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Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… determined that Davis Ethical likely fabricated nearly all of the improper claims. Davis Ethical processed many of …
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)
… extent of implementation of the three recommendations made in our initial audit report, United HealthCare Insurance … and allocation of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) … was issued on September 26, 2014, identified $694,227 in drug rebate and discount revenue that was not credited to …
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)
… Program: Empire BlueCross BlueShield Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Report … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The New York State Department of Civil Service …
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)
… of implementation of the four recommendations included in our initial report, Inspecting Highway Bridges and … five years. Key Finding Authority officials made progress in correcting the problems we identified. Of the four prior … are planned to address the unresolved issues discussed in this review. … To determine the extent of implementation …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… in our report and seek repayment for any inappropriate or ineligible expenses. Strengthen policies and enforce …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Empire 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, 2011 … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughHousing Preferences for Veterans (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Housing Preferences for … report, issued on June 6, 2012, found that, although the New York State Legislature had extended the right of preference …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followOpinion 2002-11
… FIREFIGHTERS -- Service Award Programs (point accumulation for responding to both fire and ambulance calls) GENERAL MUNICIPAL LAW §217(c): For purposes of earning a year of firefighting service under … a fire district service award program that provides points for participation in department responses, a volunteer …
https://www.osc.ny.gov/legal-opinions/opinion-2002-11-0Opinion 2000-15
… the other of personnel, facilities, equipment or any other property or resources for fire-fighting (General Municipal …
https://www.osc.ny.gov/legal-opinions/opinion-2000-15State Agencies Bulletin No. 647
… in the Security Services Bargaining Unit are eligible for binding arbitration, the award is limited to those … eligible employees. Arbitration Award 1A 2004-009 provides for salary and other increases for these arbitration eligible employees in the Security …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/647-new-bargaining-unit-payroll-code-change-non-arbitration-eligibleOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). … for services rendered to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid … Medicaid if the individual is also enrolled in Medicaid. When this occurs, plan providers bill Medicaid for enrollees' …
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)
… of implementation of the five recommendations included in our initial audit report, Rebates and Discounts on … such as chemotherapy, are administered to patients by a medical professional in an office setting. To reduce Medicaid costs for …
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)
… $76.3 million, of which $44 million related to personal services. During the 12-month period ended July 31, 2013, the … the ownership and royalty rights for certain patented technologies developed on its premises and/or by its …
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)
… resulted in correct provider payments. We identified five reportable conditions. The first reportable condition entailed the identification and … file loaded onto the eMedNY system. The remaining four reportable conditions resulted in overpayments of …
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)
… of implementation of the five recommendations included in our initial audit report, Contracts for Personal and … renewed contracts for personal and miscellaneous services. In addition, the Port Authority did not provide documentation … work force of the Port Authority, but are not disclosed in the count of personnel necessary to accomplish the Port …
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)
… in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). Background In … were adequate to ensure fuel and food concessionaires pay full rent on time and make required capital improvements. … in one month tested, and as a result underpaid its rent for that month. Furthermore, we found that concessionaires …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
… when we examined DoE’s discharge classifications for its 2004-08 general education cohort (i.e., the students …
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 Program appropriate, or claimed for a period for which Rainbow was not entitled to receive …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-follow