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Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Overpayments to Managed Care … fixed monthly capitation payment for each newborn enrolled in the MCO. The MCO, in turn, is responsible for the provision of covered health … of implementation of the four recommendations included in our initial audit report Overpayments to Managed Care …
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
… was to determine whether NYDOL properly assessed penalties in accordance with Federal and State law for unemployment … An overpayment occurs when a claimant receives benefits in excess of the amount entitled. Overpayments are considered … We found NYDOL did not consistently assess penalties in accordance with law and/or NYDOL procedures resulting in …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/examination-unemployment-insurance-willful-overpaymentsExamination of Travel Expenses
… Purpose This is a continuation of our examination detailed in Report 2015-BSE1-04 , which … employee for calendar years 2013 and 2014. The objective of our examination was to determine if the Department … commuting and is not reimbursable. The official station of every employee is designated by the head of the agency and …
https://www.osc.ny.gov/state-agencies/audits/2018/07/26/examination-travel-expensesMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… of Health's eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were … program. The Department's eMedNY computer system processes Medicaid claims submitted by providers for services rendered … Related Audit/Report of Interest Department of Health: Medicaid Claims Processing Activity October 1, 2010 Through …
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
… of about $25 billion. The claims are processed and paid in weekly cycles which averaged about 6.8 million claims and …
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
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … Medicaid payments, including: $1,822,467 in payments for pharmacy claims that posed patient safety concerns or …
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
… visited. An employee could be paid as much as $360.22 at a depot that paid for a workday at overtime rates or as little as $86.28 at a depot that paid for three hours at regular pay. We determined … period. Key Recommendations Formally review the varying depot policies pertaining to time and attendance related to …
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 (Department) is collecting all … 1, 2012 through April 8, 2015. Background Chapter 845 of the Laws of 1977 established the Oil Spill Fund to pay for the cleanup … To determine if the Department of Environmental Conservation is collecting all fees due the …
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
… of about $25 billion. The claims are processed and paid in weekly cycles, which averaged about 4.3 million claims and …
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)
… two recommendations included in our initial audit report, Housing Preference for Disabled Veterans (2010-S-42). Background In November 2007, the Private Housing Law was amended to require housing companies to provide disabled veterans with a … two recommendations included in our initial audit report Housing Preference for Disabled Veterans 2010S42 …
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
… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances in compliance … supply. During the audit period, the Medicaid program paid pharmacy providers through the fee-for-service method and the … managed care method. Under fee-for-service, Medicaid pays pharmacy providers directly for drugs dispensed to Medicaid …
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)
… Department (2012-S-45) Division of Housing and Community Renewal (DHCR) (2012-S-31) Office of the Medicaid Inspector … and Historic Preservation (OPRHP) (2012-S-49) Office for People with Developmental Disabilities (2012-S-44) Office … to provide information on any actions that are planned to address the unresolved issues discussed in this review. …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/quality-internal-control-certifications-followWage Theft Investigations (Follow-Up)
… reports that track information to monitor these plans and alert senior management to accounts in arrears. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/05/22/wage-theft-investigations-followOversight of Procurements and Loan Programs
… Purpose To determine whether the Development Authority of the North … under Article 8, Title 29 of the Public Authorities Law to provide infrastructure services and economic development … a water/sewer facility. DANC’s operations provide services to customers at Fort Drum and in surrounding counties. DANC …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/oversight-procurements-and-loan-programsSelected Aspects of the Migrant Education Program (Follow-Up)
… recommendations to the Department to expedite the Service Delivery Plan update; develop methods to provide evaluation …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/selected-aspects-migrant-education-program-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… audit report, Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Report 2013-S-59). … The Act limits the quantities of controlled substances that pharmacies can dispense when prescriptions are ordered … report, which was issued on February 6, 2015, determined that, for the period January 1, 2009 through December 31, …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followCompliance With the Clery Act (Follow-Up)
… in our initial audit report, Compliance With the Clery Act (Report 2013-S-70). Background In 1990, Congress enacted the Clery Act, which requires colleges and universities to disclose … to develop strategies to enhance compliance with the Clery Act and to investigate and correct errors and discrepancies …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/compliance-clery-act-followControls and Accountability of Court, Trust and Bail Funds (Follow-up)
… (ATI) fees collected from bail cases. However, even after accounting for the ATI fees, there was a shortage of … Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/controls-and-accountability-court-trust-and-bail-funds-followReporting on Foreclosure of Real Property Funds – Kings County (Follow-Up)
… included in our initial audit report, Reporting on Foreclosure of Real Property Funds – Kings County ( Report 2013-S-2 ). Background Our initial report, issued on December 12, 2013, determined that referees did not always … errors. Ten of the 77 referees sampled were not listed on the Part 36 Eligible Fiduciary List as of December 28, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/reporting-foreclosure-real-property-funds-kings-county-followMedicaid Program – Overpayments of Ambulatory Patient Group Claims (Follow-Up)
… for clinic and ambulatory surgery services as well as hospital-based emergency room services. Our initial audit report, which was issued on …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/medicaid-program-overpayments-ambulatory-patient-group-claims-follow