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May 8, 2009

 

Comptroller DiNapoli Releases Audits

New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued:

Department of Health: Inappropriate Medicaid Billings for Dental Sealants (Follow-Up Report) (2008-F-55)
In audit 2007-S-58, auditors examined selected Medicaid payments for dental sealants over a four-year period and identified about $469,300 in potentially inappropriate payments. The audit recommended that the Department of Health investigate the potential overpayments, recover all actual overpayments, and develop controls to prevent such overpayments in the future. The follow-up audit found department officials had made considerable progress in implementing the audit’s recommendations.

Department of Health: Inappropriate Medicaid Billings for Dental Restorations (Follow-Up Report) (2008-F-56)
In audit 2007-S-71, auditors identified five dentists who often submitted questionable Medicaid claims. The previous audit found that all the claims in the sample were inappropriate and potentially fraudulent because they either were not supported by the dentists’ medical records or did not comply with the rules set forth in the Department of Health’s Medicaid Dental Manual. Auditors disallowed all $148,341 in payments on these claims, and because of the billing patterns identified by the audit, recommended that the Department of Health review an additional $9.9 million in Medicaid payments to the five dentists. In the follow-up audit, auditors found that the department had made considerable progress in implementing the audit’s recommendations.

Office of Mental Health: Creedmoor Psychiatric Center: Continuing Medical Education Credits (2008-S-99)
Physicians at Creedmoor Psychiatric Center are re-appointed every two years, and consistent with guidelines issued by the American Medical Association, they are required to earn at least 40 hours of Continuing Medical Education (CME) credits in the two-year period before they are re-appointed. However, 14 of the physicians re-appointed during the audit period did not meet this requirement. The audit recommends that certain improvements be made in the Center’s practices for monitoring its physicians’ compliance with its CME requirements.

State Government Accountability
The Office of the State Comptroller regularly audits state agencies, public authorities and New York City agencies. Auditors ensure that programs achieve their established goals, funds are used efficiently and assets are adequately protected against fraud, waste and abuse. DiNapoli’s office completes approximately 200 state audits annually and identifies hundreds of millions of dollars in savings and fraud each year.


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