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UnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… Objectives To determine whether UnitedHealthcare (United) paid claims … correlate with the date of the service on the claims, and to calculate the corresponding financial impact. The audit … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, local …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsMedicaid Program – Medicare Part D Clawback Payments
… opportunities for cost reduction of Part D clawback payments totaling $2.9 million for the period January 1, 2017 … needs to assess the appropriateness of the following payments: $1.65 million in payments on behalf of 2,315 recipients who were receiving …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-medicare-part-d-clawback-paymentsCompliance With Jonathan's Law
… in treatment, and suspected abuse and neglect while at a privately operated facility and then at a State operated … are required to do the following in response to any incident involving a patient receiving care and treatment: … person within 24 hours of the initial reporting of an incident; Upon request by a qualified person, promptly …
https://www.osc.ny.gov/state-agencies/audits/2019/07/19/compliance-jonathans-lawMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… Purpose To determine whether Medicaid made improper payments for free … Program. The audit covered the period January 1, 2012 to May 31, 2017. Background The Vaccines for Children Program … funded Medicaid benefit that provides free vaccines to eligible children younger than 19 years of age whose …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesEmployee Qualifications, Hiring, and Promotions
… provides rapid transit service on Staten Island. Transit is governed by the provisions of the New York State Civil … and continuance of employment of all Transit employees is governed by the provisions of the Law and is subject to the rules of the NYC Municipal Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2019/01/17/employee-qualifications-hiring-and-promotionsMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… a child born to a mother enrolled in a Plan should be enrolled in the mother’s Plan from the month of birth. … track or penalize lateness when hospitals do not report live births within five business days to the Department. The …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careLead Poisoning Prevention Program
… poses a major health risk to children. Lead poisoning is most often the result of inhaling or ingesting … In New York State, the Department of Health (Department) is responsible for administering the Lead Poisoning … staff are not consistently scheduling and conducting on-site reviews of LHDs' Program implementation, contrary to the …
https://www.osc.ny.gov/state-agencies/audits/2019/08/08/lead-poisoning-prevention-programFare Collection
… and monthly travel within the specified zones shown on the ticket) and non-commutation (one-way, round-trip, and … travel to the limits of the zone or zones shown on the ticket). Peak fares are charged during business rush hours; … Rules and Regulations, riders must present a valid LIRR ticket or pass, or pay the applicable fare. Train Service …
https://www.osc.ny.gov/state-agencies/audits/2019/11/19/fare-collectionState Agencies Bulletin No. 2051
… Statewide Financial System chart field: SFS Business Unit Dept. Value Program Value Fund Value Acct Code Budget … For Employees in Payroll Pool Code 50101 SFS Business Unit Dept. Value Program Value Fund Value Object Code Budget … in All Other Payroll Pool Codes SFS Business Unit Dept. Value Program Value Fund Value Object Code Budget …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2051-2022-csea-tool-allowance-paymentConstitutional Amendment
… indebtedness for the construction of sewage facilities in determining current local debt limitation. Memo Bill Text … indebtedness for the construction of sewage facilities in determining current local debt limitation …
https://www.osc.ny.gov/legislation/constitutional-amendment-0Constitutional Amendment
… indebtedness for the construction of sewage facilities in determining current local debt limitation. Memo Bill Text … indebtedness for the construction of sewage facilities in determining current local debt limitation …
https://www.osc.ny.gov/legislation/constitutional-amendmentAccounts Payable Advisory No. 5
… Making Payments to the United States Postal Service (USPS) and related postal services, such as Pitney Bowes … to vendors. Improper preparation of vouchers payable for USPS and related postal services may delay payment crediting. … For information on how to process payments to the USPS and related postal services, including specific …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/5-complex-entity-payments-postageWhitesville Central School District – Information Technology (2021M-22)
… shared accounts or for adding, modifying or disabling user permissions to the network and information systems. Establish … Disable unnecessary accounts. Adopt a written user permissions policy and establish written procedures for adding, modifying and disabling user permissions and for monitoring shared accounts. District …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/18/whitesville-central-school-district-information-technology-2021m-22Edwards-Knox Central School District – Medicaid Reimbursements (2021M-92)
… District (District) claimed all Medicaid reimbursements to which it was entitled. Key Findings The District did not claim any Medicaid reimbursements to which it was entitled. District officials: Did not claim … totaling about $25,000. Believed it was not cost-effective to file Medicaid claims but could not support their …
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/20/edwards-knox-central-school-district-medicaid-reimbursements-2021m-92Onondaga County Industrial Development Agency - Project Approval and Monitoring (2019M-160)
… with those specified on the applications and used in the cost-benefit analysis. Continue to compare the actual … IDA officials disagreed with how we presented the findings in the report. Appendix C includes our comments on the issues raised in the IDA’s response letter. …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2019/11/01/onondaga-county-industrial-development-agency-projectTown of Baldwin – Claims Auditing (2023M-113)
… – pdf] Audit Objective Determine whether the Town of Baldwin (Town) Board (Board) properly audited and approved … Determine whether the Town of Baldwin Town Board Board properly audited and approved claims …
https://www.osc.ny.gov/local-government/audits/town/2023/12/08/town-baldwin-claims-auditing-2023m-113Cheektowaga-Sloan Union Free School District – Claims Auditing (2024M-76)
… (District) claims were properly audited and approved prior to payment. Key Findings Claims totaling $9.2 million (45 … processed) were not properly audited and approved prior to payment. As a result, there was an increased risk that … are audited and approved by the claims auditor prior to payment, and that BOCES claims are audited by the Board or …
https://www.osc.ny.gov/local-government/audits/school-district/2024/10/04/cheektowaga-sloan-union-free-school-district-claims-auditing-2024m-76XI.2.E Submission of Agency Contracts and Amendments – XI. Procurement and Contract Management
… Once a State agency has determined that a transaction is subject to prior OSC approval as detailed in XI.2.A … to OSC through EDSS. DETERMINING WHEN A CONTRACT AMENDMENT IS SUBJECT TO OSC REVIEW Original Contract Was Subject to OSC … modified would result in an amendment transaction that is subject to OSC review: Begin Date Expire Date Contract …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi2e-submission-agency-contracts-and-amendmentsWyandanch Union Free School District – Budget Review (B26-7-2)
… The Wyandanch Union Free School District (District) is located in Suffolk County. Chapter 18 of the Laws of 2020, … year during which the municipality or school district is authorized to issue the deficit obligations, and for each … limit because it includes a tax levy of $23,569,441, which is within the limits established by law. Key Recommendation …
https://www.osc.ny.gov/local-government/audits/school-district/2026/04/10/wyandanch-union-free-school-district-budget-review-b26-7-2Village of Suffern – Budget Review (B26-6-3)
… and capital projects funds as of May 31, 2015. New York State Local Finance Law Section 10.10 requires local … that have been authorized to issue obligations to fund operating deficits to submit to the State Comptroller each year, starting with the fiscal year …
https://www.osc.ny.gov/local-government/audits/village/2026/04/10/village-suffern-budget-review-b26-6-3