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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… of the Plan. Empire processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member hospitals. Payments for hospital services are generally based on standard fee …
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)
… special health care needs. Our initial audit identified a dentist, Lawrence Bruckner, whose Medicaid billing pattern … that were purportedly provided by another affiliated dentist. In addition, the dentists paid staff to recruit …
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)
… Background Our initial audit report, which was issued on August 13, 2013, determined that, for the period January 1, …
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)
… ( 2012-S-12 ). Background Our initial report, issued on April 24, 2014, determined that between 2008 and 2012 the … traditional carriers decreased and reliance on the black car services and taxis increased. The number of reported accidents also initially increased, but decreased between …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-followBenefit Eligibility Assessment Process (Follow-Up)
… Background Our initial audit, which was issued on May 28, 2014, determined whether the New York City Human … the Office of Temporary and Disability Assistance’s (OTDA) Fair Hearing process was used only as necessary. The audit … through September 30, 2013. We found that HRA applied a fair and consistent assessment process when determining …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/benefit-eligibility-assessment-process-followCompliance With Payment Card Industry Standards
… of New York (SUNY) schools are in compliance with Payment Card Industry (PCI) standards and whether SUNY System … All industries that accept credit cards as a method of payment must comply with the Data Security Standards (DSS) … data. SUNY schools accept credit cards as a method of payment (e.g., for tuition, housing, and meals), and as such …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standardsAdministration of Tenant Complaints
… New York State Homes and Community Renewal’s Office of Rent Administration addresses tenant complaints in a … New York State Homes and Community Renewal consists of all the State’s housing and community renewal agencies. These agencies include the Division of Housing and Community Renewal (Division), which is …
https://www.osc.ny.gov/state-agencies/audits/2014/12/11/administration-tenant-complaintsOutstanding Violations (Follow-Up)
… of the four recommendations included in our initial audit report, Outstanding Violations (Report 2010-N-5 ). Background Our initial report, issued on … of the four recommendations included in our initial audit report Outstanding Violations Report 2010N5 …
https://www.osc.ny.gov/state-agencies/audits/2014/10/15/outstanding-violations-followSafety of Infrastructure (Follow-Up)
… system. As of October 2010, there was a backlog of over $1.1 billion in improvements that needed to be made. In some … to make repairs, but in others had either opted to cordon off certain areas to prevent public access, or in the most … or completed 204 projects with total costs over $221 million using New York Works funds. However, additional work …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/safety-infrastructure-followProcurement and Contracting Practices (Follow-Up)
… in the State, seeking efficiencies, lower costs, and innovative solutions. With an annual budget of about $434 million, the …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followState Agency Small-Dollar Purchases (Follow-Up)
… in its efforts to increase State agencies’ P-Card use for small-dollar purchases. Aggregate P-Card use increased … have P-Cards during either year, and one used the P-Card for all purchases during both years. Key Recommendations None …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/state-agency-small-dollar-purchases-followManagement of Energy Consumption (Follow-Up)
… Purpose To determine the extent of implementation of the two … OCFS has developed and implemented a centralized plan to reduce energy consumption. OCFS now retains energy usage … Compliance With Executive Order 111 Requirements to Purchase Power From Renewable Sources (2008-S-74) …
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
… and nonoccupational disabilities and sickness. Coverage for these benefits, with limited exception, is to be provided … and assessing these costs on participating insurance carriers, self-insurers, and self-insured political … made minor calculation errors in the fiscal year 2011-12 assessment, resulting in a net understatement of $144,592 in …
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
… Purpose To determine whether the number of accidents involving vehicles providing services to … to immediately notify the Paratransit Division of any accidents/incidents and provide a written report within 24 … Bureau (CSB). CSB handles claims that result from the accidents. The 14 carriers are covered for personal injury …
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
… Medicaid overpaid Ambulatory Patient Groups claims because of deficiencies in the claims processing and payment system. The audit … program reimburses outpatient services through the use of the Ambulatory Patient Groups (APG) payment methodology. … overpaid Ambulatory Patient Groups APG claims because of deficiencies in the claims processing and payment system …
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)
… Purpose To determine the extent of implementation of the five recommendations included in our initial report, Reporting of Billboard Income ( 2011-N-2 ). Background Our initial … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2016/11/04/reporting-billboard-income-followMitchell-Lama Vacancies (Follow-Up)
… cooperative developments with approximately 47,000 total apartments. Apartments in Mitchell-Lama developments tend to be desirable … consequently, the waiting lists for many of these apartments can be quite lengthy. To ensure efficient turnover …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/mitchell-lama-vacancies-followWindows Domain Administration and Management
… of the State. ITS operates data centers 24 hours a day, 365 days a year to support statewide mission-critical …
https://www.osc.ny.gov/state-agencies/audits/2023/05/31/windows-domain-administration-and-managementEnforcement of the Mitchell-Lama Surcharge Provisions (Follow-Up)
… DHCR is several years behind in generating the match between tenants’ self-reported information and their … At the time of our review in 2017, DHCR’s most recent match was for 2012. Further, the Private Housing Finance Law …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/enforcement-mitchell-lama-surcharge-provisions-followSignal Maintenance, Inspections, and Testing
… Authority’s New York City Transit (NYCT) performed signal maintenance, inspections, and testing in compliance … for maintenance purposes. As of February 22, 2017, the signal system included 44,536 signal devices divided among 122 section locations. NYCT … Transportation Authoritys New York City Transit performed signal maintenance inspections and testing in compliance with …
https://www.osc.ny.gov/state-agencies/audits/2018/10/17/signal-maintenance-inspections-and-testing