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Medicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Ethical is an independently owned pharmacy located in Rockville Centre, New York. For the period from January 1, …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyExtended School Day Program
… 2010 through June 30, 2014 to operate an Extended School Day Program (ESD) in two New York City middle schools. Under … guard services after the ESD program ended for the day. $3,173 for a fitness instructor who taught an adult …
https://www.osc.ny.gov/state-agencies/audits/2014/02/25/extended-school-day-programFood Safety Monitoring
… 18, 2013. Background The Department's Division of Food Safety and Inspection (Division) is responsible for enforcing … State laws and Department regulations related to food safety. The Division's objective is to ensure a safe and … provide managers and supervisors with access to relevant data and provide appropriate training in data analysis to …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringCompliance With the Clery Act
… undergraduate students. In a 2008 audit (Report 2007-S-121), the Office of the State Comptroller examined SUNY's … of New York: Compliance With the Clery Act (2007-S-121) State University of New York: Compliance With the Clery …
https://www.osc.ny.gov/state-agencies/audits/2014/08/22/compliance-clery-actEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… July through December 2011. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, participating … which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughUpstate Medical University's Billing Practices
… Purpose To determine whether the Upstate Medical University’s (Upstate) billing practices are adequate … “medical necessity” requirements. Our audit scope covers the period July 1, 2014 through June 30, 2016. Background … To determine whether the Upstate Medical Universitys billing practices are …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesOversight of the Farm-to-School Program (Follow-Up)
… (Program) was established to increase school districts' and individual schools' purchase of local specialty crops by … Program is intended to connect schools with local farms and food producers, strengthen local agriculture, improve student health, and promote regional food system awareness. By providing …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-farm-school-program-followMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… to hospitals that failed to properly report correct patient discharge codes on inpatient claims. The audit … providers for their claims. The Department uses the All Patient Refined Diagnosis Related Groups methodology to … reports certain information on its claims, such as the patient’s diagnoses and services received, as well as the …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesAdministration and Collection of Real Estate Transfer Taxes (Follow-Up)
… and Collection of Real Estate Transfer Taxes (Report 2017-S-88 ). About the Program The Real Estate Transfer Tax … counties submitted RETT information in hard copy form (vs. electronic submission) at the time of our audit, of which … and capable of being analyzed. As a result, the Department’s ability to efficiently and effectively analyze information …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/administration-and-collection-real-estate-transfer-taxes-followUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… Objective To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed … 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and retired …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections
… for overseeing three types of casinos in the State: commercial, video lottery terminal (VLT),¹ and Class III tribe/nation (tribe/nation). Commercial and VLT casinos are required to remit a percentage … casinos for oversight costs. The Commission had not billed commercial casinos for oversight costs. Key Findings An …
https://www.osc.ny.gov/state-agencies/audits/2020/01/10/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collectionsOversight of Chronic Absenteeism (Follow-Up)
… Objective The objective of this follow-up review is to determine the extent of implementation of the five … of enrolled school days. Student absences, attributed to factors such as poor school performance, bullying, and … daily attendance information, which the Department uses to calculate chronic absenteeism rates. As of June 2018, …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-chronic-absenteeism-followOversight of Transportation Services and Expenses (Follow-Up)
… initial audit report, Oversight of Transportation Services and Expenses (Report 2021-S-1 ). About the Program DOCCS … of both passenger (e.g., cars, SUVs, vans, pickup trucks) and large transportation (e.g., inmate buses, tractor … operations. Of the 44 facilities, 32 manage the repairs and procurement of parts for their facility or another …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followOversight of Sidewalk Sheds (Follow-Up)
… protection. DOB is responsible for issuing permits for the installation of sheds, monitoring expiration of permits and … laws, and rules pertaining to the timely permitting, installation, maintenance, and removal of sheds. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2023/07/06/oversight-sidewalk-sheds-followSales Tax Vendor Registration Practices (Follow-Up)
… included in our initial audit report, Sales Tax Vendor Registration Practices (Report 2020-S-40 ). About the Program … included in our initial audit report Sales Tax Vendor Registration Practices Report 2020S40 …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/sales-tax-vendor-registration-practices-followImproper Payments for Services Related to Ordering, Prescribing, Referring, or Attending Providers No Longer Participating in the Medicaid Program (Follow-Up)
… or Attending Providers No Longer Participating in the Medicaid Program (Report 2019-S-72 ). About the Program The … Department of Health (Department) administers New York’s Medicaid program. The Affordable Care Act and implementing federal regulations mandated that State Medicaid agencies require all ordering and referring …
https://www.osc.ny.gov/state-agencies/audits/2024/01/03/improper-payments-services-related-ordering-prescribing-referring-or-attending-providers-noAnnual Assessment of Market Orders for 2015 and 2016
… was responsible for the administration of all farm product market orders, except those involving dairy products. Each specific market order is established in …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016Office for People With Developmental Disabilities Fuel Card
… made on State-issued WEX Bank fuel credit cards (WEX card) by Metro New York Developmental Disabilities State … of our examination was to determine whether the WEX card purchases were for legitimate business purposes. … disabilities. Officials typically assign a WEX card to each fleet vehicle but provide employees their own …
https://www.osc.ny.gov/state-agencies/audits/2019/04/10/office-people-developmental-disabilities-fuel-cardElevator Safety (Follow-Up)
… of Buildings (DOB) is responsible for regulating the safe and lawful use of more than 1 million buildings and construction sites in New York City. This responsibility … (non-DOB inspectors), ensures that elevators are tested, and monitors the results. The Building Code requires that …
https://www.osc.ny.gov/state-agencies/audits/2019/10/28/elevator-safety-followOperational Training and Medical Assessments of Train Crews (Follow-Up)
… and how to respond in situations that may delay trains en route, it is essential that SIR ensure train crews take …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/operational-training-and-medical-assessments-train-crews-follow