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DiNapoli: Waiving Waiting Period for Public Workers' Retirement Protects Families During Pandemic Crisis
… period before a public employee’s service retirement can take effect. DiNapoli requested the Executive Order in … a loved one to COVID-19 before their service retirement can be made official. The Executive Order applies to member … period before a public employees service retirement can take effect …
https://www.osc.ny.gov/press/releases/2020/04/dinapoli-waiving-waiting-period-public-workers-retirement-protects-families-during-pandemic-crisisCourt-Appointed Executor of Decedent’s Estate Sentenced to Two Years in Prison for Embezzlement
… announced that Gregory Bayard was sentenced to 24 months in prison in White Plains federal court for embezzling approximately $1.4 million from a decedent's estate for which he served as a court-appointed … Gregory Bayard was sentenced to 24 months in prison in White Plains federal court for embezzling …
https://www.osc.ny.gov/press/releases/2019/10/court-appointed-executor-decedents-estate-sentenced-two-years-prison-embezzlementNew York League for Early Learning, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by New York League for Early Learning, Inc. (NYL) on its … fiscal years ended June 30, 2014. Background NYL is a New York-based not-for-profit organization authorized by SED … that serves schoolage children with special needs. The New York City Department of Education (DoE) refers students …
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)
… of implementation of the four recommendations included in our initial audit report, Oversight of Hotels and Motels Used for Homeless and Mixed-Use Temporary … of implementation of the four recommendations included in our initial audit report Oversight of Hotels and Motels …
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
… Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose … requirements, when United processes a non-participating provider’s claims, it is with the understanding that Empire … will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United by …
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 … warranted Medicaid payment. This included $712,250 for 19,031 fee-for-service claims and $327,154 for 5,664 encounter claims … made in our initial audit report Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a …
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)
… to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report 2013-S-57). Background The … care. For example, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn weighing …
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
… was owned and operated by William Davis, a licensed pharmacist. Pursuant to allegations of improper billing …
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
… was owned and operated by William Davis, a licensed pharmacist. Pursuant to allegations of improper billing … for assessment of his professional conduct as a licensed pharmacist. Other Related Audits/Reports of Interest …
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)
… the three recommendations included in our initial report Group Health Incorporated: New York State Dental Program - … which was issued on July 28, 2010, examined whether Group Health Incorporated (GHI) established adequate controls … New York State Department of Civil Service contracts with Group Health Incorporated (GHI) to process dental claims on …
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
… Purpose To determine whether the costs reported by the New York Center for Child Development, Inc. (NYCCD) on its Consolidated … To determine whether the costs reported by the New York Center for Child Development Inc NYCCD on its Consolidated Fiscal …
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
… providers on behalf of dual-eligible individuals receiving hospice care covered by Medicare. This audit covered the … January 1, 2015 through July 31, 2019. About the Program Hospice is a coordinated program of home and/or inpatient … that treats terminally ill individuals and their families. Hospice programs provide palliative care, including nursing, …
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)
… Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Report 2018-S-24 ). … they are in receipt of benefits (herein referred to as “duplicate CINs”); however, only one of the CINs should have … care premiums were paid on behalf of recipients with duplicate CINs. The audit covered the period January 1, 2014 …
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
… Objective To determine whether the Port Authority of New York and New Jersey has a tracking … 1, 2014 through August 9, 2018. About the Program The Port Authority of New York and New Jersey (PANYNJ) was … consent. Its area of jurisdiction is called the Port District, a region within a radius of approximately 25 …
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
… premiums were paid on behalf of recipients with duplicate Client Identification Numbers. The audit covered the period … individual who applies for Medicaid benefits is assigned a Client Identification Number (CIN), a unique identifier. … premiums 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)
… Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Report 2017-S-35 ). About the Program … testing, and outpatient surgical procedures). Ambulatory Surgery Centers (ASCs) are health care facilities focused on … Anesthesia Services Provided at InNetwork Ambulatory Surgery Centers Report 2017S35 …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryUniversity Preparatory Charter School for Young Men – Student Enrollment and Billing (2013M-292)
… Background The University Preparatory Charter School for Young Men is located in the City of Rochester and is governed … University Preparatory Charter School for Young Men Student Enrollment and Billing 2013M292 …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/24/university-preparatory-charter-school-young-men-student-enrollment-andTown of Charlton – Internal Controls Over Billed Receivables for Water Operations (2014M-28)
… if the Town established internal controls over water billing and collections for the period of January 1, 2012 … for 2013 totaled $2.1 million. Key Findings Water billing and collection duties were not fully segregated and … Board approval. Key Recommendations Determine if water billing and collection duties can be further segregated and …
https://www.osc.ny.gov/local-government/audits/town/2014/05/09/town-charlton-internal-controls-over-billed-receivables-water-operations-2014m-28DiNapoli: Homeless New Yorkers Relying on CityFHEPS Face Significant Delays for Permanent Housing
… Inadequate oversight of a New York City rental assistance program is leading to significant delays in finding permanent housing for homeless people and those at … Inadequate oversight of a New York City rental assistance program is leading to significant delays in finding permanent housing for …
https://www.osc.ny.gov/press/releases/2024/10/dinapoli-homeless-new-yorkers-relying-cityfheps-face-significant-delays-permanent-housing