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Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46) 90-Day Response
To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s46-response.pdfAnnual Assessment of Market Orders for 2015 and 2016
… Purpose To determine whether the Department of Agriculture and Markets (Department) had adequate procedures in place … to its administration of Article 25 of the Agriculture and Markets Law. Our audit covered the period July 1, 2014 through June 30, 2016 for the Apple and Sour Cherry Market Orders and the period April 1, 2014 …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Improper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… judgmental sample of 166 claims, totaling $2,474,162, from six hospitals, and reviewed the associated patients’ medical …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… costs reported by the Interdisciplinary Center for Child Development (ICCD) on its Consolidated Fiscal Reports (CFRs) … Audits/Reports of Interest Lifeline Center for Child Development, Inc.: Compliance With the Reimbursable Cost … costs reported by the Interdisciplinary Center for Child Development on its Consolidated Fiscal Reports were …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
To determine the extent of implementation of the five recommendations included in our audit report Medicaid Program Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims Report 2022S16
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followChildren’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… allowable costs are included on any of their CFRs prepared after our scope period. Direct Center officials to disclose … “less-than-arm’s-length” transactions on any CFRs prepared after the scope period and prior to ceasing operations. To … Center: Ensure that costs reported on any CFRs prepared after the scope period comply with Manual requirements. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (2018-S-71) 180-day response
To determine whether Medicaid made improper payments to providers on behalf of dual-eligible individuals receiving hospice care covered by Medicare.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-18s71-response.pdfEarly Childhood Learning Center of Greene County – Compliance With the Reimbursable Cost Manual
… the costs reported by Early Childhood Learning Center of Greene County (ECLC) on its Consolidated Fiscal Report (CFR) … an SED-approved, not-for-profit private school located in Greene County that provides preschool special education … the costs reported by Early Childhood Learning Center of Greene County on its Consolidated Fiscal Report were properly …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/early-childhood-learning-center-greene-county-compliance-reimbursable-cost-manualComptroller DiNapoli Releases School District Audits
… board develop a plan to reduce fund balance by financing one-time expenditures, funding reserves, reducing district … (2018M-270) Although the board has adopted a procurement policy, the policy does not require soliciting competition, … and economical use of public funds. Floral Park-Bellerose Union Free School District – Leave Records (Nassau County) …
https://www.osc.ny.gov/press/releases/2019/04/comptroller-dinapoli-releases-school-district-auditsBright Start Pediatric Services, LLC – Compliance With the Reimbursable Cost Manual
To determine whether the costs reported by Bright Start Pediatric Services LLC Bright Start on its Consolidated Fiscal Report CFR were properly calculated
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/bright-start-pediatric-services-llc-compliance-reimbursable-cost-manualMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… payments to the providers. The audit covered the period from April 2021 through September 2021, and certain claims … computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients, and it … their claims. During the 6-month period ended September 30, 2021, eMedNY processed over 121 million claims, resulting …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021Medicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … September 30, 2018. About the Program The Department of Health (Department) administers the State’s Medicaid … 154 million claims, resulting in payments to providers of more than $35 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018Circle of Friends – Compliance With the Reimbursable Cost Manual
… State Education Law, SED establishes reimbursement rates for special education providers based on financial … reported by providers on their annual CFR. To be eligible for reimbursement, the provider's reported expenses must comply with the guidelines specified in the RCM. For the fiscal year ended June 30, 2013, Circle of Friends …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/circle-friends-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases Municipal Audits
… to improve actions to enforce past due amounts from offenders and locate crime victims to whom restitution is … to improve actions to enforce past due amounts from offenders and locate crime victims to whom restitution is …
https://www.osc.ny.gov/press/releases/2018/09/state-comptroller-dinapoli-releases-municipal-auditsEast Moriches Union Free School District - Budget Review (B7-15-5)
… 2015-16 fiscal year. Background The East Moriches Union Free School District is located in Suffolk County. Pursuant … East Moriches Union Free School District Budget Review B7155 …
https://www.osc.ny.gov/local-government/audits/school-district/2015/04/09/east-moriches-union-free-school-district-budget-review-b7-15-5Medicaid Overpayments for Certain Medicare Part C Claims (2013-S-35), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine if Medicaid overpaid Medicare Part C claims on behalf of Medicaid recipients enrolle
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s35-response.pdfReimbursement of Homeless Shelter Providers – Rescue Mission Alliance of Syracuse
… services to families and adults, including assessment and case management, access to health care and child care …
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/reimbursement-homeless-shelter-providers-rescue-mission-alliance-syracuseExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (2021-S-37)
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals. The audit covered the period from March 2021 through March 2022.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37.pdfDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses (Follow-Up)
… included in our initial audit report, Drug and Alcohol Treatment Program: Provider Claiming of Depreciation … that strengthen communities, schools, and families through alcohol and drug prevention and treatment and to meet … into agreements with providers for delivery of specific alcohol- and drug-related services. OASAS reimburses the …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expenses-followHeadstart of Rockland, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Head Start of Rockland, Inc. (HSOR) on its Consolidated Fiscal Report … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including … To determine whether the costs reported by Head Start of Rockland Inc on its …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/headstart-rockland-inc-compliance-reimbursable-cost-manual