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Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report 2013-S-57). Background The … care. For example, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn weighing …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followExamination of Unemployment Insurance Willful Overpayments
… overpayment resulting from a willful misrepresentation, a penalty shall be imposed on the claimant. Key Findings We … up to $311,775 in penalties—more than 10 percent of the penalty amount we examined. This includes up to 1,679 … were not assessed at all and up to 71 penalties valued at $4,022 that were under-assessed by NYDOL. In addition, staff …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/examination-unemployment-insurance-willful-overpaymentsExamination of Travel Expenses
… official station will normally be the employee’s main place of business (i.e., the place where the employee … for the employee to commute between his residence and his main work location. Department officials informed us that on May 8, 2017, the employee’s assignment ended at his main work location. We confirmed the employee’s official …
https://www.osc.ny.gov/state-agencies/audits/2018/07/26/examination-travel-expensesMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid … eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers were processed in ac …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… levels of care; Claims for a recipient who did not live in New York State; and Improper claims for certain …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to … eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers were processed in ac …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013MTA-NYC Transit Medical Assessment Centers
… locations. In addition, there is a 24-hour lab located in Downtown Brooklyn. Employees are assigned to a MAC according …
https://www.osc.ny.gov/state-agencies/audits/2014/11/10/mta-nyc-transit-medical-assessment-centersCollection and Use of Oil Spill Funds
To determine if the Department of Environmental Conservation is collecting all fees due the New York Environmental Protection and Spill Compensation Fund in
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-fundsMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2013 through March 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid program. … improper payments for duplicate billings and hospital, clinic, transportation, and eye care services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Housing Preferences for Disabled Veterans (Follow-Up)
… two recommendations included in our initial audit report, Housing Preference for Disabled Veterans (2010-S-42). Background In November 2007, the Private Housing Law was amended to require housing companies to provide disabled veterans with a … two recommendations included in our initial audit report Housing Preference for Disabled Veterans 2010S42 …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/housing-preferences-disabled-veterans-followMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… compliance with the New York State Controlled Substances Act, which limits the quantities of controlled substances … care needs. The New York State Controlled Substances Act (Act), which was enacted to combat illegal use of controlled … compliance with the New York State Controlled Substances Act …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsQuality of Internal Control Certifications (Follow-Up)
… of detail, and maintained documentation supporting the answers given. The 12 audits were performed at the following … Audit units had not had a periodic external quality assessment as required by audit standards; where duties …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/quality-internal-control-certifications-followWage Theft Investigations (Follow-Up)
… system did not provide management with accurate or useful case management reports. Key Findings We determined that the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/22/wage-theft-investigations-followOversight of Procurements and Loan Programs
… adequate oversight of its procurements and loan programs in accordance with the Public Authorities Law (Law) for the … by a 13-member Board of Directors. DANC was created in 1985 under Article 8, Title 29 of the Public Authorities … provide infrastructure services and economic development in Jefferson, Lewis, and St. Lawrence counties. DANC operates …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/oversight-procurements-and-loan-programsSelected Aspects of the Migrant Education Program (Follow-Up)
… portion of the Migrant Education Tutorial Services (METS) faced challenges obtaining migrant student performance … develop methods to provide evaluation results at both the METS level and Program-wide to monitor performance against … to facilitate the timely exchange of information between METS and school districts. Key Finding Department officials …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/selected-aspects-migrant-education-program-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… State’s Medicaid program provides a wide range of health care services, including prescription drugs, to individuals … are economically disadvantaged and/or have special health care needs. The New York State Controlled Substances Act … allowed by the Act. We further identified 3,323 managed care claims for controlled substances in which the quantities …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followCompliance With the Clery Act (Follow-Up)
… to help the public make informed decisions when choosing a college for educational or employment purposes. Our initial … could affect the public's ability to accurately assess college safety and security and make valid comparisons among …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/compliance-clery-act-followControls and Accountability of Court, Trust and Bail Funds (Follow-up)
… recommendations included in our initial report, Controls and Accountability of Court, Trust and Bail Funds ( 2013-N-1 ). Background Our initial audit … Department could not accurately account for Court, Trust and Bail funds. We found discrepancies between the total …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/controls-and-accountability-court-trust-and-bail-funds-followReporting on Foreclosure of Real Property Funds – Kings County (Follow-Up)
… of the four recommendations included in our initial audit report, Reporting on Foreclosure of Real Property Funds – Kings County ( Report 2013-S-2 ). Background Our initial report, issued on December 12, 2013, determined that referees … of 4 recommendations included in our intl audit report Reporting on Foreclosure of Real Property Funds Kings …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/reporting-foreclosure-real-property-funds-kings-county-followMedicaid Program – Overpayments of Ambulatory Patient Group Claims (Follow-Up)
… Patient Groups [or APG]) for clinic and ambulatory surgery services as well as hospital-based emergency room … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/medicaid-program-overpayments-ambulatory-patient-group-claims-follow