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United Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… extent of implementation of the three recommendations made in our initial audit report, United HealthCare Insurance … and allocation of rebates offered by drug manufacturers. In 2012, Express Scripts Holding Company (Express Scripts) … was issued on September 26, 2014, identified $694,227 in drug rebate and discount revenue that was not credited to …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… 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 sentenced on February … the extent of implementation of 3 recommendations included in our initial audit report Payments for Fraudulent and …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followEffectiveness of the Information Technology Transformation
… that the resulting Office of Information Technology Services (ITS) clusters operate efficiently and whether the … 30, 2016. Background The Office of Information Technology Services (ITS) was established in November 2012 as part of a … and merge State agencies’ operations and streamline services. ITS was created pursuant to a recommendation of the …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent State funding in compliance with relevant statutory and contractual … To determine whether the New York Wine and Grape Foundation has spent State funding in …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsContracts for Personal and Miscellaneous Services (Follow-Up)
… in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2008-S-158 ). Background Our … documentation supporting the basis for this determination, and we found such documentation was often not prepared. In … to periodically assess whether existing personal and miscellaneous service contracts were still needed, or …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followHousing Preferences for Veterans (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … the New York State Legislature had extended the right of preference for housing to many more veterans, few actually … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followRainbow Rhymes Learning Center (Follow-Up)
… in our initial report, State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background … State Education Department (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate and adequately supported. We found …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… the number of students discharged from City public high schools, in accordance with guidelines from the New York … rate was higher than the actual rate and the reported dropout rate was lower than actual. The objective of our … of Education: Funding and Monitoring of the High School Attendance Improvement and Dropout Prevention Program …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… included in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). … included in our initial audit report Travel Plaza Revenues and Capital Improvements …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Inspecting Highway Bridges and Repairing Defects (Report 2012-S-33). Background In our initial audit report, which was issued on Report April … of implementation of the three recommendations included in our initial audit report Inspecting Highway Bridges and …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… were accurately processed, and resulted in correct provider payments. We identified five reportable conditions. …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… Institute (Institute), established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… in an office setting. To reduce Medicaid costs for prescription drugs, the federal government established … to pass on the savings to Medicaid when they submit claims for 340B drugs. Our initial audit report, which was issued on … drugs nor ensured the proper billing for 340B drugs. These problems cost the Medicaid program an …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for cost-sharing liabilities such as deductibles and coinsurance. However, these liabilities may be paid by … Healthfirst took actions to prevent further errant claims and overpayments. Additionally, providers submitted claim … one recommendation for the Department of Health to review and recover the remaining Medicaid overpayments for excessive …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followOversight of Grants (Follow-Up)
… Purpose To assess the extent of implementation as of March 7, 2014 of … given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in this report. … To assess the extent of implementation as of March 7 2014 of …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, Empire … primary health benefits plan for NYSHIP. The Department of Civil Service contracts with Empire BlueCross BlueShield … To determine the extent of implementation of three recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughAnnual Assessment of Market Orders for 2012, 2013, and 2014
… 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 Programs. … contract criteria for maintaining documentation to support expenses, such as vehicle cost allocations, …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Collection of Medicaid Accounts Receivable (Follow-Up)
… Purpose To determine the extent of implementation of the four … through February 18, 2010, we found the Department needed to act more effectively to collect about $37 million of accounts receivable … To determine the extent of implementation of the four …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/collection-medicaid-accounts-receivable-followFire Prevention, Safety and Control
… Purpose To determine whether the Office for People With Developmental Disabilities (Office) was in compliance with applicable fire prevention, safety and control … To determine whether the Office for People With Developmental Disabilities Office was in compliance with …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/fire-prevention-safety-and-controlRailroad Bridge Inspection Program
… bridges. Department data shows that 38 railroads own or have maintenance responsibility for almost 3,000 railroad … our audit period were not submitted, 43 were late and many were also incomplete. The Department did not monitor … has a similar bridge management program, to determine how these agencies can share information and otherwise reduce …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-program