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Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… those claims. We coordinated our audit and investigative work with the Nassau County District Attorney and the New York …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… State Department of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s … limited our ability to ensure the Department was credited with all drug rebate and discount revenue due to the State. … discount revenue identified by our audit, and fully comply with contract provisions that require timely audit access to …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield Selected Payments for Special … supported by appropriate documentation. Key Finding Empire officials made considerable progress in implementing the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughState Agencies Bulletin No. 907
… Security numbers and names in the NYS payroll system with the Social Security Administration (SSA) system. … Security numbers and names in the NYS payroll system with Social Security Administration (SSA) twice a year. OSC … taxable wages for 2008 and compared that information with SSA records using the Social Security Administration’s …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/907-verification-employee-social-security-numbers-and-names-reported-w-2Inspecting Highway Bridges and Repairing Defects (Follow-Up)
… followed its own methods, but did not always comply with the Department’s requirement for an annual interim …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followState Agencies Bulletin No. 1203
… to the data entry and processing of new Hire transactions in PayServ as a result of SSN Decoupling Affected Employees … When entering a new Hire transaction in PayServ, the Person ID field will be populated with the word “NEW” and the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1203-changes-online-hire-transaction-entry-payservState Agencies Bulletin No. 783
… Purpose To notify and provide instructions to agencies of a new PayServ Action/Reason code to use when processing certain Management Confidential employees … accruals are charged. Both options give the employee full retirement and salary service credit for a year when using …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/783-new-workers-compensation-actionreason-code-management-confidentialSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Selected Operating and … combating prescription drug diversion and abuse in New York State, in large part through its analysis and use of prescription …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followControls Over Cash Advance Accounts (Follow-Up)
… 2016, Parks was authorized to have three advance accounts with a total value of $313,090, as follows: Change Fund – …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Improper Fee-for-Service … Key Finding Department officials have made some progress in addressing the problems we identified in the initial audit report. However, further actions are …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety … Order Program, particularly its Apple Market Order, which is administered pursuant to a contract with the New York …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… of implementation of the one recommendation included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). … Medicaid made inappropriate payments to medical providers for services rendered to Medicaid recipients enrolled in a …
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)
… included in our initial audit report, Rebates and Discounts on Physician-Administered Drugs (2010-S-72). … to the Department to recover Medicaid overpayments and improve controls to allow for additional rebate collections and ensure providers bill physician-administered drugs at the …
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)
… of implementation of the seven recommendations included in our initial audit report, New York State Psychiatric Institute - Controls Over State …
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)
… from approved providers, were accurately processed, and resulted in correct provider payments. We identified five … The first reportable condition entailed the identification and prevention of a potential $20.3 million overpayment … five recommendations have been implemented and three recommendations have been partially implemented. …
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)
… of implementation of the five recommendations included in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2009-S-54 ). … generally did not have documentation to justify the need for new or renewed contracts for personal and miscellaneous …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… bridges were not always inspected timely, including three with flagged conditions, and the Department of …
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)
… in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). Background In … Thruway Authority (NYSTA) adequately ensured that fuel and food concessionaires at Thruway travel plazas are (1) … paying the full amount of rent due under their contracts, and (3) making the capital improvements required by their …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
… discharged from City public high schools, in accordance with guidelines from the New York State Education Department. … who were classified as discharged were not supported with required documentation, and all 74, therefore, should …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followRainbow Rhymes Learning Center (Follow-Up)
… the implementation status of the three recommendations in our initial report, State Education Department: Rainbow … supported. We found that Rainbow claimed $473,815 in expenses that were either not adequately supported, not … $166,665 of payments to Rainbow which we did not include in our audit; and develop and implement a monitoring system …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-follow