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Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid … requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2014 through … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Improper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report … To determine the extent of implementation of the five recommendations made in our audit report Improper Managed Care Payments for Certain Medicaid Recipients …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followManagement and Control of Employee Overtime Costs (Follow-Up)
… determined that the Port Authority of New York and New Jersey (Port Authority) generally did not effectively manage … in its 2010 budget to the Governors of New York and New Jersey. Finally, the informal benchmark established by the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our initial audit … 20, 2010, examined whether Medicaid made overpayments for recipients who were also enrolled in Medicare Part A. … recommendations made in our audit report Medicaid Payments for Medicare Part A Beneficiaries 2009S36 …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… for Medicaid managed care programs. Had Medicaid paid only the Medicare deductibles and coinsurance for the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followContract with EBSCO Subscription Services, Inc. (Follow-Up)
… journals, magazines, and other literary materials to State agencies, political subdivisions, and other authorized … examined billings to one agency, the State University of New York, and found EBSCO was billing in excess of the $35 limit …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background Our initial … of implementation of the six recommendations included in our initial audit report Medicaid Payments for Excessive …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followInappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations made in our audit report, … issued on July 24, 2012, examined whether the Department of Health (Department) ensured local social service districts … To determine the extent of implementation of the two recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialManagement of General School Funds (Follow-Up)
… nine recommendations included in our initial audit report, John F. Kennedy Educational Campus: Management of General … York City Department of Education (DoE) did not provide John F. Kennedy Educational Campus staff with adequate … management control over GSF accounts. Key Finding DoE and John F. Kennedy officials have made progress in addressing …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… included in our initial report Group Health Incorporated: New York State Dental Program - Payments for … was issued on July 28, 2010, examined whether Group Health Incorporated (GHI) established adequate controls over the … Department of Civil Service contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments to Cabrini Medical Center (Follow-Up)
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … which was issued on April 3, 2012, identified $1.9 million in Medicaid overpayments to Cabrini Medical Center. The …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… Port Authority included funds for vehicle and equipment rentals in its annual Purchase Program. We also found that …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followState Agencies Bulletin No. 861
… Purpose To inform the Senate and Assembly payroll offices of OSC’s automatic processing and to provide instructions for … transactions in Pay Period 19C. Affected Employees Members of the NYS Legislature who are paid using the LEG Pay Basis … Special Allowance Background Pursuant to Section 5 of the Legislative Law, the total regular earnings received …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/861-2008-year-end-adjustment-members-nys-legislatureMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … six-month period ended March 31, 2013, eMedNY processed about 167 million claims resulting in payments to providers … in overpayments for claims billed with incorrect information pertaining to recipients' other health insurance …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Purchasing and Procurement Practices (Follow-Up)
… Objective To assess the extent of implementation of the eight recommendations included in our initial audit … and Procurement Practices (Report 2020-S-67 ). About the Program The New York Racing Association, Inc. (NYRA) is a … To assess the extent of implementation of the eight recommendations …
https://www.osc.ny.gov/state-agencies/audits/2024/01/18/purchasing-and-procurement-practices-followState Agencies Bulletin No. 2166
… used for such critical tasks as direct employee contact, mailing of Form W-2 statements, mailing of paycheck and direct deposit advices, determining … It is essential that PayServ contains correct and current address information for all NYS employees. In an effort to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2166-new-york-state-payroll-online-nyspo-employee-address-updateOversight of Adult Protective Services Programs (Follow-Up)
… from abuse, neglect, financial exploitation, or other harm; and have no one available who is willing and able to … is responsible for assessing the adult's needs and risk of harm, which may also require coordination with law …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/oversight-adult-protective-services-programs-followMonitoring of Select Programs (Follow-Up)
… to the AAAs on 2017-18 Unmet Need data – which not only was outdated but did not account for the likely greater …
https://www.osc.ny.gov/state-agencies/audits/2023/07/12/monitoring-select-programs-follow