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… Purpose To determine if the Health Information Management Department at Stony Brook University Hospital complied with applicable requirements … rights, and hiring and promotion practices. The Hospital’s Health Information Management Department (Department) is …

https://www.osc.ny.gov/state-agencies/audits/2014/09/16/health-information-management-department-selected-procurement-and-human-resources-practices

Selected Management and Operations Practices

… Executive Summary The New York Power Authority (NYPA) is a public authority created in 1931 … of New York signed into law the ReCharge New York (RNY) power program as part of Chapter 60 (part CC) of the Laws of 2011 (Law). RNY power is to be allocated to businesses and not-for-profits …

https://www.osc.ny.gov/state-agencies/audits/2016/08/01/selected-management-and-operations-practices

Overpayments of Certain Medicare Crossover Claims

… March 31, 2012. Background Many Medicaid recipients are also eligible for Medicare, the federal health insurance … disabilities. Individuals enrolled in both programs are commonly referred to as "dual eligible." In general, for … to Medicare. After Medicare processes the claims, they are electronically transferred to the Medicaid claims …

https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claims

Affordable Home Ownership Development Program

… Purpose To determine whether Affordable Home Ownership Development Program (Program) grant managers … grant monies to existing and prospective homeowners in compliance with Program criteria. Our audit covers the … Grant monies may be used for new construction, home improvements, or acquisition and repair projects. The …

https://www.osc.ny.gov/state-agencies/audits/2014/10/06/affordable-home-ownership-development-program

Selected Employee Travel Expenses

… between $100 million and $150 million each year on travel expenses. These expenses, which are discretionary and under the control of … was appropriate, we audited a total of $588,029 in travel expenses for 17 Department of Health (Department) employees. …

https://www.osc.ny.gov/state-agencies/audits/2014/05/22/selected-employee-travel-expenses

New 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-follow

Empire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)

… of the three recommendations made in our audit report, 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 NYSHIP. The Department of Civil Service contracts with Empire BlueCross BlueShield (Empire) to administer the …

https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-through

CVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)

… Objective To assess the extent of implementation of the two … audit report, Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Report 2019-S-51 ). About … To assess the extent of implementation of the two …

https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-follow

Improper Medicaid Payments for Terminated Drugs (Follow-Up)

… and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program …

https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-follow

New York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)

… two recommendations included in our initial audit report, New York State Health Insurance Program: Empire Plan Members … Family Coverage (Report 2019-S-23 ). About the Program The New York State Health Insurance Program (NYSHIP), …

https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-follow

Accuracy of Medicaid Eligibility Determined by NY State of Health (Follow-Up)

… in NYSOH data processing. However, further actions are required. For example, very little of the overpayments … and two were implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide information on any actions that are planned to address the unresolved issues discussed in …

https://www.osc.ny.gov/state-agencies/audits/2022/09/30/accuracy-medicaid-eligibility-determined-ny-state-health-follow

Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)

… coverage to people who are chronically ill or disabled and who wish to stay in their homes and communities. MLTC plans offer a range of services, such as home health care, nursing home care, dentistry, vision care, and durable medical …

https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-follow

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