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Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… Purpose To determine the extent of implementation of the three … 9, 2010, examined whether nursing home claims submitted to Medicaid for hospital bed reserve days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followOversight of Homeless Shelters
… in the operation of these programs. Through its Bureau of Shelter Services, the Office seeks to meet critical … egregious of which pose obvious and dangerous risks to shelter residents’ health and safety. These included fire and … Take necessary actions to complete all annual inspections, and issue facility certifications, within the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… prevention and deterrence to detection and prosecution. For example, our analysis of prescription data identified … more than 325,000 prescriptions filled over 565,000 times for controlled substances such as Oxycodone (OxyContin), … recommendations: to review the identified prescriptions for potential investigations; enhance routine data analysis; …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report … which was issued on January 5, 2015, determined that, for the 27-month period October 1, 2011 through December 31, … our initial audit report Improper FeeforService Payments for Pharmacy Services …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… accounts and whether the money is properly accounted for and used for appropriate business expenses. We concluded that these …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followForensic Audit of Payments to On-Board Service Managers (Follow-Up)
… Services Unit staff members were not held accountable for their work performance and time and attendance. In addition, the Assistant Vice President responsible for the Unit violated Metro-North policy by not disclosing …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/forensic-audit-payments-board-service-managers-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Department of Transportation (Department) requirements for classifying, reporting and repairing bridge defects. … did not always comply with the Department’s requirement for an annual interim inspection if the repairs are not … 10 of the 17 Safety Conditions sampled were not repaired for more than two years, including three which were open for …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… of the three recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… Of the initial report’s three audit recommendations, one was partially implemented, one was not implemented and one was no longer applicable. Key Recommendation Officials …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Background Our initial audit report, which was issued on August 13, 2013, determined that, for the period January 1, …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followEffectiveness of the Information Technology Transformation
… each organized within a different part of ITS. In each case, we reported on areas where ITS had not established …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/effectiveness-information-technology-transformationUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent State funding in … located in Canandaigua, which supports New York State’s wine and grape industry through research, promotion, and … To determine whether the New York Wine and Grape Foundation has spent State funding in …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsContracts for Personal and Miscellaneous Services (Follow-Up)
… included in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2008-S-158 ). … required to maintain documentation supporting the basis for this determination, and we found such documentation was … requesting the services determine whether: it was feasible for another constituent agency to perform some or all of the …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followHousing Preferences for Veterans (Follow-Up)
… report, issued on June 6, 2012, found that, although the New York State Legislature had extended the right of preference for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followRainbow Rhymes Learning Center (Follow-Up)
… disallowed an additional $10,022 as inappropriate. These funds were recovered from Rainbow. Key Recommendation …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… schools, in accordance with guidelines from the New York State Education Department. We found that DoE classified some …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… included in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). … included in our initial audit report Travel Plaza Revenues and Capital Improvements …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Defects (2012-S-32) Port Authority of New York and New Jersey: Inspecting Highway Bridges and Repairing Defects …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… report, issued on July 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have documentation to … for personal and miscellaneous services. In addition, the Port Authority did not provide documentation to support that …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… reasonably ensured that Medicaid claims were submitted from approved providers, were accurately processed, and … of a potential $20.3 million overpayment resulting from a reimbursement rate that was incorrectly updated on a …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-follow