Search
United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… LI Bone and Joint accepted the $7,360 as payment-in-full and waived the $1,840 due from the member. LI Bone and … account. Because LI Bone and Joint accepted $7,360 as the full payment, United should have only paid $5,888 on the …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… of the four recommendations made in our initial audit report, Questionable Payments for Practitioner Services and … Physician ( 2012-S-35 ). Background Our initial audit report, which was issued on September 18, 2015, found … pending the results of the investigation. Of the initial report’s four audit recommendations, all four were partially …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… audit report, Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report … providers for newborn services using the fee-for-service and managed care payment methods. Under fee-for-service, … of the audit was to determine if Medicaid overpaid MCOs and hospitals for low birth weight newborn claims. The audit …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followContracted Programs With Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc.
… Organization to Motivate, Enlighten and Serve Addicts, Inc. (PROMESA) to ensure that claims are allowable, properly … of $2.8 million, of which OASAS funded $2.3 million. Key Findings We found that despite two relatively recent … the one with PROMESA, require a significant commitment of resources to adequately address the scope of work required to …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/contracted-programs-puerto-rican-organization-motivate-enlighten-and-serve-addicts-incUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Ethical) is an independently owned pharmacy located in Rockville Centre, New York. For the period from January 1, …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Ethical is an independently owned pharmacy located in Rockville Centre, New York. For the period from January 1, …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followReview of the Local Development Corporation of Laurelton, Rosedale and Springfield Gardens (LDC)
… objectives, and was for expenses not previously paid from another funding source. Key Findings The LDC was able to … in supported expenses). Key Recommendations Recover from the LDC $11,965.91 in advances as appropriate. Ensure …
https://www.osc.ny.gov/state-agencies/audits/2015/08/24/review-local-development-corporation-laurelton-rosedale-and-springfield-gardens-ldcOversight of Career and Technical Education Programs in New York State Schools (Follow-Up)
… Oversight of Career and Technical Education Programs in New York State Schools (Report 2019-S-29 ). About the Program … approval structure (Local programs). Approximately 179,000 New York State students graduate high school annually. Of … Oversight of Career and Technical Education Programs in New York State Schools Report 2019S29 …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/oversight-career-and-technical-education-programs-new-york-state-schools-followMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… covered the period from January 2017 through November 2022. About the Program The Department of Health (Department) … the primary payer and Medicaid, as secondary payer, should pay any remaining liabilities, such as deductibles and …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andSelected Aspects of Leasing Practices for Real Estate Services Department and Port Commerce
… between New York and New Jersey, the Port Authority Bus Terminal in Manhattan, the George Washington Bridge Bus Station, and the World Trade Center (WTC). The PANYNJ has … ensure rents charged are consistent with market prices and rental properties generate optimal rental income. Implement …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/selected-aspects-leasing-practices-real-estate-services-department-and-port-commerceOversight of Security Expenses in Single Adult and Adult Family Homeless Shelters (Follow-Up)
… Objective To determine the extent of implementation of the ten recommendations included in our initial audit report, Oversight of Security Expenses in Single Adult and Adult Family Homeless Shelters (Report … To determine the extent of implementation of the ten recommendations …
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/oversight-security-expenses-single-adult-and-adult-family-homeless-shelters-followCity of Glen Cove Industrial Development Agency – Project Approval and Monitoring (2020M-139)
… - pdf ] Audit Objective Determine whether the City of Glen Cove Industrial Development Agency (GCIDA) Board of … have. These funds should have been paid to the City of Glen Cove (City), $75,039, and to the school district and … Determine whether the City of Glen Cove Industrial Development Agency GCIDA Board of …
https://www.osc.ny.gov/local-government/audits/city/2021/07/16/city-glen-cove-industrial-development-agency-project-approval-and-monitoring-2020mKenmore-Town of Tonawanda Union Free School District – Electronic Records and Reports (2022M-62)
… policy that addressed the creation, maintenance and storage of e-records, as required. Without a secure e-record storage system in place, there is a risk that unauthorized … policy that addresses the creation, maintenance and storage of e-records. District officials generally agreed …
https://www.osc.ny.gov/local-government/audits/school-district/2022/08/05/kenmore-town-tonawanda-union-free-school-district-electronic-records-andEast Bloomfield Central School District - Network and Financial Software Access Controls (2022M-68)
… weaknesses were communicated confidentially to officials. In addition: The District had 250 unneeded network user accounts, … and Operations had excessive administrative permissions in the financial software, which allowed them to potentially …
https://www.osc.ny.gov/local-government/audits/school-district/2022/09/02/east-bloomfield-central-school-district-network-and-financial-softwareGrand Island Central School District – Network Access and Application User Permissions (2022M-120)
… report – pdf] Audit Objective Determine whether Grand Island Central School District (District) officials … Determine whether Grand Island Central School District District officials adequately …
https://www.osc.ny.gov/local-government/audits/school-district/2022/11/10/grand-island-central-school-district-network-access-and-application-userWilliam Floyd Union Free School District – Check Signing and Online Banking (2022M-192)
audit school william floyd check signing online banking 2022
https://www.osc.ny.gov/local-government/audits/school-district/2023/02/03/william-floyd-union-free-school-district-check-signing-and-online-bankingTioga Central School District – Health Insurance and Special Education Cost Savings (2020M-84)
… Consider offering a health insurance buyout incentive to help reduce costs. Consider providing select special education services in-house to help reduce costs. District officials generally agreed … and have initiated or indicated they planned to initiate corrective action. …
https://www.osc.ny.gov/local-government/audits/school-district/2020/11/13/tioga-central-school-district-health-insurance-and-special-education-costJohnson City Central School District – Special Education Services and Medicaid Reimbursements (2021M-186)
… District (District) officials ensured students received services in accordance with their individualized education … Findings Officials did not always ensure students received services in accordance with their IEPs and did not ensure … challenges impacted their ability to provide required services. Of the 2,683 required sessions, therapists …
https://www.osc.ny.gov/local-government/audits/school-district/2022/06/24/johnson-city-central-school-district-special-education-services-andMount Sinai Fire District - Financial Condition and Price Quotations for Purchases (2019M-83)
… Determine if the District is seeking competition for purchases that are under the bidding threshold. Key … balance. District officials did not always seek quotations for purchases under the bidding threshold. Key Recommendations Adopt financial plans for the maintenance of a reasonable level of fund balance, …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/23/mount-sinai-fire-district-financial-condition-and-price-quotations