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Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Payments for Fraudulent and … 10, 2015, William Davis pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. He was …
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)
… The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Plan covers many health care services, … discount revenue that was not credited to the Department for the period January 1, 2010 through December 31, 2012. … Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims Submitted by Davis Ethical …
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)
… and retired State, participating local government and school district employees, and their dependents. The Empire Plan …
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
… Offices and the Office of the State Comptroller (OSC) in reconciling employee Social Security numbers and … To ensure this requirement is met prior to W-2 production, OSC and agency Personnel/Payroll Offices reconcile Social … with Social Security Administration (SSA) twice a year. OSC Actions OSC has created a file of employee taxable wages …
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)
… Port Authority of New York and New Jersey (Authority) did not follow the New York State Department of Transportation … Instead, the Authority followed its own methods, but did not always comply with the Department’s requirement for an annual interim inspection if the repairs are not completed. Further, we noted that 10 of the 17 Safety …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followState Agencies Bulletin No. 1198
… Security number as the EMPLID in PayServ to using the NYS EMPLID, a system assigned number. This conversion results … typessubmitted to A.I. will need to have the new NYS Employee Id loaded into the EMPLID field [starting … has a valid SSN in the Hire transaction record, the NYS EMPLID value will be assigned during the pre-scrub …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1198-changes-automated-interface-transaction-processing-ai-agencies-onlyState Agencies Bulletin No. 1203
… Empl ID table to determine if an Empl ID was reserved for the person. If a reserved Empl ID is found for the Social Security Number associated with the New Hire … the Empl ID that was pre-assigned. See Bulletin No. 1204 for more information. Agency Actions Review the new Hire …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1203-changes-online-hire-transaction-entry-payservState Agencies Bulletin No. 783
… September 1, 1994, the Workers’ Compensation benefit for employees in the Management Confidential bargaining units … is deemed Workers’ Comp-eligible, there are two options: For employees who are not enrolled in the IPP program, … with the reason of WDL (Workers Comp Disability Leave). For employees who are enrolled in the IPP program and who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit report, Selected Operating and …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followControls Over Cash Advance Accounts (Follow-Up)
… Purpose To determine the extent of implementation of the eight … accounts received little scrutiny and made recommendations to improve internal controls over these accounts. As of March …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… ). Background Our initial audit report, which was issued on January 5, 2015, determined that, for the 27-month … 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy … issuance of the follow-up report to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… which direct that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 through June 30, 2014 for the Apple and Sour Cherry Market Orders and the period April 1, 2011 through March 31, 2014 for the Apple, Cabbage, and Onion Research and Development …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… Purpose To determine the extent of implementation of the one recommendation included in our initial audit report, … Background Our initial report, issued on September 26, 2012, examined whether Medicaid made inappropriate … for services rendered to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid …
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)
… in our initial audit report, New York State Psychiatric Institute - Controls Over State Resources (Report … 2008-S-145). Background The New York State Psychiatric Institute (Institute), established in 1895, is one of two clinical …
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)
… of implementation of the eight recommendations included in our initial audit report, Medicaid Claims Processing … providers, were accurately processed, and resulted in correct provider payments. We identified five reportable … condition entailed the identification and prevention of a potential $20.3 million overpayment resulting from a …
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 New York and New Jersey (Port Authority) generally did not have documentation to justify the need for new or renewed … services. In addition, the Port Authority did not provide documentation to support that it periodically … also found that the Port Authority's business model does not require the departments requesting these contracts to …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… during inspections. However, highway bridges were not always inspected timely, including three with flagged … conditions, and the Department of Transportation was not always notified of red flags within one week, as … the initial evaluations and plans of action were not documented for red-flagged bridges. Key Finding NYSTA …
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)
… Purpose To determine the extent of implementation of the eight recommendations included in our initial audit … (1) paying their rent on time, (2) paying the full amount of rent due under their contracts, and (3) making the capital …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
… In our initial audit report, which was issued March 29, 2011, our objective was to determine whether the New York …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-follow