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United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely … Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesManagement of Selected Special Revenue Funds
… Purpose To determine whether the Department of Health (Department) is effectively managing selected … and promote the health, productivity, and well-being of all New Yorkers. Its vision states that New Yorkers will … revenue funds, which are supported by specific sources of State-generated revenue and are legally restricted to …
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
… (herein referred to as “the Doctor”) in compliance with applicable Medicaid laws and regulations as well as the … fieldwork was temporarily suspended to avoid interfering with a review by other external oversight authorities of some … Subsequent to that review, we provided the Department with updated audit findings pertaining to matters addressing …
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
… have annual net losses and will not have sufficient funds for its operations. The audit faulted the board for not … operations around before its fiscal situation gets worse. I am glad they took our findings and recommendations … services to promote agriculture in Central New York. It is overseen by a 13-member board, consisting of appointees …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-audit-finds-poor-financial-management-central-new-york-regional-market-authority-boardManagement and Maintenance of Non-Revenue Service Vehicles
… have and maintain an accurate and complete inventory of non-revenue service vehicles, and to determine whether the … maintenance, are safeguarded, and are properly disposed of at the end of their useful life. The audit covered vehicles owned during … have and maintain an accurate and complete inventory of nonrevenue service vehicles and to determine whether the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/management-and-maintenance-non-revenue-service-vehiclesOversight of Public Water Systems (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations included in our initial audit report, Oversight of Public Water Systems (Report 2017-S-45 ). About the … To determine the extent of implementation of the two recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2019/11/19/oversight-public-water-systems-followOversight of Certified Homeless Shelter Food Services
… Purpose To determine whether the Office of Temporary and Disability Assistance (OTDA), New York City Department of Homeless Services (DHS), and New York City Department of Health and Mental Hygiene (DOHMH) are adequately … To determine whether the Office of Temporary and Disability Assistance New York City …
https://www.osc.ny.gov/state-agencies/audits/2018/10/29/oversight-certified-homeless-shelter-food-servicesMitigation for Extreme Weather Conditions and Flooding
… Metro-North does not have procedures to address all types of severe weather events and did not perform an assessment of its Harlem Line related to flooding due to heavy rains. … with Metro-North procedures and plans. Specifically: 15 of 28 (54%) snow melters (used to heat the area around …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/mitigation-extreme-weather-conditions-and-floodingSelected Aspects of Discretionary Spending
… (Authority) was created in 1968 with the enactment of Title 12 of the Public Authorities Law to address "substandard, … and deteriorating conditions" on the Lower West Side of Manhattan. The Authority was charged with the duty "to …
https://www.osc.ny.gov/state-agencies/audits/2013/12/10/selected-aspects-discretionary-spendingYork College – Time and Attendance Practices for Public Safety Staff
… determine whether York College had adequate controls over the time and attendance of Public Safety employees to provide reasonable assurance that they worked the hours for which they were compensated. The audit covered … determine whether York College had adequate controls over the time and attendance of Public Safety employees to provide …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/york-college-time-and-attendance-practices-public-safety-staffOversight of Transportation Services and Expenses
… Objective To determine if the Department of Corrections and Community Supervision (Department) has … March 2019 to July 2021 for WEX fueling data and the month of March 2021 for Fuelmaster information. About the Program … is responsible for the confinement and rehabilitation of approximately 30,500 individuals in custody and the …
https://www.osc.ny.gov/state-agencies/audits/2022/06/29/oversight-transportation-services-and-expensesOversight of Young Adult Institute, Inc.'s Family Support Services Contracts (Follow-Up)
… Objective To determine the extent of the implementation of the three recommendations included in our initial audit report, Oversight of Young Adult Institute, Inc.’s Family Support Services … To determine the extent of the implementation of the three recommendations included …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/oversight-young-adult-institute-incs-family-support-services-contracts-followSelected Safety and Security Equipment at Train Stations
… September 12, 2017. Background Staten Island Railway (SIR) is a subsidiary of the Metropolitan Transportation Authority … and 43 Customer Assistance Intercoms (CAIs) (intended for customer use in emergencies) at an estimated cost of … (i.e., CCTV cameras and DVRs) installed at stations. A SIR official told us that maintenance of the "old" CCTV equipment …
https://www.osc.ny.gov/state-agencies/audits/2018/04/12/selected-safety-and-security-equipment-train-stationsEnforcement of the Mitchell-Lama Surcharge Provisions
… supervised by Homes and Community Renewal’s Division of Housing and Community Renewal (DHCR). Our audit focused on … year for which DHCR had verified affidavits at the time of our audit in 2017. Background The Mitchell-Lama program … and cooperative housing to middle-income families. A total of 269 State-supervised Mitchell-Lama developments with over …
https://www.osc.ny.gov/state-agencies/audits/2018/04/10/enforcement-mitchell-lama-surcharge-provisionsUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… Surgery Center, LLC waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made … primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient … and physician office visits. The New York State Department of Civil Service contracts with United HealthCare (United) to …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… 13, 2021. About the Program Working-age New Yorkers with disabilities participate in the work force at a rate of … was about 33 percent compared to about 75 percent for people without disabilities. Further, ACS data shows that … housing assistance, as suggested in the Report. Since WINR is only available to individuals working with an employment …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentCompliance With the Sewage Pollution Right to Know Act and Monitoring and Enforcement of State Pollutant Discharge Elimination System Permit Requirements
… the Department of Environmental Conservation (Department) is ensuring applicable entities are complying with the 2013 Sewage Pollution Right to Know Act (Act), and is adequately monitoring and enforcing requirements of the … determine if the Department of Environmental Conservation is ensuring applicable entities are complying with the 2013 …
https://www.osc.ny.gov/state-agencies/audits/2020/10/19/compliance-sewage-pollution-right-know-act-and-monitoring-and-enforcement-state-pollutantMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Report … was appropriately paying out-of-state providers for ambulatory surgery services provided to New York State Medicaid recipients. For the period from April 16, 2004 through June 30, 2009, …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followSelected Aspects of Capital Program Project Management
… (MTA) – New York City Transit’s (Transit) Department of Capital Program Management (CPM) has a formal capital … scope, time, quality, and budget to the satisfaction of stakeholders. The audit covered capital projects that were … by the State Legislature. Transit is an affiliated agency of the MTA that operates New York City subway and bus service …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/selected-aspects-capital-program-project-managementUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… costs, and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit … who agree to accept payments, at rates established by United, to furnish medical services to Empire Plan … paid $3,712 on the claim. This resulted in an overpayment by United of $928 ($4,640 - $3,712). At the time of our audit …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialists