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Management of Indoor Air Quality for Individuals With Asthma (Follow-Up)
… with asthma. The objective of our initial audit, issued on August 2, 2022, was to determine if DOH effectively …
https://www.osc.ny.gov/state-agencies/audits/2024/09/09/management-indoor-air-quality-individuals-asthma-followImproper Payments for Drugs Without Federal Drug Rebate Agreement (Follow-Up)
… for Drugs Without a Federal Drug Rebate Agreement (Report 2022-S-40 ). About the Program The Medicaid Drug Rebate …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/improper-payments-drugs-without-federal-drug-rebate-agreement-followCost-Saving Ideas: Capital Planning for Local Governments and School Districts
… allow you to: Document procedures to help guide management in decision making; Establish priorities and determine … fund capital assets; Identify which assets need attention in any given year; and Inform the public and solicit input on … of the new capital assets needed; The priority in which assets are to be acquired, replaced or repaired; …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-capital-planning-local-governments-and-school-districtsYork College – Time and Attendance Practices for Public Safety Staff
… Purpose To 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 … To determine whether York College had adequate controls over …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/york-college-time-and-attendance-practices-public-safety-staffOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, Overpayments of Hospitals’ Claims for … which was issued on July 25, 2013, identified $7.8 million in Medicaid overpayments. The overpayments occurred primarily … Medicaid for higher (and more costly) levels of care when, in fact, patients received lower cost ALC. We recommended …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… September 30, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … (Department) contracts with United to process and pay medical claims for services provided to Empire Plan members. … ($5,228 - $4,084). In this case, nearly four years passed without any meaningful effort by Dr. Gomes to collect the …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesLeague for the Handicapped – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by the League for the Handicapped (LFH) on its Consolidated Fiscal Report (CFR) … determine whether the costs reported by the League for the Handicapped LFH on its Consolidated Fiscal Report CFR were …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/league-handicapped-compliance-reimbursable-cost-manualCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. Crossroads is reimbursed for … tuition reimbursement rates. Remind Crossroads officials of the pertinent SED guidelines that relate to the … clarification as needed. Other Related Audits/Reports of Interest State Education Department: Newmeadow, Inc. – …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Center for … York. CFDS provides preschool special education services to children with disabilities between the ages of three and … financial information, including costs, that CFDS reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our initial audit … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 through June 30, 2014 for the Apple and Sour Cherry Market Orders and the period April 1, 2011 through March 31, … Programs. Background Within the Department, the Market Order Administration unit is responsible for …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… parts. Medicare Part B helps pay for medical care provided in outpatient settings. Medicaid is a joint state and federal … received Medicare Part B services totaling $740 million in 2009. These services were provided in outpatient settings such as doctors' offices, clinics, and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bSexual Harassment Policy for the Office of the State Comptroller
… free from sexual harassment. Sexual harassment is a form of workplace sex discrimination. All employees are required to work in a manner that prevents sexual harassment in the workplace. … from coming forward to make or support a sexual harassment claim. Adverse action need not be job-related or occur in the …
https://www.osc.ny.gov/sexual-harassment-policyMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … but then admitted to a different hospital within the same day or the following day (which often meets the definition of …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… Objective To determine if the New York City Department of Education (DOE) arranged for eligible students to be placed in special education services and programs … To determine if the New York City Department of Education DOE …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… pay providers for services rendered to their members. The State’s Medicaid program offers different types of managed … since the audit, we identified nearly $7 million in new improper payments and further actions are still needed to … initially identified as a district with one of the highest number of improper newborn FFS claims; however, our updated …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… Objective To determine whether the New York City Department of Finance (DOF) identifies and … 30 entities that can issue parking summonses within New York City (NYC). During fiscal years 2017 through 2019, … only enforces collections from respondents who have New York plates and live within NYC. DOF refers other cases …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Objective To determine the extent of implementation of the three … the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s lungs. Mechanical … To follow up on the actions taken by officials of the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… (secondary payer). This is necessary to prevent duplicate payment of services by the primary and secondary payers. In …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsApplication Review and Site Permitting for Major Renewable Energy Projects
… and Community Protection Act (Climate Act), effective January 1, 2020, was designed to put the State on a path to … to establish a renewable energy program by the end of June 2021 to meet two requirements: by 2030, a minimum of 70% of …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projects