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Town of Charlton – Internal Controls Over Billed Receivables for Water Operations (2014M-28)
… 31, 2013. Background The Town of Charlton is located in Saratoga County and is governed by an elected five-member …
https://www.osc.ny.gov/local-government/audits/town/2014/05/09/town-charlton-internal-controls-over-billed-receivables-water-operations-2014m-28NY State Comptroller DiNapoli Announces Responsible Workforce Management Policy for Private Equity Investments
… of new investments within its $38 billion private equity asset class, the new Policy will require an evaluation … importance of adopting strong labor principles in private equity at the White House Workers’ Capital Event later today. … pension funds, endowments, and multiemployer benefit trust funds, to adopt labor principles. Responsible business …
https://www.osc.ny.gov/press/releases/2024/04/ny-state-comptroller-dinapoli-announces-responsible-workforce-management-policy-private-equityRFP0003 – Banking Services for the New York State & Local Employees’ Retirement System
… available via the links below. The solicitation, and other information as it becomes available, is available … Amendment #2 , Issued 2/27/26 Note: the solicitation has been posted in Adobe Acrobat PDF format and may be opened … reader, available through this link: https://get.adobe.com/reader/ …
https://www.osc.ny.gov/procurement/rfp0003DiNapoli: NYC Department for the Aging Faces Challenges Meeting Growing Home Care Needs
… New York City’s Department for the Aging (DFTA) provides home care and case management services to support older New … rising demand for these services. The waitlist for home care continues to expand, while DFTA faces challenges … York City’s older population is growing, and demand for home care and case management is rising rapidly,” DiNapoli …
https://www.osc.ny.gov/press/releases/2026/03/dinapoli-nyc-department-aging-faces-challenges-meeting-growing-home-care-needsNew York League for Early Learning, Inc. – Compliance With the Reimbursable Cost Manual
… claimed on NYL’s CFR for the three fiscal years ended June 30, 2014. Background NYL is a New York-based not-for-profit … June 30, 2014, NYL was a member of the eight-member Young Adult Institute Network (Network), which also included the Young Adult Institute (YAI) and MSA. The relationships among the …
https://www.osc.ny.gov/state-agencies/audits/2017/03/29/new-york-league-early-learning-inc-compliance-reimbursable-cost-manualOversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary Residency (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Oversight of Hotels and Motels Used for Homeless and Mixed-Use … To determine the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/oversight-hotels-and-motels-used-homeless-and-mixed-use-temporary-residency-followUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… the rates participating providers agree to accept for the same services. Consequently, to encourage members to use less … for Services Provided by Eastern Orange Ambulatory Surgery Center (2015-S-53) United HealthCare: New York State Health …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… made in our initial audit report, Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician ( 2012-S-35 ). Background Our initial audit report, … warranted Medicaid payment. This included $712,250 for 19,031 fee-for-service claims and $327,154 for 5,664 …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… for each newborn enrolled in the MCO. The MCO, in turn, is responsible for the provision of covered health care …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followMill Neck Manor School for the Deaf – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the Mill Neck Manor School for the Deaf (Mill Neck School) on its … To determine whether the costs reported by the Mill Neck Manor School for the Deaf Mill Neck School on its …
https://www.osc.ny.gov/state-agencies/audits/2013/03/14/mill-neck-manor-school-deaf-compliance-reimbursable-cost-manualUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine if Davis Ethical Pharmacy inappropriately billed United … reimburses United for all properly adjudicated claims. Davis Ethical Pharmacy (Davis Ethical) is an independently owned pharmacy located in … To determine if Davis Ethical Pharmacy inappropriately billed United …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine whether Davis Ethical Pharmacy (Davis Ethical) inappropriately billed Medicaid for … Program provides prescription drug coverage for enrollees. Davis Ethical is an independently owned pharmacy located in … To determine whether Davis Ethical Pharmacy Davis Ethical inappropriately billed …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followNew York Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… on its Consolidated Fiscal Reports CFRs were reasonable ne …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/new-york-center-child-development-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… that are not allowed in conjunction with hospice (such as Assisted Living) and services that are covered by the …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… updates to demographic information on all Medicaid cases; evaluate the feasibility of building a central …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… has a tracking system that accurately accounts for all its properties, including all leases; whether it has identified … it has followed required procedures in the leasing of its properties. This audit covered the period January 1, 2014 … The PANYNJ uses two systems to track the status of its properties and to track rent and revenues – SAP and YARDI. …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… were paid on behalf of recipients with duplicate Client Identification Numbers. The audit covered the period January … who applies for Medicaid benefits is assigned a Client Identification Number (CIN), a unique identifier. However, … were paid on behalf of recipients with duplicate Client Identification Numbers …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million … health benefit plan is the Empire Plan. UnitedHealthcare (United) administers the medical/surgical portion of the … procedures). Ambulatory Surgery Centers (ASCs) are health care facilities focused on providing same-day surgical care. …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryDiNapoli: Improved Planning Needed for New York To Achieve Its Clean Energy Goals
… The Public Service Commission (PSC) and the New York State Energy Research and Development Authority (NYSERDA) have … The Public Service Commission PSC and the New York State Energy Research and Development Authority NYSERDA have taken …
https://www.osc.ny.gov/press/releases/2024/07/dinapoli-improved-planning-needed-new-york-achieve-its-clean-energy-goals