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Cost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… insurance and Part B provides medical insurance for doctors’ services and outpatient care. Under Medicare Part C, … or a rate between those two amounts approved by CMS. In New York, Medicaid pays 85% of dual-eligibles’ copayment or …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followField of Dreams, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Field of Dreams, Inc. (FOD) on its … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM) and the Consolidated …
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/field-dreams-inc-compliance-reimbursable-cost-manualCompliance With Special Education Regulations for the Provision of Services
… the New York City Department of Education (DOE) arranged for eligible students to be placed in special education … Education Program (IEP). We also assessed the time frames for students to commence receiving services and programs. Our … of Education (Regulations) stipulates the requirements for evaluating and placing students in special education. In …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… that were issued to vehicles for parking, red light camera, bus lane camera, and school zone camera violations. DOF’s responsibilities include generating …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections (Follow-Up)
… for overseeing three types of casinos in the State: commercial, video lottery terminal (VLT), and Class III tribe/nation (tribe/nation). Commercial and VLT casinos are required to remit a percentage … the State). The Commission has officials at each of the 19 commercial, VLT, and tribe/nation casinos to ensure …
https://www.osc.ny.gov/state-agencies/audits/2021/05/05/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collections-followControls Over Federally Funded Programs and Maximization of Federal Funding
… that provide weatherization services, including air sealing to prevent air infiltration and reduce drafts, … to meet program goals. The Division receives funding for the WAP from both the U.S. Department of Energy (DOE) and … and Human Services (HHS) and must expend and account for WAP awards in accordance with federal statutes, …
https://www.osc.ny.gov/state-agencies/audits/2021/08/18/controls-over-federally-funded-programs-and-maximization-federal-fundingUtilization of the Arch Street Yard and Shop Facility (Follow-Up)
… at Arch Street in Long Island City, adjacent to the No. 7 line Hunters Point Ave. Station. This facility was designed … inspections, maintenance, and cleaning for Long Island Rail Road (LIRR) trains that operate into Grand Central … and once to a contractor to perform modifications on MNR rail cars. Key Finding LIRR officials did not address the …
https://www.osc.ny.gov/state-agencies/audits/2020/01/28/utilization-arch-street-yard-and-shop-facility-followCollection of Petroleum Business Tax and Motor Fuel Excise Tax
… Objective To determine whether the Department of Taxation and Finance (Department) has systems and … (PBT) is paid by petroleum businesses for certain types of fuel and is imposed at a cents-per-gallon rate at … $528.1 million and $512.5 million, respectively. A portion of revenues from PBT and MFT is used to support investment in …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/collection-petroleum-business-tax-and-motor-fuel-excise-taxEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… Objective To determine whether EmblemHealth Plan, Inc. overpaid dental … Program New York State provides dental insurance benefits to certain State employees and their dependents. The … Service contracts with EmblemHealth Plan, Inc. (Emblem) to process and pay claims for services on behalf of the New …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… the monthly reports is known as “New Individual Served” (NIS). Measuring NIS helps demonstrate the expansion of services with the … The audit identified certain inconsistencies with how the NIS data is collected—including how providers reported NIS …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35 ). About the … program (Buy-in Program), administered by the Centers for Medicare & Medicaid Services (CMS), Medicaid pays Medicare premiums for individuals who meet Buy-in Program eligibility …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… assistance to the 57 County Boards of Elections and the New York City Board of Elections. Congress passed the Help …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over … plan for NYSHIP, serving about 1.1 million members. Civil Service contracts with UnitedHealthcare Insurance …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsCompliance With Executive Order 88 – Energy Efficiency of State Buildings
… economic growth by creating green jobs and stimulating the marketplace for clean energy and energy-efficient products …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/compliance-executive-order-88-energy-efficiency-state-buildingsCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… Purpose To determine the extent of implementation of the one recommendation included in our initial audit report, Criminal History Background Checks of Unlicensed Health Care Employees (Report 2016-S-65 ). … To determine the extent of implementation of the one recommendation included in our …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-followOversight of Resident Care-Related Medical Equipment in Nursing Homes (Follow-Up)
… initial audit report Oversight of Resident Care-Related Medical Equipment in Nursing Homes (Report 2016-S-80 ). … testing, and maintenance of resident care-related medical equipment. The Department oversees nursing homes in … our initial audit report Oversight of Resident CareRelated Medical Equipment in Nursing Homes …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/oversight-resident-care-related-medical-equipment-nursing-homes-followHeadstart of Rockland, Inc. – Compliance With the Reimbursable Cost Manual
… (RCM). The audit covered expenses reported on HSOR’s CFR for the fiscal year ended June 30, 2015. Background HSOR is an SED-approved, not- for-profit special education provider located in Rockland … who are between three and five years of age. HSOR is reimbursed for preschool special education services through …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/headstart-rockland-inc-compliance-reimbursable-cost-manualDivision of Housing and Community Renewal Bulletin No. DH-114
… Purpose The purpose of this bulletin is to inform the Division of Housing and Community Renewal of OSC’s automatic processing of the April 2021 DC 37 Rent … Division of Housing and Community Renewal Bulletin No DH114 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-114-april-2021-district-council-37-dc-37-performanceDivision of Housing and Community Renewal Bulletin No. DH-108.2
… Payroll Bulletin No. DH-108 .1 . Purpose The purpose of this bulletin is to inform the Division of Housing and Community Renewal of OSC’s automatic processing of the April 2020 DC 37 … Division of Housing and Community Renewal Bulletin No DH1082 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-1082-april-2020-district-council-37-dc-37-retroactive-2Division of Housing and Community Renewal Bulletin No. DH-116
… Purpose The purpose of this bulletin is to inform the Division of Housing and Community Renewal of OSC’s automatic processing of October 2021 DC 37 Rent … Division of Housing and Community Renewal Bulletin No DH116 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-116-october-2021-district-council-37-dc-37-performance