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Management and Maintenance of Non-Revenue Service Vehicles
… Putnam, Rockland, Suffolk, and Westchester counties on behalf of the MTA. Transit provides both subway and bus … a service operation pickup work order in the SPEAR system. Key Findings Transit and MTA Bus did not always adhere to … its maintenance costs in an effort to manage costs. Key Recommendations Work with the user groups to ensure the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/management-and-maintenance-non-revenue-service-vehiclesUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely waived Empire Plan members’ … an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New … September 30, 2014. Key Recommendations Recover from Dr. John Gomes $1,258,855 in overpayments funded by the State. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesManagement of Selected Special Revenue Funds
… states that New Yorkers will be the healthiest people in the world – living in communities that promote health, protected from health … quality, evidence-based, cost-effective health services. In harmony with that endeavor, the Department administers …
https://www.osc.ny.gov/state-agencies/audits/2016/08/02/management-selected-special-revenue-fundsMedicaid Program – Medicaid Payments for Pharmacy Claims: Joia Pharmacy and a Related Prescriber
… made proper payments to Joia Pharmacy, Inc. (Joia) and a related prescriber (herein referred to as “the Doctor”) … with a review by other external oversight authorities of some of the matters addressed in this report. Subsequent to … payments to Joia were for patients who lived approximately one hour away (one way); and 134 of the 270 claims in the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/medicaid-program-medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriberDiNapoli: Audit Finds Poor Financial Management by Central New York Regional Market Authority Board
… The Central New York Regional Market Authority’s financial position has deteriorated, and the cash available to pay operating costs declined from …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-audit-finds-poor-financial-management-central-new-york-regional-market-authority-boardUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… it will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United … by Long Island Laparoscopic to Empire Plan members. Key Findings Long Island Laparoscopic routinely failed to … waived the member’s out-of-pocket cost obligation. Key Recommendations Recover the $1,100,655 in overpayments …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… it will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United … provided by Long Island Spine to Empire Plan members. Key Findings Long Island Spine routinely failed to pursue … Spine waived the member’s out-of-pocket cost obligation. Key Recommendations Recover the $890,931 in overpayments from …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Medicaid Overpayments for … through June 30, 2009, auditors identified $12.2 million in actual and potential Medicaid overpayments to out-of-state … of September 30, 2012, of the two recommendations included in our initial report. Key Finding Department and Office of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followFreeport Union Free School District – Financial Management (2024M-49)
… $37.2 million without demonstrating they were reasonably funded. For example: retirement contribution reserve has …
https://www.osc.ny.gov/local-government/audits/school-district/2024/11/01/freeport-union-free-school-district-financial-management-2024m-49The 80/20 Housing Program (Follow-Up)
… estate tax abatements, as incentives to developers. In New York City, participating Program developers receive tax abatements through Section 421-A of New York's Real Property Tax Law. As of September 27, 2018, …
https://www.osc.ny.gov/state-agencies/audits/2018/11/13/8020-housing-program-followUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… of Civil Service (Civil Service) administers NYSHIP. In carrying out its responsibilities, Civil Service contracts … E/M services. Key Findings Improvements are needed in United’s method for monitoring out-of-network providers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesDual Employment
… and Family Services (OCFS) employees who are also employed at other State or New York City agencies are working their … showed eight of these staff (28 percent) violated time and attendance rules, resulting in payroll payments for time not … on multiple occasions. OCFS' failure to enforce time and attendance requirements allowed these employees to circumvent …
https://www.osc.ny.gov/state-agencies/audits/2013/12/19/dual-employment-1Dual Employment
… Purpose To determine whether Office of Mental Health (OMH) employees who are dually employed at … required hours at each job. The audit covered the period July 1, 2009 through July 25, 2012. Background OMH's mission … Follow-up showed 25 of these staff violated time and attendance rules, resulting in payroll payments for time …
https://www.osc.ny.gov/state-agencies/audits/2013/12/19/dual-employment-0Licensing and Monitoring of Proprietary Schools (Follow-Up)
… Objective To assess the extent of implementation of the six recommendations included in our initial audit report, Licensing and Monitoring of Proprietary Schools (Report 2019-S-68 ). About the Program …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/licensing-and-monitoring-proprietary-schools-followTuition Assistance Program – Wagner College
… determine whether Wagner College officials complied with the Education Law and the Commissioner of Education’s Rules and Regulations when … College (Wagner) is a four-year private college located on Staten Island. It offers programs in the arts, business, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-wagner-collegeCity of Amsterdam - Budget Review (B22-5-3)
… are settled. The City’s proposed budget includes a tax levy of $6,219,084, which is within the limit. Key …
https://www.osc.ny.gov/local-government/audits/city/2022/04/27/city-amsterdam-budget-review-b22-5-3Medicaid Program – Improper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program
… the safety of the Medicaid program and its members. Key Findings We identified system processing weaknesses in … for claims that reported an inactive OPRA provider on the claim’s order or service date, including $5.8 million … unqualified, providers are providing Medicaid services. Key Recommendations Review the $965 million in payments to …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-payments-services-related-ordering-prescribing-referring-orHomeless Housing and Assistance Program – Project Selection and Maintenance (Follow-Up)
… to budget, finances, milestones, proof of insurance and tax payments, and various other fiscal and program …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/homeless-housing-and-assistance-program-project-selection-and-maintenance-followNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members
… limit recoveries to one year or less for claims paid on behalf of members who are retroactively disenrolled (i.e., … language, claims may be recovered for six years. Key Findings The audit identified 3,177 claims totaling $18.2 … time frames, leaving $4.6 million to be recovered. Key Recommendations To Civil Service: Review the $4.6 million …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesPurchasing Practices at the Linden Plaza Mitchell-Lama Housing Development (Follow-Up)
… whether Linden Plaza was procuring goods, supplies, and services at competitive prices and in accordance with applicable requirements. The audit … are given 30 days after the issuance of the follow-up report to provide information on any actions that are …
https://www.osc.ny.gov/state-agencies/audits/2020/06/23/purchasing-practices-linden-plaza-mitchell-lama-housing-development-follow