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Medicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… overpaid hospitals by reimbursing for higher levels of medical care than those actually provided to patients. The … March 31, 2010. Background Medicaid recipients in need of inpatient hospital care are provided a full range of necessary diagnostic, palliative and therapeutic care, …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsYork College – Time and Attendance Practices for Public Safety Staff (Follow-Up)
… and/or excessive overtime costs. Additionally, video from surveillance cameras found that security officers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/york-college-time-and-attendance-practices-public-safety-staff-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
To determine the extent of implementation of the four recommendations made in our initial audit report Medicaid Payments for Pharmacy Claims Joia Pharmacy and a Related Prescriber Report 2013S4
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… ended June 30, 2014. Background Northside was established in 1946 and was reapproved by SED on July 1, 2012 to operate … Special Class (SC) and full-day Preschool Special Class in an Integrated Setting (SCIS) to children with disabilities … 65 to 75 students from nine different school districts in its cost-based programs. Northside is reimbursed for …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualMay 1998: Accounting Requirements and Program Information for Multi-Modal Transportation Program
… is consistent with an approved airport layout plan; and county, town, city and village roads, highways, parkways and …
https://www.osc.ny.gov/local-government/publications/may-1998-accounting-requirements-and-program-information-multi-modal-transportation-programInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, ICCD … in Queens and Nassau County. The New York City Department of Education (DoE) and local school districts refer students … lease transaction where the reimbursed costs exceeded the owner’s actual cost; $176,793 in compensation related to …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualDiNapoli: Former City of Corning Clerk Arrested for Stealing Public Funds
… today announced the arrest of former city of Corning clerk Stephanie Burlew. She was charged with grand larceny in … by filing a complaint online at [email protected].ny.us , or by mailing a complaint to: Office of the State … today announced the arrest of former city of Corning clerk Stephanie Burlew …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-former-city-corning-clerk-arrested-stealing-public-fundsDiNapoli: More Security Needed for Hazardous Materials at SUNY University Centers
… other university policies. While Buffalo has the largest student and faculty population of any campus in the state, …
https://www.osc.ny.gov/press/releases/2018/12/dinapoli-more-security-needed-hazardous-materials-suny-university-centersRevenue Enhancement Ideas: Cash Management for Local Governments and School Districts
… cash management assures that investments are optimized for the best possible return for taxpayers. We strongly recommend the … and other balances that could be invested longer term in investments allowable by law. Accelerate Collection and …
https://www.osc.ny.gov/local-government/publications/revenue-enhancement-ideas-cash-management-local-governments-and-school-districtsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… designated with modifier code 59 that were not distinct and independent from other services provided on the same day. … the NYSHIP program and contracts with UnitedHealthcare (United) to process and pay medical and surgical claims for … HealthCare - Certain Claim Payments for Evaluation and Management Services (2010-S-67) … To determine whether …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Hamburg Recreation Worker Sentenced to Jail and Probation for Stealing $156K
… for her theft of $156,374, which she has now repaid. Joanne Erickson skimmed money from village fees, then altered … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State … of Investigations, 14th Floor, 110 State St., Albany, NY 12236. … The village of Hamburgs recreation attendant was …
https://www.osc.ny.gov/press/releases/2019/03/hamburg-recreation-worker-sentenced-jail-and-probation-stealing-156kMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… Purpose To determine if the Department of State’s Division of Cemeteries sufficiently monitors not-forprofit cemetery … facility maintenance. This audit covers the period of January 1, 2014 to March 31, 2017. Background The …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its … (ended June 30, 2013), and performed certain observations of PCMH staff and facilities through the end of our fieldwork. Background OMH’s mission is to promote the …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… the contract year ended June 30, 2014. We also performed on-site observations of ICL staff, clients, facilities, and … levels of community-based support services, depending on the needs of the individuals served. OMH hires independent … payments to the contractor to the total costs claimed on the CFR. ICL claimed total program expenses of about $21.5 …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingStarting Point Services for Children – Compliance With the Reimbursable Cost Manual
… the ages of three and five years. During the 2012-13 school year, Starting Point served 942 students. The New York …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… the Department review the improper payments we identified and recover overpayments as appropriate. We also recommended … help ensure managed care enrollment information is entered and update timely and to determine why certain fee-for-service claims were …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Report 2013-S-59). Background The State’s … Payments for Controlled Substances That Exceed Allowed Dispensing Limits (2013-S-59) … To determine the extent of …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-follow