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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who had … Many of the State’s Medicaid recipients receive their services through managed care, where the Department pays … and in turn, the MCOs are required to pay for the Medicaid services their recipients require, which includes pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsInternal Controls Over Selected Financial Operations (Follow-Up)
… as those for brewery tastings. The application and fee requirements depend on the type of license or fee and the …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-followImproper Medicaid Payments for Recipients in Hospice Care (Follow-Up)
… extent of implementation of the 11 recommendations made in our initial audit report, Improper Medicaid Payments for Recipients in Hospice Care ( 2017-S-76 ). About the Program Hospice is a … However, if a Medicaid recipient is also enrolled in Medicare, Medicare is the primary payer and Medicaid is …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/improper-medicaid-payments-recipients-hospice-care-followMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2020 … To determine whether the Department of Healths eMedNY system …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Oversight of Provider Consolidated Fiscal Reports – Independent Living, Inc.
To determine whether OMH ensures that the costs reported by providers such as Independent Living Inc on their Consolidated Fiscal Reports are allowable properly calculated and adequately documented in accordance with Consolidated Fiscal Reporting and Claiming Manual requirements The audit
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/oversight-provider-consolidated-fiscal-reports-independent-living-incMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… were discharged within 24 hours of admission. There is a high risk that a portion of these claims were improper if the … process to identify and review the appropriateness of high-risk short-stay inpatient claims such as those …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… Stability and Adequate Facility Maintenance ( 2016-S-79 ). Background The Department of State’s (Department) …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… compliance. The Law does not preclude nurses from volunteering to work additional hours and does not apply in …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followImplementation of the Dignity for All Students Act (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Implementation of the Dignity … for All Students Act (DASA) seeks to provide students in New York with a safe and supportive environment free from … included curriculum and annual reporting requirements in 12 bias-related categories (e.g., race, sexual …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followEarnings Limits – Enhanced Reporting
… and earnings using the appropriate earnings code , but do not take member contributions from earnings above the limit. … should continue to report earnings and days worked, but do not take member contributions from earnings above the … NYSLRS employers do not take contributions from member earnings that exceed …
https://www.osc.ny.gov/retirement/employers/enhanced-reporting/earnings-limitsReimbursement of Social Services Costs (2013MS-3)
… to social services. Maintain a record of staff time spent on prosecution activities related to those social services …
https://www.osc.ny.gov/local-government/audits/county/2013/12/13/reimbursement-social-services-costs-2013ms-3City of Amsterdam – Budget Review (B23-5-4)
… report – pdf] Purpose The purpose of our budget review was to provide an independent evaluation of the City’s proposed … Chapter 531 of the Laws of 2019 authorizes the City to issue debt not to exceed $8.3 million to liquidate the … to submit to the State Comptroller each year, starting with the fiscal year during which the municipality is …
https://www.osc.ny.gov/local-government/audits/city/2023/05/05/city-amsterdam-budget-review-b23-5-4Town of Sullivan – Internal Controls Over Selected Financial Operations (2013M-267)
… of Taxes. Tax collections were not deposited in the bank or remitted to the Town and County in a timely manner. … in the Clerk’s office and $3,140 went missing from the safe. The Clerk did not perform bank reconciliations for the … collected are properly safeguarded and recorded, and that deposit amounts correspond to receipts received and recorded. …
https://www.osc.ny.gov/local-government/audits/town/2013/12/27/town-sullivan-internal-controls-over-selected-financial-operations-2013m-267City of Newburgh – Budget Review (B21-6-13)
… of Budget Review The purpose of our budget review was to determine whether the significant revenue and expenditure … County, is authorized by Chapter 223 of the Laws of 2010 to issue debt not to exceed $15 million to liquidate the accumulated deficit in … The purpose of our budget review was to determine whether the significant revenue and expenditure …
https://www.osc.ny.gov/local-government/audits/city/2021/11/10/city-newburgh-budget-review-b21-6-13City of Newburgh – Budget Review (B19-6-11)
… includes appropriations of $68,298,071. The proposed water fund budget includes $5.1 million in metered water sales revenue, which appears reasonable, pending Board … Key Recommendations Pass a resolution to raise water rates prior to the adoption of the budget, or lower the …
https://www.osc.ny.gov/local-government/audits/city/2019/11/15/city-newburgh-budget-review-b19-6-11CUNY Bulletin No. CU-341
This bulletin explains the establishment of New Payroll Bargaining Unit and Benefit Program for Hourly Continuing Education Teachers Represented by the Professi
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-341-establishment-new-payroll-bargaining-unit-and-benefitState Comptroller DiNapoli Releases State Audits and Examinations
… the risk of its Risk Managing Planning Group serving in conflicting roles or follow its policies and industry practices when calculating $245.9 million in combined premiums and providing $125.3 million in combined discounts for a hospital and supermarket. NYSIF …
https://www.osc.ny.gov/press/releases/2017/02/state-comptroller-dinapoli-releases-state-audits-and-examinationsState Comptroller DiNapoli Releases School District Audits
… Thomas P. DiNapoli today announced the following school district audits were issued. Granville Central School District – Medicaid Reimbursements (Washington County) … 50% reimbursement of eligible costs. Mineola Union Free School District – Financial Condition Management (Nassau …
https://www.osc.ny.gov/press/releases/2021/09/state-comptroller-dinapoli-releases-school-district-auditsState Comptroller DiNapoli Releases School Audits
… , East Aurora Union Free School District and the Kiryas Joel Union Free School District . "In an era of limited … apparently unaccounted-for cash totaling $3,563. Kiryas Joel Union Free School District – Financial Condition and … East Aurora Union Free School District and the Kiryas Joel Union Free School District …
https://www.osc.ny.gov/press/releases/2017/03/state-comptroller-dinapoli-releases-school-auditsState Comptroller DiNapoli Releases Municipal Audits
… Plattekill Public Library – Procurement and Investment of Funds (Ulster County) The board did not always comply with … decisions to the library’s committee and by ensuring funds were properly invested. Village of Suffern – Budget …
https://www.osc.ny.gov/press/releases/2021/04/state-comptroller-dinapoli-releases-municipal-audits-1