Search

… implementation status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for … members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate … the period from September 1, 2012 to August 31, 2013. In our initial audit, we reviewed a random sample of 245 …

https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-follow

Mainstream Managed Care Organizations – Administrative Costs Used in Premium Rate Setting (Follow-Up)

… Managed Care Organizations – Administrative Costs Used in Premium Rate Setting ( 2014-S-55 ). Background The … Managed Care Organizations – Administrative Costs Used in Premium Rate Setting ( 2014-S-55 ) … Mainstream Managed Care Organizations Administrative Costs Used in Premium Rate Setting 2014S55 …

https://www.osc.ny.gov/state-agencies/audits/2018/12/27/mainstream-managed-care-organizations-administrative-costs-used-premium-rate-setting-follow

Excessive Payments for Durable Medical Equipment Rentals (Follow-Up)

… of implementation of the seven recommendations included in our initial audit report, Medicaid Program – Excessive … monthly premium for each enrolled Medicaid recipient and, in turn, the MCOs arrange for the provision of health care … of monthly rental payments—many items have 10-month caps. In accordance with Medicaid regulations, when the monthly …

https://www.osc.ny.gov/state-agencies/audits/2024/12/04/excessive-payments-durable-medical-equipment-rentals-follow

Controls Over Cash Advance Accounts

… Purpose To determine whether the Department of Motor Vehicles has adequate controls over the cash advance accounts it oversees to ensure the money is … To determine whether the Department of Motor Vehicles has adequate controls over the cash advance …

https://www.osc.ny.gov/state-agencies/audits/2015/04/06/controls-over-cash-advance-accounts

Rainbow Rhymes Learning Center (Follow-Up)

… implementation status of the three recommendations in our initial report, State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial audit report, which was issued on August 6, 2010, … have made progress in addressing the matters in our initial report. Of the three prior audit recommendations, one …

https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-follow

College of Geneseo – Selected Employee Travel Expenses

… spend between $100 million and $150 million each year on travel expenses. These expenses, which are discretionary … and under the control of agency management, include car rentals, meals, lodging, transportation, fuel, and …

https://www.osc.ny.gov/state-agencies/audits/2013/02/28/college-geneseo-selected-employee-travel-expenses

College of Nanoscale Science and Engineering – Network Security Controls

… a global education, research, development and technology operation resource dedicated to preparing the next generation … with both public and private organizations. As part of these relationships, the College facilitates the …

https://www.osc.ny.gov/state-agencies/audits/2013/04/25/college-nanoscale-science-and-engineering-network-security-controls

Empire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011

… (Empire's) payments to Saratoga Hospital (Saratoga) for special items were made according to the provisions of … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …

https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-january

Empire BlueCross BlueShield Special Items Made to Englewood Hospital and Medical Center from January 1, 2011 through March 31, 2011

… and Englewood. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to Stony Brook University …

https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-special-items-made-englewood-hospital-and-medical-center

Selected Payments for Special Items Made to St. Mary's Hospital from January 1, 2011 through March 31, 2011

… determine if BlueCross BlueShield’s (Empire’s) payments to St. Mary’s Hospital (St. Mary’s) for special items were made according to the provisions of the agreement between Empire and St. Mary’s. Background The New York State Health Insurance … To determine if BlueCross BlueShields Empires payments to St Marys Hospital St Marys for special items were made …

https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-marys-hospital-january-1-2011-through-march-31-2011

Selected Payments for Special Items Made to Albany Medical Center from January 1, 2011 through March 31, 2011

… Empire and AMC. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to Stony Brook University …

https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-albany-medical-center-january-1-2011-through-march-31

Selected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011

… Purpose To determine if BlueCross BlueShield’s (Empire’s) payments to Mary Imogene Bassett Hospital (Bassett) for special items were made according to the provisions of the agreement between Empire and Bassett. Background The … To determine if BlueCross BlueShields Empires payments to …

https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-through

Thank you for subscribing to the Comptroller's Weekly Newsletter!

Thank you for subscribing to the Comptroller's Weekly Newsletter!