Search
United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… audit report, United HealthCare - Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy … the improper claims well outside of normal business hours and often lacked records verifying that patients actually … Ethical routinely submitted fraudulent claims to NYSHIP and received payments for those claims. We coordinated our …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Purpose To determine whether Hudson Valley Bone and Joint Surgeons, LLP waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United … (NYSHIP) provides health insurance coverage to active and retired State, participating local government, and school …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpDiNapoli: MTA Needs to Improve Efforts to do Business with Minority- and Women-Owned Businesses
… Authority (MTA) set annual goals for minority- and women-owned business enterprise (MWBE) contracts at around 20 percent, lower than the target set in statute and did not give rationale for the lower target, according to … is vitally important to help level the playing field and give qualified companies a chance to do business with the …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-mta-needs-improve-efforts-do-business-minority-and-women-owned-businessesRockland Board of Cooperative Educational Services – Administrator Compensation, Financial Management and Purchasing (2017M-60)
… was to review administrative compensation, purchasing and financial management practices for the period July 1, … position of Chief Operating Officer/Deputy Superintendent and then hiring a new District Superintendent, BOCES incurred … a written policy that addresses procedures for billing and collection. The Board and Superintendent incurred $70,290 …
https://www.osc.ny.gov/local-government/audits/boces/2017/12/15/rockland-board-cooperative-educational-services-administrator-compensationDiNapoli: Ralph Lauren Should Ensure Human and Worker Rights are Upheld in its Operations
… explain what steps it is taking to ensure human rights are upheld there and throughout its supply chain. Safety in … DiNapoli supports greater disclosure on how companies are mitigating the risk inherent to their supply chains. In …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-ralph-lauren-should-ensure-human-and-worker-rights-are-upheld-its-operationsStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… Liquor Authority (Authority) appropriately approved new and renewed licenses in accordance with the State’s Alcoholic Beverage Control Law (ABC Law) and the related administrative and documentation requirements. The audit also sought to …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsHebrew Institute for the Deaf and Exceptional Children – Compliance With the Reimbursable Cost Manual
… the costs reported by the Hebrew Institute for the Deaf and Exceptional Children (Hebrew Institute) on its … Reports (CFRs) were properly documented, program related, and allowable pursuant to the State Education Department’s … organization approved by SED to provide full-day and half-day Special Class (SC) and Special Class in an …
https://www.osc.ny.gov/state-agencies/audits/2016/11/22/hebrew-institute-deaf-and-exceptional-children-compliance-reimbursable-cost-manualOntario-Seneca-Yates-Cayuga-Wayne Board of Cooperative Educational Services (BOCES) – Multiyear Planning and Software Management (2016M-249)
… assess BOCES’ multiyear planning, including reserve funds, and software management for the period July 1, 2014 through … entity created to provide shared educational programs and services to 25 component school districts. BOCES is … describe their intentions for accumulating, maintaining and using reserve funds. BOCES officials established the …
https://www.osc.ny.gov/local-government/audits/boces/2016/12/09/ontario-seneca-yates-cayuga-wayne-board-cooperative-educational-services-bocesKiryas Joel Union Free School District – Financial Condition and Selected Employee Reimbursements (2016M-331)
… audit was to evaluate the District's financial condition and selected employee reimbursement payments for the period … one school with approximately 200 special needs students and provides transportation, health and welfare services and textbooks to approximately 11,400 …
https://www.osc.ny.gov/local-government/audits/school-district/2017/03/03/kiryas-joel-union-free-school-district-financial-condition-and-selectedMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the prescriptions he wrote. The audit covered the period … for each visit; notes regarding the patient’s progress and response to treatment; notation of all medications …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingSpecial 25-Year Plan for County Probation Department Peace Officers (Sections 89-t and 603(p))
… (Return to Top) VO1871 (Rev. 6/12) © 2012, New York State and Local Retirement System (Return to Top) … Information …
https://www.osc.ny.gov/retirement/publications/special-25-year-plan-county-probation-department-peace-officers-sections-89-t-and-603pMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… determine if Medicaid overpaid managed care organizations and hospitals for low birth weight newborn claims. The audit … providers for newborn services using the fee-for-service and managed care payment methods. Under fee-for-service, … kick payments range from $68,355 to $105,108 per newborn and far exceed the standard kick payments for newborns …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightPutnam/Northern Westchester Board of Cooperative Educational Services – Information Technology and Claims Auditing (2016M-205)
… purpose of our audit was to examine the controls over IT and the claims auditing process for the period July 1, 2014 … Services consists of 18 component school districts and operates at three campuses. BOCES is governed by a … personal Internet usage. The rooms housing the IT servers and infrastructure did not have safeguards to track access …
https://www.osc.ny.gov/local-government/audits/boces/2016/09/30/putnamnorthern-westchester-board-cooperative-educational-services-informationValley Stream Union Free School District #24 – Leave Accruals and Separation Payments (2016M-335)
… was to examine the District’s accounting for leave time and separation payments for the period July 1, 2014 through … or procedures in place to provide guidance to employees and District officials to ensure that separation payment calculations are reviewed, approved, accurate and sufficiently supported. The Assistant Superintendent …
https://www.osc.ny.gov/local-government/audits/school-district/2016/11/25/valley-stream-union-free-school-district-24-leave-accruals-and-separationTompkins-Seneca-Tioga Board of Cooperative Educational Services – Network Access and Information Technology Assets (2022M-65)
… Services (BOCES) officials ensured network access and information technology (IT) assets were properly … Key Findings BOCES officials did not ensure network access and IT assets were properly safeguarded from unauthorized use, access and loss. In addition, sensitive IT control weaknesses were …
https://www.osc.ny.gov/local-government/audits/boces/2022/07/01/tompkins-seneca-tioga-board-cooperative-educational-services-network-access-andTown of Lyonsdale – Financial Condition, Board Oversight and Controls Over Fuel Inventory (2013M-163)
… of our audit was to review the Town’s financial condition and examine selected operations for the period January 1, … five-member Town Board composed of the Town Supervisor and four Council Members. For the fiscal year ended December … expenditures totaled about $208,000 for the town-wide and town-outside-village general funds and $493,000 for the …
https://www.osc.ny.gov/local-government/audits/town/2013/09/06/town-lyonsdale-financial-condition-board-oversight-and-controls-over-fuel-inventoryVillage of Old Field – Misappropriation of Village Funds and Selected Financial Operations (2013M-44)
… the Board’s oversight of Village financial activities and the Treasurer’s duties for the period January 1, 2009, to … is located in the Town of Brookhaven, in Suffolk County, and has a population of approximately 900. The Village is … by an elected Board of Trustees comprising a Mayor and four Trustees. Village general fund expenditures for the …
https://www.osc.ny.gov/local-government/audits/village/2013/07/17/village-old-field-misappropriation-village-funds-and-selected-financialCity of Binghamton – Joint Sewage Treatment Facility Capital Project Planning and Monitoring (2020M-170)
… whether the City of Binghamton (City) properly planned and monitored the Joint Sewage Treatment Facility Capital … (Project). Key Findings City officials properly planned and monitored the Project by: Establishing a sound process … testing results for treatment lines Concrete inspection and testing results, including core samples and composition …
https://www.osc.ny.gov/local-government/audits/city/2021/07/09/city-binghamton-joint-sewage-treatment-facility-capital-project-planning-andThe Construction Industry in New York City: Recent Trends and Impact of COVID-19
… Recent Trends and Impact of COVID-19 June 2021 PDF Version En Español … much higher than in the rest of the State (18 percent) and the nation (24 percent). In 2020, construction spending … strongly. This was especially true in New York State and New York City. Before 2020, the nation’s construction …
https://www.osc.ny.gov/reports/osdc/construction-industry-new-york-city-recent-trends-and-impact-covid-19Examples from GASB Statement 34 - Statement of Revenues, Expenses and changes in Net Assets
… permission. Sample City Statement of Revenues, Expenses, and Changes in Fund Net Assets Proprietary Funds For the Year … Enterprise Funds Governmental Activities Water and Sewer Parking Facilities Totals Internal Service Funds … 584,396 Utilities 754,107 100,726 854,833 214,812 Repairs and maintenance 747,315 64,617 811,932 1,960,490 Other …
https://www.osc.ny.gov/local-government/publications/examples-gasb-statement-34-statement-revenues-expenses-and-changes-net-assets