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Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… what extent nursing home claims exceeded the bed reserve day limits. During the five year audit period ended March … for bed reserve claims that exceeded the bed reserve day limit. However, because reimbursement rates were the same for both standard and reserve care during our audit period, we determined no significant …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followWage Subsidy and Transitional Employment Programs (Follow-Up)
… eligible public or private not-for-profit organizations (contractors) to employ eligible individuals or act as the employer themselves. Contractors reimburse employers for their wage subsidy costs … the subsidized employment period). For each participant, contractors make subsidy payments to employers for 75 percent …
https://www.osc.ny.gov/state-agencies/audits/2017/03/09/wage-subsidy-and-transitional-employment-programs-followSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… was effectively and efficiently combating prescription drug diversion and abuse in New York State, in large part … to ensure its resources are used effectively to stem drug diversion and abuse through a range of efforts, from …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… report, Empire BlueCross BlueShield: Selected Payments for Special Items for the Period April 1, 2011 Through June 30, … hospitals may be entitled to additional payments for special items (such as implants and drugs) that are not … agreements with member hospitals limit payments for special items, while agreements with other hospitals do not …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughOpinion 2002-11
… of call. It is evident, however, that each call run may only be applied under one category or the other. Therefore, …
https://www.osc.ny.gov/legal-opinions/opinion-2002-11-0Opinion 2000-15
… [12]) indicate that these definitions in VFBL §3(1) relate only to volunteer firefighters of fire departments and …
https://www.osc.ny.gov/legal-opinions/opinion-2000-15Housing Preferences for Veterans (Follow-Up)
… City Department of Housing Preservation and Development (NYC HPD). We specifically found two housing companies in … veterans had been identified on their waiting lists. NYC HPD approved many of these non-veterans’ applications, … included in our initial report. Key Finding NYC HPD has made progress in addressing the issues identified …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followOpinion 2001-14
… or statutory amendments that bear on the issues discussed in the opinion. CONFLICTS OF INTEREST -- Contracts … meaning of General Municipal Law, article 18) -- Interest in Contract (municipal officer or employee not deemed to have interest in intermunicipal agreement) MUNICIPAL COOPERATION -- …
https://www.osc.ny.gov/legal-opinions/opinion-2001-14State Agencies Bulletin No. 647
… Arbitration Award 1A 2004-009 provides for salary and other increases for these arbitration eligible employees … administrative purposes to aid in processing of the award and future payments. There is no change to the actual … will take effect for checks dated 8/17/06 (Institution) and 8/23/06 (Administration) OSC Actions OSC has created new …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/647-new-bargaining-unit-payroll-code-change-non-arbitration-eligibleInspecting Highway Bridges and Repairing Defects (Follow-Up)
… not always notified of red flags within one week, as required. Furthermore, the initial evaluations and …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… included in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). … included in our initial audit report Travel Plaza Revenues and Capital Improvements …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
… Purpose To determine the extent of implementation of the three … report, which was issued March 29, 2011, our objective was to determine whether the New York City Department of … without sufficient documentation under SED guidelines to support a discharge classification. Specifically, when we …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followRainbow Rhymes Learning Center (Follow-Up)
… the implementation status of the three recommendations in our initial report, State Education Department: Rainbow … supported. We found that Rainbow claimed $473,815 in expenses that were either not adequately supported, not … $166,665 of payments to Rainbow which we did not include in our audit; and develop and implement a monitoring system …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followOversight of Grants (Follow-Up)
… Purpose To assess the extent of implementation as of March 7, 2014 of the eight recommendations in our initial audit report, … To assess the extent of implementation as of March 7 2014 of the eight recommendations in our initial …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for excessive amounts of coinsurance on 497 claims for clinic services. Because of the excessive claims, Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… in an office setting. To reduce Medicaid costs for prescription drugs, the federal government established … to pass on the savings to Medicaid when they submit claims for 340B drugs. Our initial audit report, which was issued on … Department actions are still needed as millions of dollars in rebates remain uncollected. From April 2011 …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… (OMH). The Institute conducts clinical trials and research studies relating to the treatment of mental illness. The …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… from approved providers, were accurately processed, and resulted in correct provider payments. We identified five … The first reportable condition entailed the identification and prevention of a potential $20.3 million overpayment … five recommendations have been implemented and three recommendations have been partially implemented. …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followContracts for Personal and Miscellaneous Services (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit … on July 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… MCOs (referred to as encounter claims), including a drug’s National Drug Code (NDC). The NDC is a unique number that serves as a universal product identifier for each medication and is the basis for the Department’s manufacturer rebate requests. The Department’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-care