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UnitedHealthcare - Reasonable and Customary Reimbursement Rates for Delayed Claims (2018-S-60)
To determine whether UnitedHealthcare (United) paid claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s60.pdfVolunteers of America – Greater New York, Inc.: Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Volunteers of America – Greater New York, Inc. (VOA-GNY) on its Consolidated Fiscal Reports …
https://www.osc.ny.gov/state-agencies/audits/2018/12/10/volunteers-america-greater-new-york-inc-compliance-reimbursable-cost-manualLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… staff, $1,445 in gift cards, $1,408 for lobbying, $966 for investment management, $664 for staff uniforms, $250 in food …
https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manualAuditing Travel/Conference Claims – Travel and Conference Expense Management
… represents a lawful charge against the local government or school district. The auditing body or official 9 should be looking for completeness, accuracy … travel approved? There should be a copy of the approval form or some indication that travel was properly approved. Is …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/auditing-travelconference-claimsOpinion 89-10
… Subdivision 3 of section 77-b provides that all actual and necessary registration fees, all actual and necessary expenses of travel, meals and lodging … or employee must submit an itemized voucher showing actual expenditures after attendance. Also, moneys advanced …
https://www.osc.ny.gov/legal-opinions/opinion-89-10UCPA of Cayuga County d.b.a. E. John Gavras Center – Compliance With the Reimbursable Cost Manual
… CFR-reported financial information. During the 2020-21 school year, the Gavras Center served 52 preschool children …
https://www.osc.ny.gov/state-agencies/audits/2025/08/05/ucpa-cayuga-county-dba-e-john-gavras-center-compliance-reimbursable-cost-manualTravel Advisory No. 6
Updated Travel Form AC 132S
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/6-updated-travel-form-ac-132s-employee-report-travel-expense-and-claim-paymentReimbursement of Homeless Shelter Providers – Rescue Mission Alliance of Syracuse
To determine if the Office of Temporary Disability Assistance adequately monitors and appropriately reimburses claims for homeless shelter providers such as Rescue Mission Alliance of Syracuse
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/reimbursement-homeless-shelter-providers-rescue-mission-alliance-syracuseOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections (Follow-Up)
… included in our initial audit report, Oversight of Casino Revenues and Regulatory Oversight Reimbursement … of their gaming revenues to the State, and tribe/nation casino remittances are defined in compacts (agreements with …
https://www.osc.ny.gov/state-agencies/audits/2021/05/05/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collections-followReimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center
… through December 31, 2019 and select expenses from 2020. About the Program Homeless shelters across the State provide …
https://www.osc.ny.gov/state-agencies/audits/2022/03/01/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-centerWest Seneca Fire District #6 – Financial Management (2013M-14)
… internal controls over District financial operations for the period January 1, 2009, through November 28, 2012. … Board of Fire Commissioners. The District’s budget for the 2012 fiscal year was $617,920, which was financed … cards and seek reimbursement from responsible officials for any personal, unauthorized or inappropriate activity. …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/09/27/west-seneca-fire-district-6-financial-management-2013m-14Monterey Fire Company, Inc. – Misappropriation of Funds (2013M-17)
… During our audit period, the Company’s revenues ranged from approximately $77,000 to $99,000 each year and its … audit claims, obtain written monthly financial reports from either Treasurer, require reconciliations of the bank …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/03/27/monterey-fire-company-inc-misappropriation-funds-2013m-17Improper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… on its claims, such as the patient’s diagnoses and services received as well as the date of the admission and when the services ended. Hospitals also report patient status codes to …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-follow2014 Year End Report
… payments to claimants and medical providers (claims) by the Workers’ Compensation Board’s (Board) sole custody … However, the majority of these claims are processed by a third-party administrator, Triad Group, LLC (Triad) … is denied. Triad is then responsible for recouping the money from the claimants. Key Findings Our examination …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-reportEmpowering Minds Therapy Inc. – Compliance With the Reimbursable Cost Manual
… Cost Manual (RCM). The audit covered the expenses reported for the fiscal year ended June 2015. About the Program Empowering Minds is an SED-approved, for-profit special education provider located in Holbrook. … RCM regarding eligibility and documentation requirements. For the fiscal year ended June 30, 2015, Empowering Minds …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/empowering-minds-therapy-inc-compliance-reimbursable-cost-manualKids First Evaluation & Advocacy Center – Compliance with the Reimbursable Cost Manual
… in reimbursable costs for its Special Education Itinerant Teacher services (referred to as the Program). Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2022/03/02/kids-first-evaluation-advocacy-center-compliance-reimbursable-cost-manualEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… 1, 2014 through June 30, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides health … generally reimburses the intraocular lens as a special item implant, meaning the hospital receives an additional fee …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsTown of Sheridan – Cellular Phones (2013M-334)
… basis which individuals are provided a Town cell phone, according to the Town Clerk. The Town does not have … with Town cell phones. While the Town provided cell phone service to Town officials and employees for job-related … some controls to be reimbursed for the cost of cell phone services provided to certain individuals, it lacked a …
https://www.osc.ny.gov/local-government/audits/town/2014/02/14/town-sheridan-cellular-phones-2013m-334Credit Cards – Travel and Conference Expense Management
… authorize designated employees to use a credit card issued in the name of the local government or school district to pay for … or school district credit card issued in both the name of the local government or school district and the …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/credit-cardsBilinguals Inc. – Compliance With the Reimbursable Cost Manual
… Billinguals employee); and $205,695 paid for international recruitment expenses for unqualified individuals and for …
https://www.osc.ny.gov/state-agencies/audits/2014/06/26/bilinguals-inc-compliance-reimbursable-cost-manual