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Overpayments 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-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… programs also obtain savings through the 340B Drug Pricing Program, which requires drug manufacturers to … ensure providers bill physician-administered drugs at the discounted drug acquisition cost. Key Findings Department …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-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-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… Purpose To determine the extent of implementation of the eight recommendations included in our initial audit … entailed the identification and prevention of a potential $20.3 million overpayment resulting from a reimbursement rate … To determine the extent of implementation of the eight recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followContracts for Personal and Miscellaneous Services (Follow-Up)
… determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have documentation … to provide information on any actions that are planned to address the unresolved issues discussed in this review. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of Transportation was not always notified of red flags within one week, as required. Furthermore, the initial … evaluations and plans of action were not documented for red-flagged bridges. Key Finding NYSTA implemented the …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… Background In our initial audit report, which was issued on January 15, 2010, our objective was to determine whether the New York State Thruway Authority (NYSTA) adequately ensured that fuel … Other Related Audits/Reports of Interest New York State Thruway Authority: Gas Prices at Thruway Travel Plazas …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
To determine the extent of implementation of the three recommendations included in our initial audit report Accuracy of Reported Discharge Data 2009N9
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followRainbow Rhymes Learning Center (Follow-Up)
… Purpose To determine the implementation status of the three … initial report, State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial … State Education Department (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followOversight of Grants (Follow-Up)
… 7, 2014 of the eight recommendations in our initial audit report, Oversight of Grants (2009-S-78). Background Our initial report, issued July 21, 2011, examined the Department's … in correcting the problems identified in our initial report. Of the eight prior audit recommendations, three …
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)
… report, Empire BlueCross BlueShield: Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … audit report Empire BlueCross BlueShield Selected Payments for Special Items …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughAccounts Receivable Collection and Reporting
… if the Authority’s accounts receivable collection and reporting procedures were in compliance with applicable laws and regulations for the period January 1, 2012 through June … energy solutions in ways that improve New York's economy and environment by promoting energy efficiency and the use of …
https://www.osc.ny.gov/state-agencies/audits/2015/08/05/accounts-receivable-collection-and-reportingSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… Purpose To determine whether the Department of Environmental … Conservation (Department) has effective systems in place to fully and accurately accumulate State costs related to … To determine whether the Department of Environmental …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryPipeline Safety Oversight
… York’s pipelines transmit, gather, and distribute natural gas and hazardous liquids, including crude oil, refined … liquids. As of 2014, New York had 91,181 miles of natural gas pipelines and 1,153 miles of hazardous materials … do not verify the accuracy of the information on employee/contractor qualifications maintained by individual Operators, …
https://www.osc.ny.gov/state-agencies/audits/2016/03/08/pipeline-safety-oversightReporting Requirements Changes (2015) – Reporting Elected and Appointed Officials
… and ensures they receive appropriate service credit. In August 2015, this regulation was revised for officials who … activities (ROA), and it establishes the employer’s role in determining whether activities listed on an ROA are … Employer had to include officials who participate in the employer’s time-keeping system on the Standard Workday …
https://www.osc.ny.gov/retirement/employers/reporting-ea-officials/reporting-requirements-changesRailroad Bridge Inspection Program
… Purpose To determine whether the Department of Transportation … properly oversees railroads operating in the State to ensure they meet the bridge inspection requirements. This … To determine whether the Department of Transportation …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programFire Prevention, Safety and Control
… with developmental disabilities. On March 21, 2009, a fire in one of the residences resulted in the death of four … fire safety practices, spurred on by recommendations from a grand jury investigation and recommendations from reviews …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/fire-prevention-safety-and-controlEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… Purpose To determine whether Empire BlueCross BlueShield's (Empire) … for certain special items were reasonable in relation to the hospitals' actual purchase and acquisition costs. … To determine whether Empire BlueCross BlueShields Empire …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… dispensed to individuals enrolled in Medicaid managed care. The audit covered the period from October 1, 2011 to … requesting rebates from drug manufacturers. The Affordable Care Act, enacted in 2010, extended prescription drug rebates … medications dispensed to enrollees of Medicaid managed care organizations (MCOs), including both pharmacy and …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careAdoption Subsidy Program (Follow-Up)
… one household after the adopted person had turned 21 years old, as a result of incorrect date of birth information. Key …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/adoption-subsidy-program-follow