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New York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… the three recommendations included in our initial report Group Health Incorporated: New York State Dental Program - … which was issued on July 28, 2010, examined whether Group Health Incorporated (GHI) established adequate controls … New York State Department of Civil Service contracts with Group Health Incorporated (GHI) to process dental claims on …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). … Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical … Generally, Medicare is the primary payer of claims for services provided to dual-eligible recipients. After …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followManagement of General School Funds (Follow-Up)
… Purpose To determine the extent of implementation of the nine recommendations included in our initial audit … report, John F. Kennedy Educational Campus: Management of General School Funds (Report 2009-N-11). Background Our … To determine the extent of implementation of the nine recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… initial report, issued on December 23, 2010 found that the Port Authority generally did not follow required procedures … of vehicles and heavy equipment was justified. In a random sample of 75 items that were purchased for $8.2 million, the Port Authority provided documentation for only two items for …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followManagement and Control of Employee Overtime Costs (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Management and Control of Employee Overtime Costs ( 2009-S-87 ). Background Our … To determine the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in our audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background Our … place to ensure proper Medicaid payments for foster care children placed in voluntary agencies. The Department … the New York State Medicaid program. Many foster care children who are placed in private welfare agencies (known as …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… Payments for Certain Medicaid Recipients (Report 2010-S-66). Background Our initial audit report, which was issued on … July 24, 2012, determined that, for the five years ended June 30, 2010, Medicaid made $15.6 million in improper … Care Payments for Certain Medicaid Recipients ( 2010-S-66 ) …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted … State’s Medicaid program. The Department’s eMedNY computer system processes Medicaid claims submitted by providers for … To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014American Academy of Pediatrics, District II
… with our Investigations Unit, we examined select payments the Department of Health (Department) made to the American Academy of Pediatrics, District II (AAP) under … with our Investigations Unit we examined select payments the Department of Health Department made to the American …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… audit report, Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Report 2009-S-25). … issued on September 24, 2010, examined whether selected home health care providers properly used Medicaid funds for … 2006 through 2011, to organizations that provide certain home health care services to Medicaid recipients. The …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… Purpose To determine if the recommendations made in our initial audit report, Empire BlueCross BlueShield: Payments to John T. Mather Memorial Hospital (Report 2010-S-51), … To determine if the recommendations made in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… made for selected providers who also received payments from Medicare. For the two year audit period ended December …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followContract with Daytop Village, Inc. (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Contract with Daytop Village, … as of October 2012, of the three recommendations included in our initial report. Key Findings OASAS officials have made progress in addressing the matters identified in our initial report. …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followFood Safety Monitoring
… processing distribution and sale of food products in New Yo …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringSelected Aspects of Bus Fleet Maintenance Report (Follow-Up)
… included in our initial audit report, Selected Aspects of Bus Fleet Maintenance (Report 2009-S-51). Background Our … has standards and procedures for the maintenance of its bus fleet, (2) performs bus maintenance in compliance with these standards and … included in our initial audit report Selected Aspects of Bus Fleet Maintenance Report 2009 …
https://www.osc.ny.gov/state-agencies/audits/2013/07/11/selected-aspects-bus-fleet-maintenance-report-followSelected Aspects of Railcar Fleet Maintenance (Follow-Up)
… Purpose To determine the extent of implementation of the nine recommendations included in our initial audit report, Selected Aspects of Railcar Fleet Maintenance (Report 2009-S-68). Background … To determine the extent of implementation of the nine recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/selected-aspects-railcar-fleet-maintenance-followMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid claims were submitted … State's Medicaid program. The Department's eMedNY computer system processes Medicaid claims submitted by providers for … To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… the providers. The audit covered the period April 1, 2012 through September 30, 2012. Background The Department of … from: Claims billed with information from other health insurance plans that was inaccurate, which caused $675,265 in … of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Management of Invasive Species (Follow-Up)
… of the four recommendations included in our initial audit report, Management of Invasive Species (Report 2019-S-26 ) . About the Program Many species of plants … of the four recommendations included in our initial audit report Management of Invasive Species Report 2019S26 …
https://www.osc.ny.gov/state-agencies/audits/2021/11/19/management-invasive-species-followPurchasing and Procurement Practices
… Belmont Park, and Saratoga Race Course. Section 208 of the Racing, Pari-Mutuel Wagering and Breeding Law requires … all contracts entered into by NYRA for the procurement of goods or services to be pursuant to a competitive bidding … occurred. Specifically: NYRA made a significant number of purchases without competitive bidding, instead using Bid …
https://www.osc.ny.gov/state-agencies/audits/2022/03/16/purchasing-and-procurement-practices