Search
Oversight of Obesity and Diabetes Prevention Programs
… on impact or identify performance patterns and trends for many of the outputs it funds. The Department made … $5,811 to two contractors. One contractor received $5,751 for personal service costs that were not allowable and a … are outcome-based and correlate to Department expectations for the individual programs it is funding. Ensure that costs …
https://www.osc.ny.gov/state-agencies/audits/2018/09/17/oversight-obesity-and-diabetes-prevention-programsUnited HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… made in our audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebates … (Report 2014-S-62). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to about 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2016, eMedNY processed about 200 million claims, resulting in payments to providers of about $29 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Facility Structure, Safety, and Health Code Waivers (Follow-Up)
… by the Department of Health (Department). Regulations permit the Department to grant waivers, temporary or …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/facility-structure-safety-and-health-code-waivers-followTrash Can Free Stations Pilot Program (Follow-Up)
… of implementation of the three recommendations included in our initial report, Trash Can Free Stations Pilot Program … 22, 2015, determined there were significant limitations in Transit’s methods to evaluate the progress of the Pilot … population and whether it should have been expanded. In addition, the effectiveness of the Pilot Program was not …
https://www.osc.ny.gov/state-agencies/audits/2017/02/14/trash-can-free-stations-pilot-program-followAdministration of the Article 8-A Loan Program (Follow-Up)
… significant building violations and agreed-upon repairs go unaddressed by owners, contrary to contractual …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/administration-article-8-loan-program-followOversight of Homeless Shelters (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit … at shelters have improved. Of the original report’s five recommendations, four have been implemented and one has … To determine the extent of implementation of the five recommendations included in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followImproper Payments to a Physical Therapist (Follow-Up)
… a wide range of health care services, including physical therapy services, to individuals who are economically … physical therapist who owned and operated Madison Physical Therapy located in Brooklyn, New York, billed Medicaid in … rendered by other clinicians working for Madison Physical Therapy. In our initial audit report, we made two …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report 2013-S-57). Background The … care. For example, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn weighing …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followExamination of Unemployment Insurance Willful Overpayments
… at $4,022 that were under-assessed by NYDOL. In addition, staff recorded 6,405 overpayments incorrectly, but these … errors were caused by either NYDOL officials providing staff with unwritten agency policy that was contrary to law, or staff not following established procedures. Key …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/examination-unemployment-insurance-willful-overpaymentsExamination of Travel Expenses
… years 2013 and 2014. The objective of our examination was to determine if the Department continued to improperly designate the employee’s official station in … 2017. Background As reported in 2015-BSE1-04, according to the State’s travel rules and regulations, travel between …
https://www.osc.ny.gov/state-agencies/audits/2018/07/26/examination-travel-expensesMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … for services rendered to Medicaid eligible recipients, and it generates payments to reimburse the providers for … providers of about $25 billion. The claims are processed and paid in weekly cycles which averaged about 9 million …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… patient status codes and with high (intensive) levels of care that should have been based on less costly "alternate" levels of care; Claims for a recipient who did not live in New York … certain clinic services, physician-administered drugs, and vision care. Auditors recouped about $7.5 million of these …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2013, eMedNY processed about 188 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013MTA-NYC Transit Medical Assessment Centers
… performed medical examinations for NYC Transit and MTA Bus employees in an economical manner. The audit covered the … has six operating constituent agencies; two of them, MTA Bus Company (MTA Bus) and New York City Transit (Transit), provide bus … performed medical examinations for NYC Transit and MTA Bus employees in an economical manner …
https://www.osc.ny.gov/state-agencies/audits/2014/11/10/mta-nyc-transit-medical-assessment-centersCollection and Use of Oil Spill Funds
… Purpose To determine if the Department of Environmental Conservation … 845 of the Laws of 1977 established the Oil Spill Fund to pay for the cleanup and removal of petroleum spills. The … responsibility for the Fund as well as the duty to review and process all cleanup bills submitted for …
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-fundsMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… payments, including: $1,335,151 in overpayments for hospital claims for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in overpayments for pharmacy … improper payments for duplicate billings and hospital, clinic, transportation, and eye care services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Housing Preferences for Disabled Veterans (Follow-Up)
… to provide disabled veterans with a preference in the admission to Mitchell-Lama housing developments. Our initial …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/housing-preferences-disabled-veterans-followMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Medicaid program, which provides a wide range of health care services, including prescription drugs, to individuals … drugs that are highly prone to abuse are limited to a five-day supply, and others that carry less risk are limited to a 30-day supply. During the audit period, the Medicaid program …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsQuality of Internal Control Certifications (Follow-Up)
… Purpose In 2012, we conducted a series of audits at 12 State agencies … to determine the degree of implementation by each agency in submitting their 2013-14 Internal Control Certifications … of the seven common recommendations included in our series of reports. Background Our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/quality-internal-control-certifications-follow