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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: … processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member … Key Finding Empire officials made considerable progress in implementing the recommendations we made in our initial …
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)
… Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Report 2010-S-64). Background The … Lawrence Bruckner operated two office locations in Brooklyn, NY. Other dentists who reportedly practiced at the … services purportedly performed by the six dentists at the Brooklyn offices. Our initial audit report, which was issued …
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)
… of implementation of the three recommendations included in our initial audit report, United HealthCare - Payments for … Davis Ethical Pharmacy, pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. William Davis was sentenced … extent of implementation of 3 recommendations included in our initial audit report United HealthCare Payments for …
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)
… 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
… selected State University of New York (SUNY) schools are in compliance with Payment Card Industry (PCI) standards and … York (SUNY) is the largest comprehensive university system in the United States, consisting of 64 institutions and about … Among a range of issues, we identified weaknesses in: the completeness of systems’ component inventories; …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standardsAdministration of Tenant Complaints
… Office of Rent Administration addresses tenant complaints in a timely manner. Our audit period includes … development of affordable low- and moderate-income housing in New York State. The Division’s Office of Rent … three years - to be assigned. Of the complaints received in our scope period, 1,101 remained unassigned as of March 6, …
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-followAssessment of Costs to Administer the Workers’ Compensation Program for the Two Fiscal Years Ended March 31, 2013
… Compensation Board (Board) has adequate procedures in place to accurately report its assessable expenses related … our audit pursuant to legislative mandates included in these statutes, which direct that the Comptroller and the … the Board ascertain the annual amount of expenses incurred in the administration of these Laws. Our audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/assessment-costs-administer-workers-compensation-program-two-fiscal-years-ended-march-31Access-A-Ride Accident Claims
… leased from Transit as well as through several "black car" livery services and taxi companies. Transit has branded … year 2008 to calendar year 2012. Carriers and black car services are required to immediately notify the … First Mutual Transportation Assurance Company. Black car and taxi companies are required to maintain appropriate …
https://www.osc.ny.gov/state-agencies/audits/2014/04/24/access-ride-accident-claimsMedicaid Program – Multiple Same-Day Procedures on Ambulatory Patient Groups Claims
… Ambulatory Patient Groups claims because of deficiencies in the claims processing and payment system. The audit … was adopted by the Department of Health (Department) in an effort to more accurately pay providers for services … condition and complexity of service. The Department phased in the APG methodology beginning with hospital outpatient …
https://www.osc.ny.gov/state-agencies/audits/2014/08/12/medicaid-program-multiple-same-day-procedures-ambulatory-patient-groups-claimsReporting of Billboard Income (Follow-Up)
… of implementation of the five recommendations included in our initial report, Reporting of Billboard Income ( … Property Income Expense Statement (RPIE) billboard income. In addition, Finance was not doing enough to identify and … income estimated to generate $500,000 of tax revenue in the first year and up to $2.9 million of tax revenue in …
https://www.osc.ny.gov/state-agencies/audits/2016/11/04/reporting-billboard-income-followMitchell-Lama Vacancies (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Mitchell-Lama Vacancies (Report … the Program The Mitchell-Lama Housing Program was created in 1955 to provide affordable rental and cooperative housing … promoting the quality and affordability of NYC’s housing. In NYC, there are 93 HPD-supervised Mitchell-Lama rental and …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/mitchell-lama-vacancies-followWindows Domain Administration and Management
… of Information Technology Services has security controls in place to ensure appropriate management and monitoring of … controllers ultimately control access and authorization in a Microsoft Windows environment, it is vital to ensure that appropriate controls are in place and that policies and standards are being adhered …
https://www.osc.ny.gov/state-agencies/audits/2023/05/31/windows-domain-administration-and-managementEnforcement of the Mitchell-Lama Surcharge Provisions (Follow-Up)
… the extent of implementation of the recommendations in our initial audit report, Enforcement of the Mitchell-Lama … sampled developments, there were significant deficiencies in the processes used. We found that only 30 percent of the … income. Additionally, DHCR is several years behind in generating the match between tenants’ self-reported …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/enforcement-mitchell-lama-surcharge-provisions-followSignal Maintenance, Inspections, and Testing
… performed signal maintenance, inspections, and testing in compliance with federal, State, agency, and manufacturer … for these tasks. Maintenance of signals is critical in preventing subway delays. On much of the current system, … Depending on the location of the signal, this can result in significant delays for commuters. Each section location …
https://www.osc.ny.gov/state-agencies/audits/2018/10/17/signal-maintenance-inspections-and-testing