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Medicaid Program – Inappropriate Payments Related to Procedure Modifiers
… by the provider. This is commonly known as the global surgery period. All routine services related to the surgery, … for E/M services billed without a modifier code on the same day a surgical procedure was performed. The payments were …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… overpaid for out-of-network anesthesia services provided at Ambulatory Surgery Centers that were contractually … health care providers who agree to accept payments, at rates established by United, to furnish medical/surgical … all anesthesia services provided to Empire Plan members at their facilities to be performed by in-network providers. …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryImproper Medicaid Payments to Eye Care Providers
… Purpose To determine (1) whether certain eye care providers who appeared to be affiliated complied … and (2) if Medicaid paid for improper claims billed by the eye care providers. This audit covered the period January 1, … State requirements. As a result of these weaknesses, six eye care professionals who did not fully comply with the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-medicaid-payments-eye-care-providersMission Statement and Performance Measures
… indicated that its mission statement was in the 1998-2002 Strategic Business Plan which was adopted by the Authority … performance. The 2009 Public Authorities Reform Act (Act) included requirements to increase transparency of …
https://www.osc.ny.gov/state-agencies/audits/2014/07/11/mission-statement-and-performance-measuresOvertime and Other Time and Attendance Matters Found in the Use of Certain Federal Funds
… Purpose To determine if the Metro-North Railroad (Metro-North) used … purposes, and whether the funds were properly monitored to prevent fraud, waste, and abuse. Our audit covered the period April 30, 2009 to June 30, 2012. Background Metro-North, a subsidiary of the …
https://www.osc.ny.gov/state-agencies/audits/2014/01/24/overtime-and-other-time-and-attendance-matters-found-use-certain-federal-funds-0Rolling Stock Programs Department – Selected Aspects of the M9 Rail Car Project Management
… the M9 contract so that the contractor delivers the cars on time, within the required scope and quality, and … 18, 2013, LIRR awarded a contract to procure new M9 train cars. The procurement is managed by LIRR’s Rolling Stock … The contract includes a firm initial base order of 92 cars with options for an additional 584 M9 cars for LIRR …
https://www.osc.ny.gov/state-agencies/audits/2022/03/25/rolling-stock-programs-department-selected-aspects-m9-rail-car-project-managementInternal Controls Over Selected Financial Operations (Follow-Up)
… SLA issues both on- and off-premises licenses (e.g., for bars and grocery stores, respectively) as well as manufacturing and wholesale …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-followTechnology Transfer Program and Royalty Payments (Follow-Up)
… at SUNY schools. We found the Research Foundation retained ownership rights for 94 percent of all IP disclosures from … through March 12, 2019; made decisions about retaining ownership rights for disclosed IP within the applicable time …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/technology-transfer-program-and-royalty-payments-followMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Objective To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to managed care organizations. The audit covered the period … To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careProject Tracking Systems and Economic Assistance Program Evaluations
… 5,000 associated projects. Over the years, ESD has used a mix of desktop applications and server-based platforms to …
https://www.osc.ny.gov/state-agencies/audits/2021/10/18/project-tracking-systems-and-economic-assistance-program-evaluationsTechnology Transfer Program and Royalty Payments
… the State University of New York’s (SUNY) interest in the transfer of technology and royalties received for … technology that empower SUNY to research, innovate, and transfer discoveries that transform the world’s knowledge … duties, the Research Foundation supports SUNY’s technology transfer – a collaborative process that requires efforts from …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/technology-transfer-program-and-royalty-paymentsOversight of Homeless Shelters
… Annual Homeless Assessment Report to Congress , New York State has the second largest population of homeless in the … 2007 and 2018. The Office administers programs for the State’s low-income residents and provides support to local … seeks to meet critical transitional housing needs of the State’s homeless population while guiding them to …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… in the same day. Medicaid uses the All Patient Refined Diagnosis Related Groups (DRG) methodology to reimburse … DRG methodology classifies recipients according to their diagnosis and severity of illness, which provides the basis …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… compliance. The Law does not preclude nurses from volunteering to work additional hours and does not apply in … audit report. Of the five prior audit recommendations, one was implemented and four were partially implemented. Key …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followComptroller DiNapoli Releases School Audits
… and local funds. For additional background or a comment on a specific audit, please contact Brian Butry at …
https://www.osc.ny.gov/press/releases/2016/11/comptroller-dinapoli-releases-school-audits-2State Comptroller DiNapoli Releases School Audits
… of the Alden Central School District , East Aurora Union Free School District and the Kiryas Joel Union Free School District . "In an era of limited resources and … limit by nine percentage points. East Aurora Union Free School District – High School Extra-Classroom Activity …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-school-auditsState Comptroller DiNapoli Releases Municipal Audits
… County – Procurement (2017M-224) The superintendent of public works and the sheriff did not always procure goods and … in accordance with state law. Of the 35 purchases and public works contracts reviewed totaling nearly $6 million …
https://www.osc.ny.gov/press/releases/2018/02/state-comptroller-dinapoli-releases-municipal-audits-0Comptroller DiNapoli Releases Municipal Audits
… elected town clerk and justice. Village of Atlantic Beach – Cash Disbursement (Nassau County) The board did not … that were inadequately supported. Village of Atlantic Beach – Payroll (Nassau County) Although department …
https://www.osc.ny.gov/press/releases/2019/05/comptroller-dinapoli-releases-municipal-auditsState Comptroller DiNapoli Releases School District Audits
… today announced the following school district audits have been issued. Northern Adirondack Central School District … County and Franklin County) Auditors found expenditures have exceeded appropriations by a total $626,000 in 2017-18 … the budgets are not structurally balanced and have used $1.5 million in appropriated fund balance to fund …
https://www.osc.ny.gov/press/releases/2020/10/state-comptroller-dinapoli-releases-school-district-auditsXI.4.A Not-for-Profit Prompt Contracting – XI. Procurement and Contract Management
… required in the contract; or The NFP borrows funds from an outside source to provide services pursuant to a written … In order to begin services, the NFP borrows funds from an outside source at an interest rate of 5 percent. The contract … of Taxation and Finance if the NFP borrowed money from an outside source. If a higher rate is requested, the NFP is …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi4a-not-profit-prompt-contracting