Search
Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … Medicaid payments, as follows: $3,521,562 in overpayments for fee-for-service claims for recipients whose services were …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Oversight of Homeless Shelters (Follow-Up)
… – estimated at more than 80,000 and comprised of families, couples, and single adults – while guiding them to …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… (intensive) levels of care that should have been based on less costly "alternate" levels of care; Claims for a …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Purpose To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2013 … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Affordable Home Ownership Development Program
… Purpose To determine whether Affordable Home Ownership Development Program (Program) grant managers … Grant monies may be used for new construction, home improvements, or acquisition and repair projects. The … To determine whether Affordable Home Ownership Development Program Program grant managers are …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/affordable-home-ownership-development-programAccounts Receivable Collection and Reporting
… receivable collection and reporting procedures were in compliance with applicable laws and regulations for the … receivable collection and reporting practices are in compliance with applicable laws and regulations. As required, … receivable collection and reporting procedures were in compliance with applicable laws and regulations for the …
https://www.osc.ny.gov/state-agencies/audits/2015/08/05/accounts-receivable-collection-and-reportingMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… in our initial audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits … whether the Department was correctly paying claims for services to Medicaid recipients who also have health … and proactive steps to administer Medicaid reimbursements for services provided to dual eligible individuals. About …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followOversight of Procurements and Loan Programs
… Purpose To determine whether the Development Authority of the North Country (DANC) provided adequate oversight of its procurements and loan programs in accordance with the Public Authorities Law (Law) … Law to provide infrastructure services and economic development in Jefferson, Lewis, and St. Lawrence counties. …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/oversight-procurements-and-loan-programsMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … payments. The audit found: $1,956,679 in overpayments for newborn claims that were submitted with incorrect birth …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six … Department of Health (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who … for the recipients in question, the net savings to Medicaid would have been about $36 million. The …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followProcurement and Contracting Practices (Follow-Up)
… in the best value for the taxpayers, but instead led to a waste of substantial public resources. Moreover, in several …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followDairy Inspections
… performed approximately 6,000 inspections at almost 1,400 locations (e.g., plants, farms, bulk tankers) in calendar … of Information Technology Services, to easily and readily store, access, and analyze all inspection information. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/dairy-inspectionsDynamic Center Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs submitted by Dynamic Center Inc. on its Consolidated Fiscal Report were … is reimbursed for SEIT Program services through rates set by SED. Dynamic’s reimbursement rate is based on financial … weaknesses corresponding to the expenses reported by Dynamic on its CFR. Key Recommendations To the State …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/dynamic-center-inc-compliance-reimbursable-cost-manualAnnual Assessment of Market Orders for 2012, 2013, and 2014
… the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety … Order Program, particularly its Apple Market Order, which is administered pursuant to a contract with the New York …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Property Tax Freeze Credit
… with New York State Tax Law. Background The PTF Credit is intended to reimburse qualified New York State homeowners … and the school district where the homeowner’s property is located must comply with the New York State Property Tax … Key Recommendations Ensure PTF Credit payment data is complete and correct prior to submitting those payments …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/property-tax-freeze-creditChild Care Licensing and Inspection
… Purpose To determine if the Office of Children and Family Services’ (Office) child care licensing and … through May 9, 2014. Background The Office's mission is to promote the well-being and safety of the State's children, … To determine if the Office of Children and Family Services …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/child-care-licensing-and-inspectionMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… two separate payments are made: a payment for the first hospital’s claim and a payment for the second hospital’s claim. However, according to the Department’s … when a recipient is transferred from the first hospital to a merged or consolidated division or hospital, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesThe Norman Howard School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether costs reported by the Norman Howard … Rochester, New York, provides special education services to children with learning disabilities in grades 5 through … files with the New York State Education Department (SED). To be eligible for reimbursement, the expenses must comply …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/norman-howard-school-compliance-reimbursable-cost-manualAudit of the Tuition Assistance Program at CUNY Medgar Evers College
… Background Medgar Evers College, located in Brooklyn, is a senior college within the City University of New York, … 6,000 students, and tuition for full-time study is about $5,000 per year. TAP is an entitlement program designed to provide funds for …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-college