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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield Selected … To determine the extent of implementation of 3 recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) acquired Medco. Our initial audit report, … throughout the course of our initial audit, United and Express Scripts delayed access to information we requested …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… included in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, … fraudulent claims to Medicaid and received payments for those claims. We coordinated our audit and investigative …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followSelected Employee Travel Expenses
… the control of agency management, include lodging, meals, car rentals, transportation, fuel, and incidental costs such … Recommendations Ensure that travelers obtain prior written approval from the finance office to exceed the federal per …
https://www.osc.ny.gov/state-agencies/audits/2013/09/04/selected-employee-travel-expenses-0Overpayments of Claims for Selected Professional Services (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Overpayments of Claims for Selected Professional Services (Report … To determine the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followReStacking Occupancy Initiative
… Purpose To determine whether the ReStacking Occupancy Initiative, as executed by the Office of General Services … April 1, 2011 to June 19, 2014. Background One cost-saving initiative recommended by the State’s Savings and Government … occupied by State agencies. The Commission predicted this initiative could save the State more than $21 million, and …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/restacking-occupancy-initiativeControls Over Revocable Consents (Follow-Up)
To determine the extent of implementation of the five recommendations in our initial audit report Controls Over Revocable Consents Report 2018N1
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/controls-over-revocable-consents-followMedicaid Program – Oversight of Managed Long-Term Care Member Eligibility
… Objective To determine whether the Department of Health (Department) made improper Medicaid managed long-term care (MLTC) premium payments on behalf of ineligible enrollees. The audit covered the period from January 2015 to March 2021. About the Program Many of the State’s Medicaid recipients are enrolled in MLTC …
https://www.osc.ny.gov/state-agencies/audits/2022/08/05/medicaid-program-oversight-managed-long-term-care-member-eligibilityImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… Objective To determine the extent of implementation of the 11 recommendations made in our initial audit report, … To determine the extent of implementation of the 11 recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followAccess Controls Over Selected Critical Systems (Follow-Up)
… Objective To assess the implementation of the two recommendations included in our original audit … owns approximately 60 computer systems, which are used to support its activities. OCFS’ system infrastructure is … To assess the implementation of the two recommendations …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followOversight of Construction Management Contracts
… includes 180 State parks with opportunities for hiking, camping, swimming, golfing, and snowmobiling as well as 38 historic sites. Parks oversees a range of capital projects to improve these sites. In an effort to ensure certain capital projects are …
https://www.osc.ny.gov/state-agencies/audits/2021/06/24/oversight-construction-management-contractsAccountability and Surplussing of Vehicles (Follow-Up)
… to OPWDD, as of February 2021, these four DDSOs had a fleet of about 455 vehicles. About 134 of the 455 vehicles … be used only for official State business, and OPWDD’s Fleet Management Policy (Policy) requires that a vehicle use … initial audit found OPWDD lacks sufficient controls over fleet vehicle management at the four NYC DDSOs to ensure that …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-followCompliance With Payment Card Industry Standards (Follow-Up)
… integrated system. CUNY’s Central Office is responsible for issuing various CUNY-wide policies in areas such as …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/compliance-payment-card-industry-standards-followProject Tracking Systems and Economic Assistance Program Evaluations
… through the efficient use of loans, grants, tax credits, real estate development, marketing, and other forms of assistance. …
https://www.osc.ny.gov/state-agencies/audits/2021/10/18/project-tracking-systems-and-economic-assistance-program-evaluationsOverpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… included in our initial audit report, Overpayments for Therapy Services and Prescription Drugs Covered by Medicare … Medicare program covers physical, occupational, and speech therapy services as well as prescription drugs. When these … overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-followSafety at Stations (Follow-Up)
… SIR is a separate operating unit, reporting to New York City Transit’s Department of Subways. SIR operates a single … terminal at Tottenville. Riders can connect with New York City Transit system buses at many of SIR’s 21 stations or to … the incident and prepares a SIR Infrastructure Department Station Inspection Form (Form). The completed Form is …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/safety-stations-followVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… to middle-income families. Clinton Towers, a federally subsidized Mitchell-Lama rental development in Manhattan, is … occur, applicants should generally be offered and awarded apartments in the order their names appear on the lists – … of Housing Preservation and Development’s (HPD) approval. Apartments in Mitchell-Lama developments tend to be very …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… from the Plans by the end of the audit. We also found the New York City Human Resources Administration misinterpreted …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up)
… rates based on shelter occupancy and type (i.e., family or single adult) and internal documents such as Budget … 351 registered contracts providing homeless shelters for single adults and families. Our initial audit report, issued …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-selected-fiscal-aspects-homeless-shelter-services-followRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit … Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Report … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-health