Search
Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Monitoring of Medicaid Payments … Background Our initial audit report, which was issued on December 9, 2010, examined whether nursing home claims … eMedNY to prevent payment of claims for bed reserve days in excess of prescribed limits and that it sufficiently …
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
… costs, and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The … Plan members’ out-of-pocket costs. This may include taking steps to bring Long Island Spine into the Empire Plan’s …
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 Reports (CFRs) of the Whitestone School for Child Development (Whitestone) were calculated properly, … Manual (Manual). The audit included all expenses claimed for the fiscal year 2012-13 and certain expenses for the two fiscal years ended June 30, 2012. Background …
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
… Purpose To determine whether UnitedHealthcare improperly paid for … day. The audit covered the period from September 1, 2012 to August 31, 2013. Background The New York State Health … to August 31, 2013, United paid over $82.3 million for about 1.3 million services with modifier 59. Key Findings For …
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
… sentencing of Leslie Schwinzer, of Knoxville, Tennessee, for stealing pension checks that had been issued to her … Honorable Thomas A. Varlan in United States District Court for the Eastern District of Tennessee at Knoxville. “Leslie … of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint …
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
… New York State Comptroller Thomas P. DiNapoli and Nassau County District Attorney Anne T. … sentenced today to up to ten-and-a-half years in prison for his role in a $12 million Ponzi scheme that targeted … client that the investment was safe, had no risk, and the principal would be returned after a two-year waiting period …
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
… improve competitive employment opportunities and outcomes for people with disabilities. It is disappointing that this … the inequities and barriers they face when they look for employment.” There are approximately 1 million … however, are employed, compared to the 74% employment rate for working-age adults statewide. In addition to increased …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-employment-services-system-new-yorkers-disabilities-underutilizedDiNapoli Urges NYC to Continue to Prepare for Shifting Fiscal Landscape
… New York City’s budget is expected to drop by 9.4% to $101.1 billion in Fiscal Year (FY) 2023 amid lower tax revenue and … which make up 92% of all city funds, to decrease by 1.2% in FY 2023. This figure, while reasonable, does not … two recessions, which would be equivalent to between $3.1 billion and $4.4 billion if similar drops occurred in FY …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-urges-nyc-continue-prepare-shifting-fiscal-landscapeXIII.11 Submitting Travel and Expense Reimbursement Requests for Inactive Employees – XIII. Employee Expense Reimbursement
… guidance to agencies on submitting Travel and Expense reimbursement requests for inactive employees for expenses that were incurred during the employee’s State service. If the former employee is doing business with …
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)
… (District) accurately calculated payments for unused leave accruals. Audit Results During the audit period, the District … 51 employees a total of $477,000 for their unused leave accruals. We reviewed payments totaling $270,000 that were … were made. However, District officials identified unused sick leave reporting errors for District retirees. These …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/04/troy-city-school-district-payments-unused-leave-accruals-2020m-167DiNapoli: Former Potter Town Clerk Arrested for Theft of Nearly $24,000
… made to the town for property taxes and fees for marriage licenses, dog licenses, hunting permits, and building permits. She was …
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
… to 60 days in jail, five years probation and ordered to pay full restitution of $50,000 to the village. “Too many …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY … B (Part B), which provides supplemental insurance coverage for outpatient medical services, physician services, and … B cost-sharing amounts (e.g., deductibles and coinsurance) for these dual-eligible individuals. Our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followGASB Statement No. 33 "Accounting and Financial Reporting for Nonexchange Transactions"
… County, City, Town and Village Chief Fiscal Officers GASB Statement No. 33 provides accounting and reporting guidelines … between services provided and supporting revenues. The statement describes four categories of nonexchange …
https://www.osc.ny.gov/local-government/publications/gasb-statement-no-33-accounting-and-financial-reporting-nonexchange-transactionsOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… included in our initial audit report, Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program … opioid medications and counseling and behavioral therapies for people diagnosed with an opioid use disorder. The State … prescription drug use, known as the Internet System for Tracking Over-Prescribing (I-STOP), which contains …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followDiNapoli and Hein Announce Training For Fire Districts and EMS Agencies
… “Fire district officials can benefit from this training to help them protect their assets by tightening their … checks and balances,” DiNapoli said. “Prevention is the best way to protect public funds.” “The vast majority of fire …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-and-hein-announce-training-fire-districts-and-ems-agenciesCity of Long Beach - Payments for Unused Leave Accruals (2019M-68)
… whether payments to certain City officers and employees for unused leave accruals were authorized and accurately … agreements (CBAs). The City approved drawdown payments for unused leave accruals, totaling $229,494 to eight City … from service. In the absence of specific authorization for such payments, we question the appropriateness of …
https://www.osc.ny.gov/local-government/audits/city/2019/12/11/city-long-beach-payments-unused-leave-accruals-2019m-68DiNapoli: Former Director Allegedly Stole $1,700 From Hornell Partners for Growth
… The former Executive Director of Hornell Partners for Growth (HPG) was charged with Grand Larceny in the Fourth … Degree and Falsifying Business Records in the First Degree for allegedly stealing $1,711 in cash from the HPG’s Annual … of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-former-director-allegedly-stole-1700-hornell-partners-growthManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… Departments of Social Services (LDSS), and the New York State of Health are responsible for identifying enrollees …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-follow