Search
Medicaid Program – Overpayments of Ambulatory Patient Group Claims (Follow-Up)
… made in our audit report, Overpayments of Ambulatory Patient Group Claims (Report 2011-S-43). Background In 2008, … outpatient payment methodology (known as Ambulatory Patient Groups [or APG]) for clinic and ambulatory surgery … Interest Department of Health: Overpayments of Ambulatory Patient Group Claims (2011-S-43) …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/medicaid-program-overpayments-ambulatory-patient-group-claims-followService-Disabled Veteran-Owned Business Program Implementation
… the Division of Service-Disabled Veterans’ Business Development (Division) within OGS to oversee the State’s … efforts to identify and address barriers to SDVOB development. Key Recommendations Develop a formal strategic … needs and potential service gaps, and work with strategic partners to increase the pool of certified SDVOBs to address …
https://www.osc.ny.gov/state-agencies/audits/2016/09/07/service-disabled-veteran-owned-business-program-implementationReporting and Utilization of Bias Incident Data (Follow-Up)
… reporting bias incident statistics and utilizing the data for management decisions. We also determined whether NYPD …
https://www.osc.ny.gov/state-agencies/audits/2016/08/12/reporting-and-utilization-bias-incident-data-followAdministration of Fellowship Leaves (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Administration of Fellowship … staff were awarded for authorized purposes and in compliance with all applicable requirements. We found that … of their fellowship. Key Finding CUNY has made progress in addressing the issues identified in our initial report. …
https://www.osc.ny.gov/state-agencies/audits/2016/02/17/administration-fellowship-leaves-followSubway Service Diversions for Maintenance and Capital Projects (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Subway Service Diversions for … starts and early end times ranged from 10 to 27 percent. In addition, the public was not adequately informed about … Finding The MTA-Transit officials have made some progress in correcting the problems we identified. However, additional …
https://www.osc.ny.gov/state-agencies/audits/2015/09/16/subway-service-diversions-maintenance-and-capital-projects-followInappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… Payments for Recipients with Multiple Identification Numbers and No Social Security Numbers (2010-S-29). Background Our initial audit report, … (local districts) properly assigned identification numbers to individuals eligible for Medicaid, and whether …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… made in our audit report, Overpayments of Certain Medicare Crossover Claims (2011-S-28). Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 years … programs are referred to as “dual-eligibles.” Generally, Medicare is the primary payer for medical services provided …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background Our initial … on August 16, 2010, examined Medicaid payments for routine dental services, such as cleanings and oral evaluations, … 31, 2009. Our audit identified $40 million of excessive dental services that exceeded certain frequency limits (i.e., …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followContract with EBSCO Subscription Services, Inc. (Follow-Up)
… audit report, Contract with EBSCO Subscription Services, Inc. (Report 2007-R-6). Background Our initial audit report, … and other authorized entities. EBSCO Subscription Services Inc. (EBSCO) is the largest provider in this contract group. … Services: Contract with EBSCO Subscription Services, Inc. (2007-R-6) …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… system) and because recipients were not removed timely from the managed care plans once their Medicare data was … localities and the broker to remove Medicaid recipients from managed care programs when they become Medicare … agreement regarding timely removal of dual eligibles from Medicaid managed care programs, and to implement …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our … made overpayments for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary medical insurance for … made in our audit report Medicaid Payments for Medicare Part A Beneficiaries 2009S36 …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followOverpayments to Cabrini Medical Center (Follow-Up)
… $1.9 million in Medicaid overpayments to Cabrini Medical Center. The overpayments occurred because a billing company (hired by Cabrini) incorrectly altered … Interest Department of Health: Overpayments to Cabrini Medical Center (2011-S-8) …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical … supplies. Individuals enrolled in both Medicaid and Medicare are commonly referred to as "dual eligible." …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followManagement of General School Funds (Follow-Up)
… report, John F. Kennedy Educational Campus: Management of General School Funds (Report 2009-N-11). Background Our … officials did not exercise due diligence and care over General School Fund (GSF) accounts. We could not fully … New York City Department of Education: Management of General School Funds (2013-F-33) …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… initial report, issued on December 23, 2010 found that the Port Authority generally did not follow required procedures … of 75 items that were purchased for $8.2 million, the Port Authority provided documentation for only two items for $192,279. In addition, the Port Authority included funds for vehicle and equipment …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followManagement and Control of Employee Overtime Costs (Follow-Up)
… report, issued on August 17, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not effectively manage and … proper prior approvals and justification. In addition, the Port Authority did not meet the 20 percent overtime reduction …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in voluntary agencies. The Department administers the New York State Medicaid program. Many foster care children …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report … 30, 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 recipients who, by State law, were precluded from enrollment in managed care programs. We recommended that the Department investigate …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing … improper payments for HIV tests, duplicate billings, and clinic, practitioner, and health home services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014