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Annual Assessment of Market Orders for 2012, 2013, and 2014
… has adequate procedures in place to accurately report its assessable expenses related to its administration … Follow up on the questionable expenses identified in our report and seek repayment for any inappropriate or ineligible … source justification requirements. Other Related Audit/Report of Interest Department of Agriculture and Markets: …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… consists of several parts. Medicare Part B helps pay for medical care provided in outpatient settings. Medicaid is a … provided in outpatient settings such as doctors' offices, clinics, and health centers. Some heath centers are federally …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … than if the patient was simply discharged home from the hospital. Key Findings The audit identified 2,808 managed …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… who were initially referred during the 2016-17 school year. About the Program Special education services and … the Regulations require that DOE arrange for the placement of eligible students in special education services … of parental consent to evaluate. However, arranging placement is not the end of the process as it is more …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… Improper Fee-for-Service Payments for Services Covered by Managed Care (Report 2017-S-74 ). About the Program The … made improper FFS payments for certain services covered by Plans. The audit covered the period January 1, 2013 … FFS payments for services that should have been covered by the recipients’ Plans. We determined the majority of the …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… for parking, red light camera, bus lane camera, and school zone camera violations. DOF’s responsibilities include … all amounts due from summonses that are in judgment (i.e., a vehicle owner has failed to pay the fine, plead not guilty within the time allowed, or appear for a hearing). The Collection Division includes the Parking and …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… the appropriate International Classification of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Hospitals use International Classification of Diseases (ICD) procedure codes on their claims to report mechanical … ventilation services. When hospitals use a specific ICD procedure code to report a patient received 96 consecutive hours or …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsApplication Review and Site Permitting for Major Renewable Energy Projects
… its obligations under State law to issue siting permits for major renewable energy projects within the required time … goals of the Climate Act strive to improve quality of life for New Yorkers, protect the environment, and strengthen … allowed to transfer their project applications to ORES for review. ORES has 60 days to determine whether a permit …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projectsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of 3 and 5 years. Cantalician is reimbursed for these … education programs that it operated: Preschool Special Class – over 2.5 hours per day and Preschool Integrated Special Class – over 2.5 hours per day (collectively referred to as …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… in our initial audit report Improper Payments of Medicare BuyIn Premiums for Ineligible Recipients Report 2020S35 …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up)
… 20, 2021 and covering the period March 1, 2015 through January 12, 2021, was to determine if OMH had effectively … designed and launched a benefits advisement system, Work Incentives Navigator and Reports (WINR), within the New York …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/benefits-advisement-services-individuals-disabilities-seeking-employment-followQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Queens Centers for Progress QCP on its Consolidated Fiscal Reports CFRs were reasonable necessary directly related to the special education program and sufficiently documented pursuant to the State Education Departments SED Reimbursable Cost
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered drugs. The audit covered the period from January 2017 through … Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsInvestment Standard for NYS College Choice and NY ABLE Programs
… – To bring the NYS College Choice tuition savings program (NY 529) and the NY Achieving a Better Life Experience savings account program (NY ABLE) in line with investment standards of other states' … To bring the NY 529 and NY ABLE savings programs in line with investment …
https://www.osc.ny.gov/legislation/investment-standard-nys-college-choice-and-ny-able-programsDiNapoli: Post-Pandemic Unemployment in NYC Persists for Some Demographic Groups
… higher than pre-pandemic levels for several demographic groups, particularly for youths and Blacks, according to a … to experience uneven employment across demographic groups, even as overall unemployment has improved since the … to 24 experienced the highest unemployment rate of all age groups nationwide. In 2024, despite significant improvement, …
https://www.osc.ny.gov/press/releases/2026/04/dinapoli-post-pandemic-unemployment-nyc-persists-some-demographic-groupsVillage of Castile – Water Billing for Letchworth State Park (2021M-1)
… (State Parks) for water usage for Letchworth State Park (the Park). Key Findings Village officials did not accurately bill … State Parks for water usage for Letchworth State Park the Park …
https://www.osc.ny.gov/local-government/audits/village/2021/05/28/village-castile-water-billing-letchworth-state-park-2021m-1Albany Leadership Charter School for Girls – Cash Collections (2022M-165)
… and officials did not enforce the policy . As a result, officials and staff did not: Monitor collections … were accounted for or deposited in a timely manner . As a result, 113 collections totaling $914,291 (99 percent of … totaling $41,167 were not accounted for or deposited. As a result, the School did not have access to the undeposited …
https://www.osc.ny.gov/local-government/audits/charter-school/2023/02/03/albany-leadership-charter-school-girls-cash-collections-2022m-165