Search
Upstate Medical University's Billing Practices
… error (e.g., data entry) or changes to the EPIC billing system, and thus not reflective of a systematic weakness in … process improvements, and moving to a new billing system (EPIC). Further, we found that Upstate has taken …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesPost-Retirement Reporting
… independent contractors/consultants) who were on payroll during the previous calendar year. If you submitted … use the Post-Retirement Reporting Page in Retirement Online if you: Still use legacy reporting; or Started using … report retirees who worked for you. Sign in to Retirement Online . From Account Homepage, click Submit Post-Retirement …
https://www.osc.ny.gov/retirement/employers/post-retirement-reportingMonitoring of Construction Management
… of General Services (Office) is adequately monitoring construction management contracts to ensure they meet the … this function are supported and related. The audit covered construction management contracts that were active between … through the provision of architectural, engineering, and construction management services for buildings statewide. To …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/monitoring-construction-managementLead Contamination of State Armories (Follow-Up)
… equipment. In September 2015, the National Guard Bureau’s Army National Guard (ARNG) issued guidance to all states …
https://www.osc.ny.gov/state-agencies/audits/2021/12/16/lead-contamination-state-armories-followImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). About the Program … in Medicare and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B … insurance for doctors’ services and outpatient care. Under Medicare Part C, companies administer Medicare benefits …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followOversight of Afterschool and Summer Youth Employment Contracts (Follow-Up)
… initial audit report, Oversight of Afterschool and Summer Youth Employment Contracts (Report 2017-N-7 ). About the Program The New York City Department of Youth & Community Development (Department) sponsors a network … of poverty and to provide opportunities for New York City youth and families. To achieve these goals, the Department …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/oversight-afterschool-and-summer-youth-employment-contracts-followImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… of the ten recommendations included in our initial audit report, Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers … of the ten recommendations included in our initial audit report Improper Managed Care Premium Payments for Recipients …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersOversight of Telemental Health Services
… the Office of Mental Health is adequately monitoring the delivery and performance of telemental health services and … likelihood for oversight issues to occur regarding the delivery of TMH services and a lack of assurance that … the Office of Mental Health is adequately monitoring the delivery and performance of telemental health services and …
https://www.osc.ny.gov/state-agencies/audits/2021/06/17/oversight-telemental-health-servicesResponsiveness to Noise Complaints Related to Construction Projects (Follow-Up)
… noise complaints were called in to New York City’s 311 system for the period January 1, 2014 through June 30, … construction noise complaints called into New York City’s 311 system had risen from 14,259 in 2010 to 37,806 in 2015, … problems. Neither DEP nor DOB accessed New York City’s 311 system as a resource to identify locations with multiple …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-construction-projects-followLow-Income Housing Trust Fund Program (Follow-Up)
… recommendations in our initial audit report, Low-Income Housing Trust Fund Program (Report 2013-S-32 ). About the … issued on August 25, 2014, examined whether Low-Income Housing Trust Fund Program (Program) funds were being awarded … manner to help meet the State’s critical low-income housing needs. The audit covered the period April 1, 2008 …
https://www.osc.ny.gov/state-agencies/audits/2020/04/02/low-income-housing-trust-fund-program-followProcessing of Sexual Offense Evidence Collection Kits
… processed Sexual Offense Evidence Collection Kits (kits) in compliance with Executive Law Section 838-a: Maintenance … and known offenders. The Executive Law, which was enacted in November 2016 and amended in February 2017, required all law enforcement agencies to …
https://www.osc.ny.gov/state-agencies/audits/2020/05/27/processing-sexual-offense-evidence-collection-kitsOversight of Passenger Safety (Follow-Up)
To determine the extent of implementation of the four recommendations made in our initial audit report Oversight of Passenger Safety Report 2017S50
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/oversight-passenger-safety-followImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71 ). About the Program Hospice is a … to as dual-eligibles), Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… education. The New York City Department of Education (DOE) – the nation’s largest school system – served … 192,000 of these students in the 2021-22 school year. The DOE is responsible for evaluating students to determine their … receive appropriate services. Toward this end, the DOE follows a multi-step evaluation and placement process. …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… 2021, was to determine if Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the … Program eligibility determinations and prevent improper premium payments. We found that Medicaid made $31.7 million in improper Medicare premium payments for individuals who did not have a benefit …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followControls Over Vehicle Use and Transportation-Related Expenses (Follow-Up)
… offices across the State, of which 10 operate repair shops responsible for the maintenance of Department vehicles. … Contractor provides a network of authorized private repair shops across the State for routine maintenance, repairs, … is required to negotiate costs with the private repair shops in its network and ensure costs are competitive and …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/controls-over-vehicle-use-and-transportation-related-expenses-followOversight of Sidewalk Sheds (Follow-Up)
… and property on city sidewalks during the construction, demolition, and maintenance of buildings. According to the … not implemented. Key Recommendation Officials are given 30 days after the issuance of this report to provide …
https://www.osc.ny.gov/state-agencies/audits/2023/07/06/oversight-sidewalk-sheds-followImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (Follow-Up)
… Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on … of health care services, including necessary durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Durable medical equipment encompasses devices and equipment that can …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/improper-medicaid-managed-care-payments-durable-medical-equipment-prosthetics-orthotics-andImproper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… Additionally, the provider's National Provider Identifier (NPI) must be included on Medicaid claims. The objective of … federal and State regulations that require an appropriate NPI for OPRA health care providers. The audit covered the … for Medicaid claims that did not contain an appropriate NPI in the OPRA fields. We determined Medicaid made over $1.5 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-and