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Inappropriate Payments Related to Procedure Modifiers (Follow-Up)
… the Department incorrectly implemented claims processing system controls to prevent inappropriate payments for E/M … totaling about $2.6 million. The Department corrected the system controls during our initial audit fieldwork. We …
https://www.osc.ny.gov/state-agencies/audits/2019/07/31/inappropriate-payments-related-procedure-modifiers-followCollection of Special Hauling and Divisible Load Overweight Permit Fees (Follow-Up)
… and overweight vehicles and loads on the State highway system through a permitting process that helps maintain … permits help ensure a safe and efficient transportation system for the traveling public and protect the integrity and …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/collection-special-hauling-and-divisible-load-overweight-permit-fees-followComptroller DiNapoli Releases School District Audits
… County) District officials implemented a well-designed system of internal controls over the claims audit process. Due to this system of internal controls, auditors designed our testing to …
https://www.osc.ny.gov/press/releases/2019/04/comptroller-dinapoli-releases-school-district-audits-0Oversight of Construction Management Contracts (Follow-Up)
… maintaining the State park, recreation, and historic site system to conserve, protect, and enhance the natural, … and recreational resources of New York State. This system includes over 250 parks, historic sites, recreational …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-construction-management-contracts-followTown of Pulteney – Financial Management and Information Technology (2012M-177)
… Purpose of Audit The purpose of our audit was to review the Town’s financial management and controls over … May 30, 2012. Background The Town of Pulteney is located in Steuben County and has a population of 1,285. The Town is … of the annual budgets adopted by the Board. The Board has not adopted formal policies, and the Supervisor has not …
https://www.osc.ny.gov/local-government/audits/town/2013/04/26/town-pulteney-financial-management-and-information-technology-2012m-177New York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… maintains the New York Benefits Eligibility and Accounting System (NYBEAS), the system of record for member enrollment and eligibility …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleUnder Reporting of Net Available Monthly Income for Nursing Home Residents Causes Medicaid Overpayments (Follow-Up)
… for updating the Department's Medicaid claims processing system (eMedNY) with recipients' NAMI. During claims … Medicaid overpaid nursing homes about $42 million due to system flaws within eMedNY and because localities did not …
https://www.osc.ny.gov/state-agencies/audits/2013/08/16/under-reporting-net-available-monthly-income-nursing-home-residents-causes-medicaidVillage of Middleport – Water and Sewer Rents (2013M-313)
… water and sewer financial activity. This “accounting system” did not ensure that transactions were recorded in a … Implement and maintain a comprehensive accounting system that provides for the integrity of financial …
https://www.osc.ny.gov/local-government/audits/village/2014/01/24/village-middleport-water-and-sewer-rents-2013m-313New 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 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesOversight of Nurse Hiring and Retention (Follow-Up)
… fingerprinting. Our initial audit report, issued July 16, 2018, found that, while Health and Hospitals generally …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/oversight-nurse-hiring-and-retention-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program covers medically necessary … ensure terminated drugs will not be dispensed or paid for, CMS requires state Medicaid programs to reject these claims … was recalled for health and safety reasons). Pursuant to CMS guidelines, the Department maintains drug termination …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsTown of Java – Water Accountability (2013M-338)
… for reconciling the water produced by the Town’s water system, as indicated by the master meter readings, with the … billed. Develop a plan to locate and repair leaks in the system. Ensure that Town officials review meter readings for …
https://www.osc.ny.gov/local-government/audits/town/2014/02/07/town-java-water-accountability-2013m-338Town of Deerfield – Financial Management and Fuel Inventory (2012M-253)
… Effective May 2012, the Town installed a computerized system to maintain similar records. However, the Highway … reports generated daily from the new computerized fuel system and did not compare a perpetual inventory record to …
https://www.osc.ny.gov/local-government/audits/town/2013/03/15/town-deerfield-financial-management-and-fuel-inventory-2012m-253Accounts Payable Advisory No. 30
… awards and non-judicial settlement agreements, as well as tax and withholding guidance, please see the Guide to Financial …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/30-claims-awards-judgments-and-settlement-agreementsNational Directory of New Hires Data Security
… for supervising State programs that provide assistance and support to eligible families and individuals. Two such … (TANF) and the Supplemental Nutrition Assistance Program (SNAP). As part of managing these programs, OTDA obtains … insurance. OTDA uses Directory data to verify TANF and SNAP eligibility information. The identification and …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityTransaction Number Requirement
… July 15, 2024, a Transaction Number will be required in the PARIS Procurement Report. Beginning July 15, 2024, … does not allow special characters: & Ampersand = Equal sign " Double quotes < Left angle bracket ' Single quote or back tick > Right angle bracket | Pipe + Plus sign /* Forward slash and asterisk % Percent */ Asterisk and …
https://www.osc.ny.gov/public-authorities/transaction-number-requirementDiNapoli: Lagging Ridership Leaves MTA With Hard Choices, Must Adjust to Changing Demand
… Overall ridership on New York City’s regional transit system is not recovering as hoped, leaving revenue well below … … Overall ridership on New York Citys regional transit system is not recovering as hoped leaving revenue well below …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-lagging-ridership-leaves-mta-hard-choices-must-adjust-changing-demandMedicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… whether the Department of Health’s (Department) eMedNY system reasonably ensured that Medicaid claims were submitted … State’s Medicaid program. The Department’s eMedNY computer system processes claims submitted by providers for services … whether the Department of Healths Department eMedNY system reasonably ensured that Medicaid claims were submitted …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021XII.8 Overview – XII. Expenditures
… is routed to the Office of the State Comptroller (OSC) for audit. The OSC approves the voucher. The Treasury …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii-overviewMedicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… the providers. The audit covered the period from October 2021 through March 2022 and certain claims going back to June 2021. About the Program The Department administers the … higher level of care than what was actually provided. As a result of the audit, about $9.9 million of the improper …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022