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Nursing Home Surveillance (Follow-Up)
… government’s Centers for Medicare and Medicaid Services (CMS) in monitoring quality of care in nursing homes. The …
https://www.osc.ny.gov/state-agencies/audits/2018/03/08/nursing-home-surveillance-followExamination of Center for Economic Growth, Inc.
… Growth, Inc.’s (CEG) claims for grant funds and associated matching expenses, reporting of revenue, and procurements … told our auditors CEG would not have met the contract’s matching requirements if the items identified in our report … Growth Incs CEG claims for grant funds and associated matching expenses repor …
https://www.osc.ny.gov/state-agencies/audits/2018/08/14/examination-center-economic-growth-incMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… before service bureaus submit them to eMedNY for payment. In March 2005, HHC hired Accordis to provide billing services … as required by New York State regulations. Review the $533 in payments we identified and recover inappropriate …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitalsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… These Medicare Advantage Plans typically have networks of participating providers they reimburse directly for … provided to enrollees. For dual-eligibles, plan providers bill Medicaid directly for the enrollee’s Part C cost-sharing … did not cover the service. From a review of a sample of 125 claims totaling $151,069, we determined …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsAssessment of Costs to Administer the Workers’ Compensation Program for the Fiscal Year Ended March 31, 2014
… Purpose The purpose of this performance audit is to determine whether the Workers’ Compensation Board (Board) has adequate … The purpose of this performance audit is to determine whether the Workers Compensation Board Board …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/assessment-costs-administer-workers-compensation-program-fiscal-year-ended-march-31-2014Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… lens and replacing it with an intraocular lens (such as a plastic lens). Empire generally reimburses the intraocular …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsMedicaid Program – Improper Payments for Brand Name Drugs
… whether Medicaid made improper payments for brand name drugs. The audit covered the period from July 2016 … dosage form, and strength. Generally, this means a brand name drug will be substituted with a generic drug that is equivalent to the brand name drug. Prescribers of drugs can indicate that a brand …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… Purpose To determine whether Medicaid made improper payments to providers on behalf of recipients receiving hospice care. This audit covered the period January 1, 2013 through … To determine whether Medicaid made improper payments to …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careCVS Health – Temporary Holding Account Rebate Revenue
… Objective To determine if CVS Health remitted to the State Department of Civil Service … to eligible prescription drug claims maintained in CVS Health’s temporary holding account. Our audit covered the … nearly 1.1 million members. Civil Service contracted with CVS Health to administer the Empire Plan’s prescription drug …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueAccounts Payable Advisory No. 3
… have multiple Address Sequences associated with a Vendor ID. While some vendors have a single default address which … vendor and address: Select the appropriate Vendor ID. Select the appropriate Address Sequence on the Invoice … populate the default address associated with the Vendor ID. Select the appropriate Address Sequence on the Payments …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/3-address-sequenceAccounts Payable Advisory No. 28
… Subject : Certifying Controls over the Agency’s Payment Process Reference : Guide to Financial Operations: … Section 4.D - Certification of Internal Controls over the Payment Process Chapter XIII, Section 2.C - Expense Report … that the agency has sufficient internal controls over the payment process to ensure claims are appropriate to pay. …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/28-internal-controls-certificationRescue Fire Company, Inc. – Unaccounted-For Bar Receipts (2012M-250)
… with Company officials the deficiencies related to the bar cash receipts. According to Company officials, the bar committee chairman produced $10,505 in cash at the … officials told us that over the last several years, the bar committee chairman was able to divert cash from the cash …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/04/19/rescue-fire-company-inc-unaccounted-bar-receipts-2012m-250City of Glens Falls – Financial Condition (2013M-150)
… 31, 2012. Background The City of Glens Falls is located in Warren County and has approximately 14,700 residents. The … amendments. Although we do not consider the City to be in fiscal stress at this time, the low levels of unexpended surplus funds in the general fund and declining balances in the water and …
https://www.osc.ny.gov/local-government/audits/city/2013/08/02/city-glens-falls-financial-condition-2013m-150Warsaw Fire Department – Internal Controls Over Financial Operations (2013M-347)
… of Audit The purpose of our audit was to determine whether Company controls are adequate to ensure that financial … activity is properly recorded and reported and that Company moneys are safeguarded for the period June 1, 2011 … Background The Warsaw Fire Department comprises one fire company, Cry-Res Corporation (Company). The Company provides …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/01/31/warsaw-fire-department-internal-controls-over-financialEndwell Fire District – Controls Over Financial Operations (2013M-277)
… separate from the Town of Union and the County of Broome in which it is located. The Board of Fire Commissioners, … the District’s financial condition. We found deficiencies in the manner in which the Board budgeted for operations and capital …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/01/31/endwell-fire-district-controls-over-financial-operations-2013m-277Caledonia Fire Department – Internal Controls Over Financial Operations (2013M-356)
… enforce written policies and procedures that establish a strong system of internal controls over the Department’s …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/03/14/caledonia-fire-department-internal-controls-over-financialTown of Rossie – Records and Reports and Cash Disbursements (2013M-168)
… 31, 2012. Background The Town of Rossie is located in St. Lawrence County and has a population of 877. The Town …
https://www.osc.ny.gov/local-government/audits/town/2013/10/04/town-rossie-records-and-reports-and-cash-disbursements-2013m-168Frontier Central School District – Financial Condition and Mobile Devices (2013M-297)
… audit was to assess the District’s financial condition and mobile device environment for the period July 1, 2010 through … officials did not establish adequate safeguards over mobile devices, and that District employees did not use mobile devices in accordance with the District’s …
https://www.osc.ny.gov/local-government/audits/school-district/2014/02/28/frontier-central-school-district-financial-condition-and-mobile-devicesVillage of Montgomery – Purchasing and Information Technology (2013M-210)
… 9, 2013. Background The Village of Montgomery is located in the Town of Montgomery in Orange County and has a population of about 3,800. The … did not ensure that copies of back-up data were stored in a secure off-site location and the Board has not developed …
https://www.osc.ny.gov/local-government/audits/village/2013/10/25/village-montgomery-purchasing-and-information-technology-2013m-210Town of Huntington – Payroll and Legal Services (2013M-28)
… May 31, 2012. Background The Town of Huntington is located in Suffolk County and has a population of approximately … prior to their normal work schedule a total of $15,000 in overtime. If earlier starts are actually necessary, the Town could save $179,000 a year in overtime costs by adjusting the arrival times on …
https://www.osc.ny.gov/local-government/audits/town/2013/05/24/town-huntington-payroll-and-legal-services-2013m-28