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Reporting and Utilization of Bias Incident Data (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Reporting and Utilization of Bias … Data, issued September 25, 2014 ( 2014-N-2 ) . Background Our initial audit report, issued September 25, 2014, examined … of implementation of the four recommendations included in our initial audit report Reporting and Utilization of Bias …
https://www.osc.ny.gov/state-agencies/audits/2016/08/12/reporting-and-utilization-bias-incident-data-followAdministration of Fellowship Leaves (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Administration of Fellowship Leaves (Report 2011-S-20). Background Our initial audit report, issued October 9, 2013, examined … maintained by CUNY listing all fellowships granted during our audit period, and we found instances where fellowships …
https://www.osc.ny.gov/state-agencies/audits/2016/02/17/administration-fellowship-leaves-followSubway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Subway Service Diversions for … Maintenance and Capital Projects ( 2010-S-34 ). Background Our initial report, issued on July 29, 2011, determined that … of implementation of the five recommendations included in our initial audit report Subway Service Diversions for …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followInappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… of implementation of the two recommendations made in our audit report, Inappropriate Medicaid Payments for … and No Social Security Numbers (2010-S-29). Background Our initial audit report, which was issued on July 24, 2012, … Medicaid payments. For the three years ended May 31, 2010, our audit identified $17.3 million in Medicaid overpayments …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare Crossover … owed, which often led to incorrect Medicaid payments. Our initial audit report, which was issued on January 10, … of implementation of the five recommendations made in our audit report Overpayments of Certain Medicare Crossover …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background Our initial audit report, issued on August 16, 2010, examined … the period September 1, 2004 through August 31, 2009. Our audit identified $40 million of excessive dental services …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followContract with EBSCO Subscription Services, Inc. (Follow-Up)
… entities. EBSCO Subscription Services Inc. (EBSCO) is the largest provider in this contract group. Its current five-year contract is valued at $140 million and expires December 31, 2015. In …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… care, hospice, and home health services. If an individual is enrolled in both Medicaid and Medicare (commonly referred to as "dual-eligible"), Medicare is the primary payer and generally covers most of the …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followNew 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-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… referred to as "dual eligible." Generally, Medicare is the primary payer of claims for services provided to … adjudicates a claim, Medicaid pays the balance that is not covered by Medicare and would otherwise be the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followManagement of General School Funds (Follow-Up)
… of implementation of the nine recommendations included in our initial audit report, John F. Kennedy Educational Campus: … of General School Funds (Report 2009-N-11). Background Our initial report, issued on May 25, 2010, found that New … have made progress in addressing the issues identified in our initial report. Of the nine prior recommendations, six …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followManagement and Control of Employee Overtime Costs (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Management and Control of Employee Overtime Costs ( 2009-S-87 ). Background Our initial report, issued on August 17, 2011, determined … made some progress in addressing the issued identified in our initial report. Of the four prior audit recommendations, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… of implementation of the five recommendations made in our audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background Our initial audit report, which was issued on September 19, … was paid directly to providers on a fee-for-service basis. Our initial audit concluded that the Department could save …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… of implementation of the five recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report 2010-S-66). Background Our initial audit report, which was issued on July 24, 2012, … made progress in addressing the problems we identified in our initial audit report. This included the recovery of $6.4 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followAmerican Academy of Pediatrics, District II
… has been paid except as stated and that the balance is actually due and owing” which our examination revealed to …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Enhanced Medicaid Payments to … Care Service Providers (Report 2009-S-25). Background Our initial audit report, which was issued on September 24, … did not implement the four recommendations we made in our initial audit report and further actions are still …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… employees and their dependents. The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The … the Plan. The Long Island Health Network (Health Network) is comprised of ten hospitals, including John T. Mather …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… "edits" are used to detect duplicate claims when one claim is billed as part of the automated crossover system and a second claim is submitted directly to Medicaid for payment. However, the …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followChemical Dependency Program Payments to Selected Contractors in New York City (Follow-Up)
… of implementation of the seven recommendations included in our initial audit report, Chemical Dependency Program … in New York City (Report 2007-S-60). Background Our initial audit report, which was issued on May 6, 2010, … that OASAS recover all $8.4 million. The objective of our follow-up was to assess the extent of implementation, as …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/chemical-dependency-program-payments-selected-contractors-new-york-city-follow2014 Year End Report
… Purpose The objective of our examination was to determine whether payments to … edits and validation checks, approved, and submitted to our Office for approval prior to payment by the Board.Triad … claims processed by the Board and SFCC and submitted to our Office for approval. If either the Board or our Office …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-report