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Seized Assets Program (Follow-Up)
… of implementation of the six recommendations included in our original report, Seized Assets Program ( 2013-S-46 ). … has implemented the six recommendations identified in our prior audit report. Key Recommendation None Other … of implementation of the six recommendations included in our original report Seized Assets Program 2013S46 …
https://www.osc.ny.gov/state-agencies/audits/2017/11/28/seized-assets-program-followMedicaid Program – Managed Care Organizations: Payments to Ineligible Providers
… January 1, 2012 to December 31, 2016. Background The Medicaid program provides a wide range of medical services to … health care needs. The Department administers New York’s Medicaid program. For the State fiscal year ended March 31, … 22.5 million MCO encounter claims that lacked the provider identification information needed to assess the …
https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providersPurchasing Practices at the Linden Plaza Mitchell-Lama Housing Development
… 2014, Linden Plaza’s management obtained HPD approval for a 10.5 percent rent increase at Linden Plaza to be phased … system. We judgmentally selected two invoices, one for ten refrigerators and another for eight stoves to account for … due to poor record keeping. While they showed us several refrigerators and stoves in a warehouse, they were unable to …
https://www.osc.ny.gov/state-agencies/audits/2018/09/06/purchasing-practices-linden-plaza-mitchell-lama-housing-developmentSelected Management and Operations Practices (Follow-Up)
… $1.6 million in personal property sales. NYPA began energy efficiency programs for its government customers in … 28, 2017, NYPA reportedly financed a total $2.1 billion in Energy Efficiency (EE) projects that produced first year … over the disposition of fleet vehicles. NYPA's claimed energy efficiency savings were not always properly supported. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/selected-management-and-operations-practices-followTrain On-Time Performance (Follow-up)
… of implementation of the two recommendations included in our initial report, Train On-Time Performance ( 2014-S-56 ). Background Our prior … 74.0 percent and weekend OTP averaged 81.2 percent. In late March 2015, Subways OTP goal was lowered to 75.0 … of implementation of the two recommendations included in our initial report Train OnTime Performance 2014S56 …
https://www.osc.ny.gov/state-agencies/audits/2017/09/27/train-time-performance-followSubway Wait Assessment (Follow-Up)
… period and that New York City Transit had not developed a full and comprehensive plan to deal with the long-term causes …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/subway-wait-assessment-followAssessment and Collection of Selected Penalties
… To determine whether the Workers Compensation Board WCB is properly billing collecting …
https://www.osc.ny.gov/state-agencies/audits/2013/09/24/assessment-and-collection-selected-penaltiesMedicaid Program – Overpayments of Ambulatory Patient Group Claims
… overpaid Ambulatory Patient Groups (APG) claims because of deficiencies in the claims processing and payment system. … reimbursed based on a patient's condition and complexity of service. The APG system was adopted by the Department of Health (Department) in an effort to more accurately pay …
https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claimsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… Part C cost-sharing liabilities (deductibles, coinsurance, and copayments). Key Finding From a review of Medicare Part C … copayments, or deductibles. Ten providers adjusted and re-submitted their claims to eMedNY resulting in Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsSelected Financial Management and Administrative Practices
… Nassau County. Public Administrators are responsible for administering the estates of individuals who die … or willing to administer the estate. They are responsible for collecting, securing, and liquidating each assumed … any residual value to estate beneficiaries. Any unclaimed funds are remitted to New York State after the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/28/selected-financial-management-and-administrative-practicesMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… payment. Auditors further identified $10.8 million in claim payments for which the Department had not granted the …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Report … was appropriately paying out-of-state providers for ambulatory surgery services provided to New York State Medicaid recipients. For the period from April 16, 2004 through June 30, 2009, …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followBus Driver Licensing (Follow-Up)
… of the four recommendations included in our initial report, Bus Driver Licensing (2012-S-30). Background Our initial report, issued on June 13, 2013, determined that the majority … of the four recommendations included in our initial report Bus Driver Licensing 2012S30 …
https://www.osc.ny.gov/state-agencies/audits/2016/01/21/bus-driver-licensing-followForensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)
… included in our initial report, Forensic Audit of Select Payroll and Overtime Practices and Related Transactions … included in our intl report Forensic Audit of Select Payroll Overtime Practices Related Transaction …
https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: … processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member … Key Finding Empire officials made considerable progress in implementing the recommendations we made in our initial …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughSuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… through June 8, 2011, Medicaid paid about $6.9 million for services purportedly performed by the six dentists at the … also found that the dentists routinely certified claims for services that were purportedly provided by another … our findings to the State Attorney General’s Office for further investigation. In August 2012, Lawrence Bruckner …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… - Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Report 2012-S-10). Background Our … Plan (NYSHIP) made improper payments totaling $137,459 to Davis Ethical Pharmacy. Based on information obtained from … indicated on the claims), auditors determined that Davis Ethical likely fabricated nearly all of the improper …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyAccess-A-Ride Accident Claims (Follow-Up)
… by traditional carriers decreased and reliance on the black car services and taxis increased. The number of … there was an unquantified liability risk associated with black car services and taxis that was expanding and was not …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-followBenefit Eligibility Assessment Process (Follow-Up)
… included in our initial audit report, Benefit Eligibility Assessment Process (Report 2012-S-51). Background Our … (HRA) public assistance benefit eligibility assessment process complied with applicable policies and … 30, 2013. We found that HRA applied a fair and consistent assessment process when determining client eligibility in …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/benefit-eligibility-assessment-process-followCompliance With Payment Card Industry Standards
… in the United States, consisting of 64 institutions and about 460,000 enrolled students. SUNY System Administration … Key Findings SUNY schools were generally knowledgeable about PCI compliance and the need to protect credit card data …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standards