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New York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17 ). … with CVS Health (CVS) to administer the Empire Plan’s pharmacy benefits. Civil Service maintains the New York … issued on September 29, 2021, determined if CVS paid pharmacy claims for Empire Plan members who were not …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleEmpowering Minds Therapy Inc. – Compliance With the Reimbursable Cost Manual
… children with disabilities who are between 3 and 4 years of age. SED sets the special education rates based on … $912 in other than personal service costs, consisting of $1,009 in non-allowable goodwill expense charged to the … reimbursement rates. Remind Empowering Minds officials of the pertinent SED requirements that relate to the …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/empowering-minds-therapy-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32 ). … Empire BlueCross (Empire) to administer the Empire Plan’s hospital benefits. Civil Service maintains the New York … August 18, 2020, sought to determine whether Empire paid hospital claims for members who were not eligible for …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesOversight of Construction Management Contracts (Follow-Up)
… is responsible for operating and maintaining the State park, recreation, and historic site system to conserve, … construction manager of a $25 million Niagara Falls State Park revitalization project. After several amendments, this …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-construction-management-contracts-followComptroller DiNapoli Releases Municipal Audits
… New York State Comptroller Thomas P. DiNapoli today announced his … deposits, and all monthly reports were submitted to the state Justice Court Fund in a timely manner. Columbia County … adopted budgets that inappropriately allocated $223,080 in state retirement contributions and medical insurance costs to …
https://www.osc.ny.gov/press/releases/2014/05/comptroller-dinapoli-releases-municipal-audits-0Town of Deerfield – Financial Management and Fuel Inventory (2012M-253)
… Purpose of Audit The purpose of our audit was to assess the Town's financial management and fuel inventory records for the period January 1, 2011, to July 31, 2012. Background The Town of Deerfield is located … a financial and/or capital plan or establish reserves to ensure unexpended surplus funds are used as intended. …
https://www.osc.ny.gov/local-government/audits/town/2013/03/15/town-deerfield-financial-management-and-fuel-inventory-2012m-253State Comptroller DiNapoli Releases Municipal Audits
… In addition, $4,700 in fees were waived without evidence of board approval. Sea Breeze Fire District – Board Oversight … County) The board did not provide adequate oversight of the district’s financial operations, nor comply with … and financial condition. Town of Worth – Audit Follow-Up Letter (Jefferson County) Auditors conducted a follow-up …
https://www.osc.ny.gov/press/releases/2021/02/state-comptroller-dinapoli-releases-municipal-audits-2Town of Pulteney – Financial Management and Information Technology (2012M-177)
… management and controls over information technology (IT) for the period January 1, 2010, through May 30, 2012. … and the Supervisor has not developed detailed procedures, for ensuring that financial duties are adequately segregated … or disaster recovery. There is no system in place for monitoring IT activity or changes in the system, …
https://www.osc.ny.gov/local-government/audits/town/2013/04/26/town-pulteney-financial-management-and-information-technology-2012m-177Town of Johnsburg – Management Oversight and Online Banking (2013M-6)
… Findings The Board did not adequately design, implement, or monitor internal controls over the Town’s financial … online banking duties. The Supervisor had not reviewed or supervised the bookkeeper’s online banking transactions …
https://www.osc.ny.gov/local-government/audits/village/2013/04/19/town-johnsburg-management-oversight-and-online-banking-2013m-6Town of Hartwick – Financial Condition (2013M-118)
… March 8, 2013. Background The Town of Hartwick is located in Otsego County and has 2,110 residents. The Board comprises … The Board did not establish reasonable financial plans for three of its major operating funds but repeatedly relied on … funds. Although Town officials accounted for these three funds individually, they maintained a consolidated …
https://www.osc.ny.gov/local-government/audits/town/2013/09/06/town-hartwick-financial-condition-2013m-118Town of Edwards – Internal Controls Over Selected Financial Operations (2013M-20)
… Purpose of Audit The purpose of our audit was to assess the Town’s financial condition and internal … taken over the services the Village previously provided to its residents. The Town Board, which is composed of five … the Town’s financial operations and take timely action to maintain the Town’s financial stability. The fund balances …
https://www.osc.ny.gov/local-government/audits/town/2013/04/12/town-edwards-internal-controls-over-selected-financial-operations-2013m-20State Comptroller DiNapoli Releases Municipal Audits
… and properly reported the condition of court and trust funds to the State Comptroller as required. Auditors also …
https://www.osc.ny.gov/press/releases/2020/05/state-comptroller-dinapoli-releases-municipal-auditsComptroller DiNapoli Releases Municipal Audits
… of goods or services. In addition, claims totaling $1.3 million were paid without board approval. Village of … with outstanding held bail and restitution totaling $1,864. In addition, the board’s audit of the court records …
https://www.osc.ny.gov/press/releases/2020/01/comptroller-dinapoli-releases-municipal-audits-1UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracted with UnitedHealthcare … are divided into broad categories, such as office visits, hospital visits, and consultations. Within each category, … visit). The higher the level billed, the greater United’s reimbursement. Billing for a higher level of care than the …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesComptroller DiNapoli Releases Municipal Audits
… P. DiNapoli today announced his office completed audits of the Camillus Volunteer Fire Department , Town of Lewis , Madison County Probation Department and the Orange County Department of Social Services . "In today’s fiscal climate, budget … P DiNapoli today announced his office completed audits of the Camillus Volunteer Fire Department Town of Lewis …
https://www.osc.ny.gov/press/releases/2014/06/comptroller-dinapoli-releases-municipal-audits-0Medicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… under 65 who have certain disabilities. Under Medicare Part C, private managed care companies administer Medicare … and Medicare, providers bill Medicaid for the enrollee’s Part C cost-sharing liabilities (deductibles, coinsurance, … Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities. The audit covered the period …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followTown of Reading – Financial Management (2013M-217)
… Purpose of Audit The purpose of our audit was to evaluate the Town’s financial condition … 1, 2010 through August 31, 2013. Background The Town of Reading is located in Schuyler County and is governed by a … The purpose of our audit was to evaluate the Towns financial condition …
https://www.osc.ny.gov/local-government/audits/town/2014/02/21/town-reading-financial-management-2013m-217Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
To determine the extent of implementation of the five recommendations included in our initial audit report Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY Report 2017S36
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… for Medicare Advantage Plan Services (Report 2017-S-46 ). About the Program The Department of Health (Department) …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followTown of Bangor – Board Oversight (2012M-193)
… The Town of Bangor is located in Franklin County and has approximately 2,220 residents. The Town is governed … Town Board (Board), which consists of the Town Supervisor and four council members. The Board appoints a Code Enforcement Officer and a Dog Control Officer. The Town’s budgeted appropriations …
https://www.osc.ny.gov/local-government/audits/town/2013/02/01/town-bangor-board-oversight-2012m-193