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Subway Wait Assessment (Follow-Up)
… in our initial report, Subway Wait Assessmen t ( 2014-S-23 ). Background Our prior audit determined that wait …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/subway-wait-assessment-followAssessment and Collection of Selected Penalties
… made by the carrier, the law requires WCB to impose a $50 penalty (HP-1 penalty) on the carrier. The proceeds of these penalties are …
https://www.osc.ny.gov/state-agencies/audits/2013/09/24/assessment-and-collection-selected-penaltiesMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… Patient Groups (APG) payment methodology covers most medical outpatient services. Claims are reimbursed based on a … APGs were then implemented in freestanding diagnostic and treatment centers and freestanding ambulatory surgery centers …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care companies administer Medicare … plan providers bill Medicaid directly for the enrollee’s Part C cost-sharing liabilities (deductibles, coinsurance, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsSelected Financial Management and Administrative Practices
… Purpose To determine whether the Office of the Nassau County Public Administrator (NCPA) operates in compliance … in 11 counties in the State, including Nassau County. Public Administrators are responsible for … not covered by the Public Administrator’s appropriated county budget and prior to liquidating estate assets. The …
https://www.osc.ny.gov/state-agencies/audits/2015/04/28/selected-financial-management-and-administrative-practicesMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide information on …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… Out-of-State Ambulatory Surgery Services (Report 2009-S-29). Background Our initial audit report, which was issued on … to New York State Medicaid recipients. For the period from April 16, 2004 through June 30, 2009, auditors identified … for Out-of-State Ambulatory Surgery Services ( 2009-S-29 ) …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followBus Driver Licensing (Follow-Up)
… meet the requirements of Article 19-A, but were allowed to drive buses transporting an estimated 8,400 passengers on a …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/bus-driver-licensing-followForensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)
… related to Hours of Service that may have been avoidable. For calendar 2010, we determined that these practices cost … these payments will inflate future pension payments for these employees by about $5.5 million. We also found …
https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government … contracts with Empire BlueCross BlueShield (Empire) to administer the hospitalization portion of the Plan. Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughSuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… administers the State’s Medicaid program, which provides a wide range of health care services, including dental …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… recommendations included in our initial audit report, United HealthCare - Payments for Fraudulent and Improper … that patients actually picked-up the drugs billed to United HealthCare (United). Moreover, as a result of our … of Interest New York State Health Insurance Plan: United HealthCare - Payments for Fraudulent and Improper …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyAccess-A-Ride Accident Claims (Follow-Up)
… of implementation of the 11 recommendations included in our initial report, Access-A-Ride Accident Claims ( 2012-S-12 ). Background Our initial report, … initially increased, but decreased between 2010 and 2012. In regards to the actions the Paratransit Division and …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-followBenefit Eligibility Assessment Process (Follow-Up)
… the Office of Temporary and Disability Assistance’s (OTDA) Fair Hearing process was used only as necessary. The audit … through September 30, 2013. We found that HRA applied a fair and consistent assessment process when determining … and costly, and in some cases unnecessary, OTDA Fair Hearings. These hearings were unnecessary because the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/benefit-eligibility-assessment-process-followCompliance With Payment Card Industry Standards
… the use of internal security-based questionnaires. All industries that accept credit cards as a method of payment … SUNY colleges. Revise contract templates for affiliates to address PCI DSS regulations and require affiliates’ …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standardsAdministration of Tenant Complaints
… New York State Homes and Community Renewal’s Office of Rent Administration addresses tenant complaints in a timely … housing in New York State. The Division’s Office of Rent Administration (Office), the subject of this audit, is responsible for administering New York State’s rent laws. These laws are designed to provide decent, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/11/administration-tenant-complaintsOutstanding Violations (Follow-Up)
… ). Background Our initial report, issued on December 1, 2011 found that New York City Department of Buildings … violations were resolved quickly. As a result, some Class 1 violations remained open for as long as six months before …
https://www.osc.ny.gov/state-agencies/audits/2014/10/15/outstanding-violations-followSafety of Infrastructure (Follow-Up)
… repairing any hazardous conditions identified. We found staff were actively involved in inspecting facilities and … to prevent public access, or in the most extreme cases, to close individual amenities or even sections of the parks to … infrastructure problems are likely to remain unaddressed for an extended period of time. Key Findings We found Parks …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/safety-infrastructure-followState Agency Small-Dollar Purchases (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … transactions using paper-based voucher processes instead of the State procurement card, and to identify potential cost … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/state-agency-small-dollar-purchases-followManagement of Energy Consumption (Follow-Up)
… Purpose To determine the extent of implementation of the two … OCFS has developed and implemented a centralized plan to reduce energy consumption. OCFS now retains energy usage … Compliance With Executive Order 111 Requirements to Purchase Power From Renewable Sources (2008-S-74) …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/management-energy-consumption-follow