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Medicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, Medicaid Claims Processing … providers, were accurately processed, and resulted in correct provider payments. We identified five reportable … system. The remaining four reportable conditions resulted in overpayments of approximately $1.2 million. Key Finding …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… of implementation of the seven recommendations included in our initial audit report, New York State Psychiatric … York State Psychiatric Institute (Institute), established in 1895, is one of two clinical research facilities … for use of its facilities by Columbia personnel. In addition, the Institute was not receiving the ownership …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… report, Rebates and Discounts on Physician-Administered Drugs (2010-S-72). Background Physician-administered drugs, such as chemotherapy, are administered to patients by … in an office setting. To reduce Medicaid costs for prescription drugs, the federal government established …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… examined whether Medicaid made inappropriate payments to medical providers for services rendered to Medicaid … for excessive amounts of coinsurance on 497 claims for clinic services. Because of the excessive claims, Medicaid … Interest Department of Health: Overpayments to Cabrini Medical Center (2011-S-8) …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followOversight of Grants (Follow-Up)
… as of March 7, 2014 of the eight recommendations in our initial audit report, Oversight of Grants (2009-S-78). … Key Findings Department officials have made progress in correcting the problems identified in our initial report. Of the eight prior audit … as of March 7 2014 of the eight recommendations in our initial audit report Oversight of Grants …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, Empire BlueCross BlueShield: Selected … Empire processes and pays 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/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughCollection of Medicaid Accounts Receivable (Follow-Up)
… our initial audit report, Collection of Medicaid Accounts Receivables (Report 2009-S-59). Background Our initial audit … to recover amounts repaid to the federal government for receivables that eventually became uncollectible and, … and practices address the recovery of all accounts receivables identified through audits or retroactive rate …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/collection-medicaid-accounts-receivable-followFire Prevention, Safety and Control
… that help ensure the safety of vulnerable populations it serves. Background The Office provides services in both … help ensure the safety of the vulnerable populations it serves and has significantly improved its fire safety …
https://www.osc.ny.gov/state-agencies/audits/2013/11/21/fire-prevention-safety-and-controlRailroad Bridge Inspection Program
… Purpose To determine whether the Department of Transportation (Department) properly oversees railroads … Bridge Inspection Program (Program) provides oversight of the inspection of railroad bridges in an effort to ensure public safety and … To determine whether the Department of Transportation properly oversees railroads operating in …
https://www.osc.ny.gov/state-agencies/audits/2013/12/09/railroad-bridge-inspection-programXII.4.E Electronic Invoicing – XII. Expenditures
… module in the Statewide Financial System (SFS) provides online agencies with the ability to receive electronic … The purpose of this section is to provide guidance to online agencies about identifying and processing e-invoices … SECTION OVERVIEW AND POLICIES This section provides online agencies with guidance regarding the electronic …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii4e-electronic-invoicingStreet and Sidewalk Cleanliness (Follow-Up)
… (Report 2019-N-1 ). About the Program The New York City (NYC) Department of Sanitation (DSNY) has access to several data sources to monitor the cleanliness of NYC’s streets and sidewalks, including: Scorecard Ratings created by the NYC Mayor’s Office of Operations (Operations); NYC311 service …
https://www.osc.ny.gov/state-agencies/audits/2022/10/25/street-and-sidewalk-cleanliness-followAccountability and Surplussing of Vehicles (Follow-Up)
… extent of implementation of the recommendations included in our initial audit report, Accountability and Surplussing … Key Finding OPWDD officials have made some progress in correcting the problems we identified in the initial report. However, improvements are still …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-followHuman Resource Practices (Follow-Up)
… mission is to improve the health of the communities it serves through teaching, research, and patient care. Upstate, … centers. Based on information provided by Upstate, it serves approximately 1.8 million people and is Central New …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/human-resource-practices-followUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… United’s reimbursement. Billing for a higher level of care than the service actually provided is known as upcoding. … For the period January 1, 2016 through December 31, 2016, we determined 42 claims (47 percent of the 90 claims sampled) … or unsupported for the higher level of care billed. We found United’s method for monitoring out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesResponsiveness to Noise Complaints Related to Construction Projects (Follow-Up)
… the extent of implementation of the recommendations in our initial audit report, Responsiveness to Noise … addressed noise complaints related to construction in New York City. The audit period was January 1, 2014 … total of 90,861 construction noise complaints were called in to New York City’s 311 system for the period January 1, …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-construction-projects-followSelected Aspects of Subway Station Safety (Follow-Up)
… Objective To determine the extent of implementation of the six … Station Environment and Operations (Division) mission is to ensure “the cleanliness, maintenance, and safety” of … Training Manual requires Station Supervisors (supervisors) to perform mandatory weekly station inspections and daily …
https://www.osc.ny.gov/state-agencies/audits/2020/02/20/selected-aspects-subway-station-safety-followOversight of the STEM Incentive Program (Follow-Up)
… of implementation of the four recommendations included in our initial audit report Oversight of the STEM Incentive … Incentive Program (Program) to ensure recipients were in compliance with the Program rules and regulations, and … had only made payments on behalf of recipients who were in compliance with Program regulations. We found that HESC …
https://www.osc.ny.gov/state-agencies/audits/2020/03/11/oversight-stem-incentive-program-followProblem Gambling Treatment Program (Follow-Up)
… included in our initial audit report Problem Gambling Treatment Program ( 2018-S-39 ) . About the Program … is responsible for administering the State’s problem gambling treatment program which includes: defining problem gambling services; developing and ensuring access to …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/problem-gambling-treatment-program-followEquine Health and Safety (Follow-Up)
… Commission did not provide our office with a required 90-day response indicating any steps it had taken to … is still needed. Of the two prior audit recommendations, one recommendation was partially implemented and one was not implemented. Key Recommendation Officials are …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/equine-health-and-safety-followOversight of Chronic Absenteeism (Follow-Up)
… K–12 public school students enrolled in New York State’s 732 public schools. Nationally, 7 million students (about 1 …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-chronic-absenteeism-follow