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United HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… the $264 due from the member. Hudson Valley wrote off all charges in excess of United’s payment from the patient’s …
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
… at $1 billion annually beginning in FY 2018 and Mayor de Blasio's administration has set aside $250 million …
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 … and is overdue for an update. The MTA is now required by state law to produce a needs assessment every five years … Track state and local government spending at Open Book New York . Under State Comptroller DiNapoli’s open data …
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
… implications for spending, pupil outcomes and the delivery of services, including special education. The report details … York City. “School districts must navigate a complex set of state rules and local needs to determine how to best … tax revenue. Property taxes made up more than half of the total revenues (53.1 percent), a modest increase from …
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
… that found New York State Homes and Community Renewal’s (HCR) lax oversight of the Residential Emergency Services … across our state whose homes may be at risk if they can’t make urgent repairs,” DiNapoli said. “Homes and Community Renewal can, and must, do more to meet the emergency needs of New …
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
… Despite waiting lists for Mitchell Lama apartments being very long and turnover very slow, some developments continued to … we’ve found. Collecting fees with virtually no chance for an apartment gives applicants false hope and compromises …
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
… in New York rose by 121,000 from March to April. In Monroe County, recipients increased by 2,300, reaching more than …
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)
… complete report - pdf ] Audit Objective Determine whether the District applied for all transportation State aid for new … aid (State aid) for seven new bus acquisitions resulting in a potential revenue loss of $477,200. During our audit, the …
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
… pandemic, according to a report released today by State Comptroller Thomas P. DiNapoli. “New York City’s finances …
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
… Purpose To determine if Medicaid overpaid managed care organizations … reimburse directly for providing services. In addition to monthly capitation payments, MCOs receive supplemental …
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
… 1, 2008 through May 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid … therapy services. The FQHCs billed an approximate rate of $200 per person for group therapy, as opposed to the … provider did not bill the appropriate FQHC payment rate of $35.16 for group therapy, but rather billed a rate of …
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
… including the revocation, cancellation, and suspension of liquor licenses. Our audit focused on compliance with certain provisions of the ABC Law and related rules and regulations at the State … to regulate and control the manufacture and distribution of alcoholic beverages for the purpose of fostering and …
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
… Medicaid managed care plans) paid Dr. Ahmad $1,039,404 for 24,695 office visits. During this period, the Medicaid program also paid approximately $15 million for medications Dr. Ahmad prescribed in connection with those … program are required to maintain complete, legible records for each Medicaid patient treated. The records must include …
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
… New York City’s full-time government workforce is expected to … Thomas P. DiNapoli. The city is projected to end the 2024 Fiscal Year (FY) in June with at least 283,000 full-time …
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
… Erie County Sheriff John C. Garcia announced the arrest of former Deputy Erie County Clerk Alexander McDougall for … District Attorney Flynn said: “This defendant is accused of using his position in the Clerk’s Office to steal money from the residents of Erie County. In addition to uncovering this brazen theft, …
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
… agreement, or a simplified renewal agreement. The purpose of this section is to present standard contract language for each of those types of agreements for grant contracts, and to provide guidance …
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
… Request for Proposals Issued by the Office of the State Comptroller Issued November 12, 2024 Through … for Proposals (“RFP”), Thomas P. DiNapoli, Comptroller of the State of New York (the “Comptroller”), seeks proposals from …
https://www.osc.ny.gov/procurement/rfp24-07The North Country Is Among the Top Regions in the State for Agricultural Sales
… The report includes an analysis of state programs and tax benefits for farmers. Some of the important findings for …
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
… and their families each year, according to a new report by State Comptroller Thomas P. DiNapoli that reviews the benefit … limits, and wage replacement rate of these programs and how they compare with peer states. “New York’s social … Assessing the adequacy of benefits can be challenging, and is influenced by the benefit rate, the maximum benefit or cap …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-report-looks-new-yorks-social-insurance-programs-unemployed-and-injured-workers