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Oversight of International Offices (Follow-Up)
… in our initial audit report, Oversight of International Offices (Report 2012-S-7). Background Our initial audit … significant improvements in managing payments to foreign offices, it did not have an appropriate monitoring system to evaluate foreign offices’ activities against contract performance …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/oversight-international-offices-followInfrastructure Inspection and Maintenance (Follow-Up)
… was completed, the Power Authority was in the process of transitioning the Corporation’s operations, effective January …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/infrastructure-inspection-and-maintenance-followCost Reporting of Programs Operated by Gateway-Longview, Inc.
… 1, 2008 through June 30, 2011. Background Gateway, located in Buffalo, New York, is a not-for-profit organization that … ended June 30, 2011, Gateway received about $68.6 million in revenue from government sources. Key Findings For our … audit period, we disallowed a total of nearly $2.4 million in ineligible costs, including costs lacking required …
https://www.osc.ny.gov/state-agencies/audits/2014/12/30/cost-reporting-programs-operated-gateway-longview-incEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughAdministration of Fellowship Leaves
… are awarded such leaves for authorized purposes and are in compliance with all applicable requirements. The audit … improve the recipient's teaching skills, perform research in the recipient's respective field of study, or conduct creative works in literature or the arts. Fellowship recipients are required …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/administration-fellowship-leavesUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… acupuncture service. Key Findings We identified $7,331,458 in actual and potential overpayments for services not … payments during our audit period. We found: $210,068 in overpayments from a random sample of 836 services, from 10 … that United made overpayments of $7,010,427. $223,765 in duplicate payments for services already paid on another …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… of deductibles and coinsurance that Medicaid would pay on FFS claims for dual-eligibles. The objective of our … prior to the date the new IB-Dual rate became effective. Key Findings DOH officials have made significant progress in … two were implemented and two were partially implemented. Key Recommendation DOH officials are requested, but not …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35 ). … program. Many Medicaid recipients are also enrolled in Medicare. Under the Medicare buy-in program (Buy-in …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… providers. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, … patient was transferred or discharged at the end of their stay. These codes are important because reimbursement …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followReal Estate Portfolio (Follow-Up)
… Purpose To determine the extent of implementation of the nine recommendations included in our initial report, Real … The New York Power Authority’s (NYPA) mission is to “provide clean, low-cost and reliable energy consistent … To determine the extent of implementation of the nine …
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/real-estate-portfolio-followDepartment of Health (Department) Examination of Travel Expenses
… Purpose The objective of our examination was to determine if the travel expenses claimed by a Department employee during the period of February 23, 2012 through December 31, 2017 were … The objective of our examination was to determine if the travel expenses claimed by a Department employee during the period of February 23 2012 …
https://www.osc.ny.gov/state-agencies/audits/2019/03/20/department-health-department-examination-travel-expensesOperational Training and Medical Assessments of Train Crews (Follow-Up)
… and how to respond in situations that may delay trains en route, it is essential that SIR ensure train crews take …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/operational-training-and-medical-assessments-train-crews-followAdequacy of 2021 Budgets - City of Saratoga Springs (S9-21-10)
… and temporarily or permanently reduce staff positions. In addition, some local officials have decided to delay capital projects, which could result in future delays to other projects to maintain and improve … Springs (City) is one of the local governments included in our review. The City is located in Saratoga County. Key …
https://www.osc.ny.gov/local-government/audits/city/2021/05/14/adequacy-2021-budgets-city-saratoga-springs-s9-21-10Medicaid Program – Managed Care Payments for Services Not Coordinated Through Recipient Restriction Program Providers
… adequate oversight to ensure managed care recipients in the Recipient Restriction Program received services from … and abusing the Medicaid program. Medicaid recipients in the Restriction Program must receive certain care through … restrictions, identifying recipients who should be placed in the program, and ensuring restricted services are provided …
https://www.osc.ny.gov/state-agencies/audits/2024/11/26/medicaid-program-managed-care-payments-services-not-coordinated-through-recipientDriver Responsibility Assessment Program
… secure identity documents, to deliver essential motor vehicle and driver-related services, and to administer motor vehicle laws enacted to promote safety and protect consumers. … of Motor Vehicles: Oversight and Collection of Snowmobile Registration Fees (2011-S-54) Department of Motor Vehicles: …
https://www.osc.ny.gov/state-agencies/audits/2014/10/09/driver-responsibility-assessment-programSecurity and Effectiveness of the Department of Labor’s Unemployment Insurance System
… the Department of Labor’s (Department) Unemployment Insurance System is secure, operating effectively, and … and efficient operations. Key Findings The Unemployment Insurance System data has not yet been classified as required … Security Policy, even though 80 of the 83 unemployment insurance applications in use by the Department have been …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-department-labors-unemployment-insurance-systemImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… or fax. Our initial audit report, which was issued on February 6, 2015, determined that, for the period January … certain controls to prevent further improper payments. Key Finding Department officials made progress in addressing … five were implemented and one was partially implemented. Key Recommendation Officials are given 30 days after the …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followReporting and Utilization of Bias Incident Data
… Purpose To determine whether the New York City Police Department (NYPD) is accurately collecting, recording, and reporting bias … whether NYPD officers receive sufficient training to enable them to identify and handle all possible bias … To determine whether the New York City Police Department NYPD …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/reporting-and-utilization-bias-incident-dataExamination of Unemployment Insurance Benefits
… Purpose The objectives of our examination were to determine if Unemployment Insurance (UI) payments made by … action based on the results of our findings. Background To accomplish our objectives, we used automated “filters” and performed file matches to select payments for examination based on ris k . We …
https://www.osc.ny.gov/state-agencies/audits/2014/06/09/examination-unemployment-insurance-benefitsRailroad Bridge Inspection Program
… management plans on hand are an average age of 10 years old and some may no longer be relevant. Also, the Department …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-program