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Assessment and Collection of Selected Penalties
… To determine whether the Workers Compensation Board WCB is properly billing collecting …
https://www.osc.ny.gov/state-agencies/audits/2013/09/24/assessment-and-collection-selected-penaltiesMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… Department of Health: Medicaid Payments for Excessive Dental Services (2009-S-46) …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… rendered to recipients enrolled in UnitedHealthcare’s Medicare Advantage plan: UnitedHealthcare Dual Complete. The … Background Many Medicaid recipients are also enrolled in Medicare. Such recipients are commonly referred to as “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsSelected Financial Management and Administrative Practices
… estate. As of December 31, 2013, the NCPA reported a caseload of 168 open estates with an estimated gross value in … to minimize expenses associated with the suspense account. Update the outside vendor list annually, justify the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/28/selected-financial-management-and-administrative-practicesMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Medicaid Overpayments for … payment. Auditors further identified $10.8 million in claim payments for which the Department had not granted … services. Key Finding Department officials made progress in addressing the issues we identified in the initial audit. …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Medicaid Overpayments for … through June 30, 2009, auditors identified $12.2 million in actual and potential Medicaid overpayments to out-of-state … of September 30, 2012, of the two recommendations included in our initial report. Key Finding Department and Office of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followBus Driver Licensing (Follow-Up)
… of implementation of the four recommendations included in our initial report, Bus Driver Licensing (2012-S-30). … an estimated 8,400 passengers on a total of 38 days. In addition, the Safety and Training Division did not always … drivers. Key Finding MTA officials have made progress in correcting the problems we identified. However, …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/bus-driver-licensing-followForensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)
… of implementation of the six recommendations included in our initial report, Forensic Audit of Select Payroll and … determined that these practices cost Metro-North $991,208 in overtime and $216,128 n regular pay, and enriched certain staff and supervisors. In addition these payments will inflate future pension …
https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield Selected Payments for Special … and school district employees, and their dependents. The Empire Plan (Plan) is the primary health benefits plan for … New York State Department of Civil Service contracts with Empire BlueCross BlueShield (Empire) to administer the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughSuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Suspicious and Fraudulent Medicaid … unusual. Lawrence Bruckner operated two office locations in Brooklyn, NY. Other dentists who reportedly practiced at … was issued on April 4, 2013, identified about $2.3 million in highly suspicious and possibly fraudulent Medicaid claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Report 2012-S-10). Background Our initial audit … 2008 through December 13, 2011, the New York State Health Insurance Plan (NYSHIP) made improper payments totaling … the problems we identified in our initial audit report. At the time of our follow-up review, William Davis made full …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyAccess-A-Ride Accident Claims (Follow-Up)
… that between 2008 and 2012 the overall demand for AAR service increased, but the portion of the service provided by … traditional carriers decreased and reliance on the black car services and taxis increased. The number of reported … was an unquantified liability risk associated with black car services and taxis that was expanding and was not being …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-followBenefit Eligibility Assessment Process (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Benefit Eligibility Assessment … assessment process when determining client eligibility in compliance with governing policies and procedures. We also … number of overturned HRA determinations and costly, and in some cases unnecessary, OTDA Fair Hearings. These hearings …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/benefit-eligibility-assessment-process-followCompliance With Payment Card Industry Standards
… of payment must comply with the Data Security Standards (DSS) established by the PCI Security Standards Council. The PCI DSS is a set of technical and operational requirements … housing, and meals), and as such must comply with the PCI DSS to protect against electronic security breaches and theft …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standardsAdministration of Tenant Complaints
… To determine whether New York State Homes and Community Renewal’s Office of Rent Administration addresses tenant … 31, 2012. Background New York State Homes and Community Renewal consists of all the State’s housing and community renewal agencies. These agencies include the Division of …
https://www.osc.ny.gov/state-agencies/audits/2014/12/11/administration-tenant-complaintsOutstanding Violations (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Outstanding Violations (Report … (Department) managers did not have effective systems in place to ensure hazardous violations were resolved … of September 9, 2014, of the four recommendations included in our initial report. Key Finding The Department has made …
https://www.osc.ny.gov/state-agencies/audits/2014/10/15/outstanding-violations-followSafety of Infrastructure (Follow-Up)
… of implementation of the two recommendations included in our original report, Safety of Infrastructure (2012-S-29). … identified. We found staff were actively involved in inspecting facilities and repairing any hazardous … of October 2010, there was a backlog of over $1.1 billion in improvements that needed to be made. In some cases, staff …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/safety-infrastructure-followProcurement and Contracting Practices (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, Procurement and Contracting Practices (Report 2010-S-71). Background In our initial audit report, which was issued on February 28, … as the New York State Office for Technology, resulted in the best value for taxpayers, consistent with applicable …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followState Agency Small-Dollar Purchases (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, State Agency Small-Dollar Purchases (2009-S-56). Background In our initial audit report, which was issued on September 9, … of implementation of the three recommendations included in our initial report. Key Findings OGS officials made …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/state-agency-small-dollar-purchases-followManagement of Energy Consumption (Follow-Up)
… extent of implementation of the two recommendations made in our initial report, Management of Energy Consumption ( … achieved the 35 percent energy reduction goals set forth in Executive Order 111. Key Findings We determined that OCFS has implemented both recommendations made in our initial report. OCFS has developed and implemented a …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/management-energy-consumption-follow