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Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy … the improper claims well outside of normal business hours and often lacked records verifying that patients actually … Ethical routinely submitted fraudulent claims to Medicaid and received payments for those claims. We coordinated our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… $694,227 in drug rebate and discount revenue that was not credited to the Department for the period January 1, 2010 … recommendations, one was partially implemented, one was not implemented and one was no longer applicable. Key …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… and retired State, participating local government and school district employees, and their dependents. The Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughState Agencies Bulletin No. 907
… 1 = SSN not in file (never issued) 5 = Name does not match; DOB and gender code not checked 6 = Contact local SSA … information reported in the State payroll system does not match the information on the Social Security card, the agency … on the report as Deceased when the payroll record does not match the deceased information provided by SSA. When an …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/907-verification-employee-social-security-numbers-and-names-reported-w-2Inspecting Highway Bridges and Repairing Defects (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial report, … issued on May 19, 2014, found that the Port Authority of New York and New Jersey (Authority) did not follow the New …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followState Agencies Bulletin No. 1198
… Purpose To provide agencies information regarding changes in the … submitting transactions via Automated Interface Effective Date(s) All Automated Interface transaction files submitted … a system assigned number. This conversion results in a change to the way the Automated Interface files will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1198-changes-automated-interface-transaction-processing-ai-agencies-onlyState Agencies Bulletin No. 1203
… Empl ID table to determine if an Empl ID was reserved for the person. If a reserved Empl ID is found for the Social Security Number associated with the New Hire … the Empl ID that was pre-assigned. See Bulletin No. 1204 for more information. Agency Actions Review the new Hire …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1203-changes-online-hire-transaction-entry-payservState Agencies Bulletin No. 846
… partnership and collaborative efforts of agency Personnel/Payroll Offices and the Office of the State Comptroller (OSC) … employee Social Security numbers and names in the State payroll system with those of the Social Security Administration (SSA) system. Affected Employees Employees who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/846-verification-employee-social-security-numbers-and-names-2008-w-2State Agencies Bulletin No. 783
… is work-related, the employee is placed on either Short or Long Term Disability after accruals are charged. Both options … Workers’ Comp disabilities and must be placed on Short or Long Term Disability per Civil Service Attendance and Leave … STO (Short Term Disability) WCL (Workers Comp IPP) LTO (Long Term Disability) WCL (Workers Comp IPP) Additional Pay …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… Purpose To determine the extent of implementation of the five … several areas where the Bureau could improve its ability to ensure its resources are used effectively to stem drug …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followControls Over Cash Advance Accounts (Follow-Up)
… of implementation of the eight recommendations included in our original report, Controls Over Cash Advance Accounts … Fund – $1,500. Key Finding Parks made significant progress in correcting the problems we identified in the initial report. Of the eight prior audit …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Improper Fee-for-Service … Key Finding Department officials have made some progress in addressing the problems we identified in the initial audit report. However, further actions are …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… accurately report its assessable expenses related to its administration of Article 25 of the Agriculture and Markets … Background Within the Department, the Market Order Administration unit is responsible for administration of all farm product market orders, except …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… Charges (2011-S-33). Background Our initial report, issued on September 26, 2012, examined whether Medicaid made … billed Medicaid for excessive amounts of coinsurance on 497 claims for clinic services. Because of the excessive …
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)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit report, Rebates and Discounts on …
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)
… of implementation of the seven recommendations included in our initial audit report, New York State Psychiatric Institute - Controls Over State … to provide information on any actions that are planned to address the unresolved issues discussed in this review. … To …
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)
… Purpose To determine the extent of implementation of the eight recommendations included in … - October 1, 2008 through March 31, 2009 (Report 2008-S-155). Background Our initial audit report, issued December … accurately processed, and resulted in correct provider payments. We identified five reportable conditions. The first …
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)
… ( 2009-S-54 ). Background Our initial report, issued on July 19, 2011, determined that the Port Authority of New … issuance of the follow-up review to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Inspecting Highway Bridges and Repairing Defects (Report 2012-S-33). Background In our initial audit report, which was issued on Report April … NYSTA implemented the three recommendations we made in our initial report. Key Recommendations None Other Related …
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)
… 2010, our objective was to determine whether the New York State Thruway Authority (NYSTA) adequately ensured that fuel … Other Related Audits/Reports of Interest New York State Thruway Authority: Gas Prices at Thruway Travel Plazas (2008-S-159) New York State Thruway Authority: Gas Prices at Thruway Travel Plazas …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-follow