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Interdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, ICCD … in Queens and Nassau County. The New York City Department of Education (DoE) and local school districts refer students … Compliance With the Reimbursable Cost Manual ( 2016-S-95 ) Kennedy Child Study Center: Compliance With the Reimbursable …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualDiNapoli: Former City of Corning Clerk Arrested for Stealing Public Funds
… with grand larceny in the third degree, a class D felony, for allegedly misappropriating more than $5,000 in public … of Corning police department and District Attorney Baker for working closely with my staff to make sure this individual is held accountable for her actions.” An audit and investigation was initiated by …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-former-city-corning-clerk-arrested-stealing-public-fundsMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… Organization (IPRO), to review claims. We coordinated with the Department and IPRO to review a judgmental sample of … 248 days. If the hospital billed this admission correctly (with 248 days at the ALC rate), Medicaid would have paid only …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsDiNapoli: More Security Needed for Hazardous Materials at SUNY University Centers
… rooms without the use of a key, card or assistance from school officials. Only Oneonta and Cobleskill had complete … who are in possession of particular keys, leaving the school vulnerable to unauthorized access to areas containing … state's 150,000 contracts, billions in state payments and public authority data. Visit the Reading Room for contract …
https://www.osc.ny.gov/press/releases/2018/12/dinapoli-more-security-needed-hazardous-materials-suny-university-centersCity of Batavia – Awarding Contracts for Goods and Services (2013M-296)
… they are receiving the desired service at a competitive price. … City of Batavia Awarding Contracts for Goods and …
https://www.osc.ny.gov/local-government/audits/city/2014/01/24/city-batavia-awarding-contracts-goods-and-services-2013m-296Revenue Enhancement Ideas: Cash Management for Local Governments and School Districts
… and other balances that could be invested longer term in investments allowable by law. Accelerate Collection and … other entities. Develop procedures for making deposits in a timely manner to ensure funds are protected and earning … these payments can be approved by the governing board in time to avoid late payment charges. Consider using online …
https://www.osc.ny.gov/local-government/publications/revenue-enhancement-ideas-cash-management-local-governments-and-school-districtsStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Starting Point Services for Children (Starting Point) on its Consolidated Fiscal … included all expenses claimed on Starting Point’s CFR for the fiscal year ended June 30, 2013, and certain expenses claimed on Starting Point’s CFRs for the two fiscal years ended June 30, 2012. Background …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We recommended the Department review the improper payments we identified and recover overpayments as appropriate. We also recommended … help ensure managed care enrollment information is entered and update timely and to determine why certain …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… That Exceed Allowed Dispensing Limits (Report 2013-S-59). Background The State’s Medicaid program provides a … disadvantaged and/or have special health care needs. The New York State Controlled Substances Act (Act) was enacted to …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal Report (CFR) were properly … rates set by SED. These reimbursement rates are based on financial information, including costs, that Astor reports …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… and allowable pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit included … school year, Milestone serviced about 110 students. The New York City Department of Education (DoE) refers students to …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… authorized by Article 15 of the Not-for-Profit Corporation Law (Law), and under the supervision of the State’s Cemetery Board … a financial and/or program burden on the community. The Law establishes certain requirements for cemeteries to ensure …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… as a cost claiming document for program reimbursement. At the end of each contract year, OMH reviews the reported …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… Purpose To determine whether the Office of Mental Health (OMH) is … through October 22, 2015. Background The mission of OMH is to promote the mental health and well-being of all New …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… period July 1, 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides … surgical procedures and physician office visits. The New York State Department of Civil Service contracts with … a non-participating provider located in Long Island, New York. During the period July 1, 2011 through March 31, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… claims incorrectly reported that Medicare had not made any payment toward the billed charges. We recommended the …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… our initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). … examined whether nursing home claims submitted to Medicaid for hospital bed reserve days were appropriate, and if not, … 31, 2010, our audit determined Medicaid paid $28 million for bed reserve claims that exceeded the bed reserve day …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… January 1, 2011 through December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides … surgical procedures and physician office visits. The New York State Department of Civil Service contracts with … a non-participating provider located in Long Island, New York. During the period January 1, 2011 through December …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… were calculated properly, documented adequately, and allowable pursuant to the State Education Department’s … included all expenses claimed for the fiscal year 2012-13 and certain expenses for the two fiscal years ended June 30, … program to disabled children between the ages of three and five years. Whitestone, located in Queens, New York, …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… designated with modifier code 59 that were not distinct and independent from other services provided on the same day. … health insurance coverage to more than 1.2 million active and retired State, participating local government and school … their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. The State Department of Civil …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59