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United HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… through December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… To determine whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that … The Empire Plan is the primary health benefits plan for NYSHIP. The State Department of Civil Service administers … (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s …
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
… of Leslie Schwinzer, of Knoxville, Tennessee, for stealing pension checks that had been issued to her deceased mother. … death in order to collect her pension checks and steal from New York state's retirement system,” DiNapoli said. “Thanks to my partnership with the U.S. Attorney’s Office for the …
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
… their retirement savings and other finances, and using the money to fund business ventures and pay for his own personal … Corp. out of millions. Instead of investing his client’s money safely, Eckstein, a registered CPA, used their funds to … for two years, the victim requested the return of the money in January 2017 but received a payment of only $26,699. …
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
… initiative, search millions of state and local government financial records, track state contracts, and find commonly …
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
… Total revenue for 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 a decline … additional extraordinary federal aid, a record year for pension returns in FY 2021 and savings from …
https://www.osc.ny.gov/press/releases/2022/08/dinapoli-urges-nyc-continue-prepare-shifting-fiscal-landscapeTroy City School District – Payments for Unused Leave Accruals (2020M-167)
… of Troy (District) accurately calculated payments for unused leave accruals. Audit Results During the audit period, … District paid 51 employees a total of $477,000 for their unused leave accruals. We reviewed payments totaling $270,000 … were made. However, District officials identified unused sick leave reporting errors for District retirees. …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/04/troy-city-school-district-payments-unused-leave-accruals-2020m-167DiNapoli: Local Sales Tax Collections Drop for Second Quarter of 2020
… with more businesses still unable to reopen due to health concerns. All regions saw their second quarter …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-local-sales-tax-collections-drop-second-quarter-2020DiNapoli: Former Potter Town Clerk Arrested for Theft of Nearly $24,000
… of the Town of Potter. Brown, 49, was arrested Friday for allegedly stealing nearly $24,000 in cash payments to the … actions were exposed and she is now being held accountable for her abuse of taxpayer funds.” “Yates County Sheriff’s … criminal investigation that has been ongoing since 2019 for embezzlement,” said Yates County Sheriff Spike. “A public …
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
… Kristina Johnson was sentenced to jail time for repeatedly stealing village funds to cover her household … cut herself extra paychecks, pocketed water and sewer payments, made unsupported payments to her husband and used … the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-former-riverside-village-clerk-sentenced-jail-50k-theftOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… The audit objective was to determine if the Department of Health (Department) had taken sufficient steps to safeguard …
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
… New York State Comptroller Thomas P. DiNapoli today announced his office will conduct a … Communications, Steve Peterson at 845-331-7000 or send an email to [email protected] . What: State Comptroller’s …
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)
… totaling $229,494 to eight City officers and employees at a time other than at separation from service. In the absence … City Code or contractual agreements. Key Recommendations Amend the City Code to clarify how the City intends to …
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
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-former-director-allegedly-stole-1700-hornell-partners-growthDebt Approvals for Public Authorities, Municipalities, School Districts and District Corporations
… ) Christian Brass ( [email protected] ) Various State statutes require certain public authorities seeking to … bonds at private or negotiated sale to first secure the New York State Comptroller’s approval. Certain municipalities are …
https://www.osc.ny.gov/debt/approvalsAll Services for Kids, Inc. – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by All Services for Kids, Inc. (All Services) on its Consolidated Fiscal … presented in its annual CFRs. According to its CFRs for the two fiscal years ended June 30, 2010, All Services … $1.3 million in reimbursable expenses. All Services' CFR for the fiscal year ended June 30, 2011 had not been prepared …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/all-services-kids-inc-compliance-reimbursable-cost-manualCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations included in the … of Services (Report 2018-N-5 ). About the Program In New York State, the Commissioner of Education (Regulations) has …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followDiNapoli: Audits Reveal Millions in Lost Revenue for Local Water Systems
… are straining municipal finances and increasing costs for taxpayers. If these problems aren't addressed, the issues … being improperly used to subsidize general operating costs for municipalities; The lack of adequate monitoring of system … oversight of water testing, identifying opportunities for improvement. In addition, upcoming audits are planned …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-audits-reveal-millions-lost-revenue-local-water-systems