Search
United HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered … State Department of Civil Service contracts with United HealthCare (United) to process and pay medical claims from … Interest New York State Health Insurance Program: United HealthCare - Overpayments for Services at the Capital Region …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… Purpose To determine whether the Office of Alcoholism and Substance … monitoring Drug and Alcohol Treatment program contracts to ensure provider claims do not include State reimbursement … To determine whether the Office of Alcoholism and Substance …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesQuality of Internal Control Certification
… Purpose To determine whether the Division of State Police (Division) submitted timely a quality Internal … Background In 1987, the Legislature passed the New York State Governmental Accountability, Audit and Internal Control Act (Act) requiring State agencies and public authorities to each institute a …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/quality-internal-control-certificationPublic School Safety – Incident Reporting and Unauthorized Student Departures
… Purpose To determine whether New York City Department of Education (DoE) officials accurately recorded and reported violent and disruptive incidents to the State Education Department (SED); and whether the DoE had … To determine whether New York City Department of Education DoE officials …
https://www.osc.ny.gov/state-agencies/audits/2015/04/29/public-school-safety-incident-reporting-and-unauthorized-student-departuresAssertive Community Treatment Program
… Health (Office) is effectively overseeing the Assertive Community Treatment (ACT) program to ensure that ACT provider … Health Office is effectively overseeing the Assertive Community Treatment ACT program to ensure that ACT provider …
https://www.osc.ny.gov/state-agencies/audits/2015/05/06/assertive-community-treatment-program2014 Year End Report
The objective of our examination was to determine whether payments to claimants and medical providers claims by the Workers Compensation Boards Board sole
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-reportReview of the Local Development Corporation of Laurelton, Rosedale and Springfield Gardens (LDC)
… Purpose The objective of our examination was to determine whether payments made to the Local Development Corporation of Laurelton, Rosedale … 28, 2014, the Department made a $16,250.00 advance payment to the LDC. On June 9, 2014, the LDC claimed the remaining …
https://www.osc.ny.gov/state-agencies/audits/2015/08/24/review-local-development-corporation-laurelton-rosedale-and-springfield-gardens-ldcReview of the American Academy of Pediatrics
… made to American Academy of Pediatrics, District II (AAP) for various immunization initiatives under contracts … initiatives, the DOH entered into contracts with the AAP. We examined approximately $1.5 million in select … 2006 through August 13, 2013 from the Department to the AAP under contracts C018189, C022937, and C028275. Our …
https://www.osc.ny.gov/state-agencies/audits/2015/09/29/review-american-academy-pediatricsMedicaid Program – Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services
… Purpose To determine if the owner of a Medicaid eye care provider and the owner’s associates inappropriately enrolled as Medicaid recipients … a wide range of medical services, including vision care, to individuals who are economically disadvantaged … To determine if the owner of a Medicaid eye care provider and the owners associates inappropriately …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andHate Crime Reporting
… Purpose To determine whether the Division of Criminal Justice Services (Division) adequately monitors hate crime reporting and takes steps to ensure complete and accurate reporting. … report to the Division include data, such as the number of incident(s) reported, date of the incident(s), bias …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingService Diversions for Maintenance and Capital Projects
… place when LIRR must close all or a part of a track line for capital projects or maintenance. When service diversions … by a planned diversion, Public Affairs is responsible for notifying the public in advance. Key Findings The annual Outage Plan for service diversions was reduced by 1,483 days (29 percent) …
https://www.osc.ny.gov/state-agencies/audits/2014/03/18/service-diversions-maintenance-and-capital-projectsSelected Management and Operations Practices
… audit of NYPA’s management practices at least once every five years. Our audit encompasses a review of three areas: … of the models for accuracy and completeness before the results are recommended to EDPAB for approval. Exclude … the “results” owing to pending customers. Take action to reduce contract power allocations when …
https://www.osc.ny.gov/state-agencies/audits/2016/08/01/selected-management-and-operations-practicesSelected Aspects of Subway Station Safety
… This can be done in one of three ways: station signage web portal, email, or fax. Key Findings The Division often did …
https://www.osc.ny.gov/state-agencies/audits/2017/06/15/selected-aspects-subway-station-safetyTherapy and Learning Center, Inc. – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Therapy and Learning Center Inc on its Consolidated Fiscal Reports were reasonable necessary directly related to
https://www.osc.ny.gov/state-agencies/audits/2017/07/18/therapy-and-learning-center-inc-compliance-reimbursable-cost-manualCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… of BuildSmart NY– the Executive’s program for pursuing energy efficiency in certain New York State government … advancing economic growth, environmental protection, and energy security in the State. EO 88 is intended to accomplish … by creating green jobs and stimulating the marketplace for clean energy and energy-efficient products and services. EO …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… paid for. Since April 1, 2018, the Department’s rebate contractor, Magellan Medicaid Administration Inc. (Magellan), … due to processing errors by the Department and the rebate contractor. Key Recommendations We made 12 recommendations to …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programSelected Aspects of Toll Collections
… regulations to assess and collect toll revenues for use of the Thruway. In November 2020, the Authority completed a system-wide conversion to cashless tolling, which was intended to reduce congestion, improve traffic flow, and … more than 60 days after being sent a revocation warning notice at 30 days may have also been referred to a collection …
https://www.osc.ny.gov/state-agencies/audits/2023/05/26/selected-aspects-toll-collectionsEnforcement of Article 19-A of the Vehicle and Traffic Law
… the sample of drivers to be reviewed and create a 10-day window of opportunity for less scrupulous motor carriers to …
https://www.osc.ny.gov/state-agencies/audits/2019/02/07/enforcement-article-19-vehicle-and-traffic-lawMedicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
… to hospitals that improperly billed All Patient Refined Diagnosis Related Groups (APR-DRG) inpatient claims containing a severe malnutrition diagnosis . The audit covered the period from January 1, 2013 … to hospitals that improperly billed All Patient Refined Diagnosis Related Groups inpatient claims containing a severe …
https://www.osc.ny.gov/state-agencies/audits/2019/04/08/medicaid-program-improper-medicaid-payments-recipients-diagnosed-severe-malnutritionCompliance With Executive Order 88 – Energy Efficiency of State Buildings
… 28, 2012, is the centerpiece of BuildSmart NY, the State’s program for pursuing energy efficiency in State government … with the Guidelines. However, OGS relied on the Sheridan Avenue Project to provide the majority of its energy savings. … Develop a contingency plan to replace the Sheridan Avenue Project. Continue implementing capital projects that …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/compliance-executive-order-88-energy-efficiency-state-buildings