwide, with one in three reporting insufficient food in April. Food … York City reported nearly 40 percent of food pantries and soup kitchens in the City had closed by mid-April, with the …
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)
… the Business Manager prepared and submitted State aid forms for three of these buses. The District unnecessarily … Key Recommendations File the appropriate State aid forms with SED for the remaining four buses identified in …
https://www.osc.ny.gov/local-government/audits/school-district/2020/07/02/harrisville-central-school-district-transportation-state-aid-and-debt-busDiNapoli: New York City's Government Workforce Expected to Increase for First Time Since Pandemic
New York Citys fulltime government workforce is expected to increase for the firsttime yearoveryear since the COVID19 pandemic according to a report released today by State Comptroller Thomas P DiNapoli
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-new-york-citys-government-workforce-expected-increase-first-time-pandemic