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Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… whether Empire BlueCross BlueShield's (Empire) payments for certain special items were reasonable in relation to the … portion of the Empire Plan (Plan), which includes coverage for inpatient and outpatient hospital services. 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-period-january-1-2011-throughWayland-Cohocton Central School District – Lead Testing and Reporting (2024M-118)
… health department, and officials did not notify staff, parents and/or guardians of these results in writing, as …
https://www.osc.ny.gov/local-government/audits/school-district/2025/01/17/wayland-cohocton-central-school-district-lead-testing-and-reporting-2024mCollection of Medicaid Accounts Receivable (Follow-Up)
… Collection of Medicaid Accounts Receivables (Report 2009-S-59). Background Our initial audit report, which was issued … refer appropriate accounts receivable to the State Attorney General for collection. Key Finding Department and Office of …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/collection-medicaid-accounts-receivable-followTown of Gardiner – Town Clerk/Tax Collector (2024M-78)
… an increased risk that collections could have been lost or stolen. The Clerk did not: Deposit 54 clerk fees totaling … tax collections tested totaling $69,975 in a timely manner or in accordance with New York State Town Law (Town Law) … over $250 to be deposited within three days of receipt or Town Law Section 35 that requires tax collections to be …
https://www.osc.ny.gov/local-government/audits/town/2024/10/11/town-gardiner-town-clerktax-collector-2024m-78Medicaid Drug Rebate Program Under Managed Care (Follow-Up)
… the Department of Health (Department) took appropriate steps to maximize rebate collections on drugs dispensed to … 2014. We found that the Department did not take sufficient steps to maximize rebate collections on drugs dispensed to … programs, we strongly urge the Department to take the steps necessary to collect these rebates. The Department also …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-drug-rebate-program-under-managed-care-followThe Mitchell-Lama Program – Awarding Housing Units and Maintaining Waiting Lists (Follow-Up)
… persons in compliance with properly established lists. We found that applicants who were next in line for units in a … in Mitchell-Lama units) on the manually prepared lists or when those notations were made. We tested several notations … managing agents, nor did they take corrective actions, when appropriate. Key Finding HPD officials made considerable …
https://www.osc.ny.gov/state-agencies/audits/2017/03/23/mitchell-lama-program-awarding-housing-units-and-maintaining-waiting-lists-followSecurity Over Electronic Protected Health Information (Follow-Up)
… initial audit report, Security Over Electronic Protected Health Information (2014-S-67). Background Our initial audit … security program to protect the electronic protected health information (ePHI) it creates, receives, maintains, or … had taken many steps to safeguard its ePHI and meet Health Insurance Portability and Accountability Act security …
https://www.osc.ny.gov/state-agencies/audits/2016/10/07/security-over-electronic-protected-health-information-followAssertive Community Treatment Program (Follow-Up)
… Background The New York State Office of Mental Health (OMH) promotes the mental health and well-being of all New Yorkers. Its mission is to … Treatment Planning, Motivational Interviewing, Wellness for Transition, and Child and Adult Integrated …
https://www.osc.ny.gov/state-agencies/audits/2017/01/11/assertive-community-treatment-program-followAccountability for Traffic Ticket Surcharges (Follow-Up)
… Traffic Violations Bureaus (TVBs) were established to run the State’s administrative adjudication program, which is intended in part to divert such high-volume non-criminal … and the Division. However, we identified certain areas where the Department could make greater use of the data it …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/accountability-traffic-ticket-surcharges-followUse of State Appropriations
… which supports New York State’s wine and grape industry through research, promotion, and education. It is … ending March 2016. As of January 2016, the Foundation had received $3.4 million of this funding. Key Findings The … Foundation officials took prompt action during the course of the audit to address the issue we identified. …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsControls Over Cash Advance Accounts (Follow-Up)
… determined whether Parks needs their advance accounts and whether the money is properly accounted for and used for appropriate business expenses. We concluded that these accounts received little scrutiny and made recommendations to improve internal controls over …
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)
… Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). Background Our … of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We recommended the Department review … - Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (2014-S-5) …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followState Agencies Bulletin No. 783
… employees have an accident that is work-related and time from the job is missed and the missed time is deemed … that is work-related, the employee is placed on either Short or Long Term Disability after accruals are charged. … who have Workers’ Comp disabilities and must be placed on Short or Long Term Disability per Civil Service Attendance …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialEffectiveness of the Information Technology Transformation
… we found that ITS is currently in its fourth year, and only one of these initiatives (Email Consolidation and …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationPayments 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-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate Revenue ( … of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s prescription … of 3 recommendations made in our intl audit report United HealthCare Insurance Company of New York Empire …
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 …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughInspecting Highway Bridges and Repairing Defects (Follow-Up)
… 2014, found that the Port Authority of New York and New Jersey (Authority) did not follow the New York State …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… were not held accountable for their work performance and time and attendance. In addition, the Assistant Vice President … the three prior audit recommendations, one was implemented and two were partially implemented. Key Recommendation …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… State costs related to site investigation and remediation, bill for and collect these costs from responsible parties in … billing process and the timeliness of billing. However, bill preparation is a very time-consuming process and billing … which delays recovery of some State costs until the next bill is prepared. We reviewed 21 bills for eight sites and …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recovery