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Medicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… division or hospital, only the first hospital should bill Medicaid one claim for the entire episode of care. Key … transfers between them. Inform providers how to properly bill for patient transfers among divisions of merged or …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesHate Crime Reporting
… of the incident(s), bias motivation, and both victim and offender demographics. The Division submits this data to the …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingSelected M/WBE Purchases by Various Facilities
… by New York State. AIW served as an intermediary or "broker" for the facility; a role that is not prohibited by …
https://www.osc.ny.gov/state-agencies/audits/2014/03/07/selected-mwbe-purchases-various-facilitiesRoosevelt Children’s Academy Charter School – Selected Financial Operations (2013M-254)
… School officials created an expenditure code entitled “building fund” and budgeted $4.8 million in the 2010-11 …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/10/roosevelt-childrens-academy-charter-school-selected-financial-operationsOracle Charter School – School Building Acquisition and Leave Accrual Records (2013M-290)
… Purpose of Audit The purpose of our audit was to examine the School’s process for acquiring building space … did not demonstrate that it used an appropriate process to ensure it obtained a suitable building site at a … site or alternative sites. Consequently, the School agreed to an arrangement requiring it to pay more than $5.1 million …
https://www.osc.ny.gov/local-government/audits/charter-school/2014/01/17/oracle-charter-school-school-building-acquisition-and-leave-accrualImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
… audit report, Medicaid Program: Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Report 2022-S-16 ). About the Program The Department of Health (DOH) … program. The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status …
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followOversight of Homeless Shelters (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit report, Oversight of Homeless Shelters (Report 2015-S-23 ). Background The … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, 2015 through March … To determine whether the Department of Healths eMedNY system reasonably ensured …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Cayuga County Probation Department – Internal Controls Over Financial Operations (2013M-171)
… January 31, 2013. Background Cayuga County is located in central New York State. The Cayuga County Probation … As of August 2012, the Department held over $16,000 in undisbursed restitution which was collected between one … courts for six of the 31 selected cases that had balances in arrears. Key Recommendations Develop, or review and …
https://www.osc.ny.gov/local-government/audits/county/2013/09/27/cayuga-county-probation-department-internal-controls-over-financial-operationsMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments … in overpayments for newborn claims that were submitted with incorrect birth weights; $1,061,204 in overpayments for … of care than what was actually provided or were billed with incorrect patient status codes; $590,405 in overpayments …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Cattaraugus County – Internal Controls Over Selected Financial Activities (2013M-68)
… balances for nine loans totaling $24,847. For the Children with Special Needs program, we found that client … available or complete. We reviewed the files for the 224 children that were available and found that the County did … of required documentation in the files for 19 of these children, for whom the County paid claims totaling $161,482. …
https://www.osc.ny.gov/local-government/audits/county/2013/07/05/cattaraugus-county-internal-controls-over-selected-financial-activities-2013m-68Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… period ended September 30, 2013, eMedNY processed about 188 million claims, resulting in payments to providers of about $25 billion. The claims are processed and paid in weekly cycles, which averaged about 7.2 million claims and $964 million in payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013City of Troy – Budget Review (B5-15-22)
… the significant revenue and expenditure projections in the City’s proposed budget for the 2016 fiscal year are reasonable. Background The City of Troy, located in Rensselaer County, issued debt totaling $21,630,000 to liquidate cumulative deficits in the City’s general fund for the years ending December 31, …
https://www.osc.ny.gov/local-government/audits/city/2015/11/10/city-troy-budget-review-b5-15-22City of Long Beach – Budget Review (B7-16-9)
… Purpose of Budget Review The purpose of our budget review was to determine whether the significant … 2016-17 fiscal year are reasonable. Background The City of Long Beach, located in Nassau County, has been authorized … City of Long Beach Budget Review B7169 …
https://www.osc.ny.gov/local-government/audits/city/2016/05/06/city-long-beach-budget-review-b7-16-9Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible … hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, auditors recovered about …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Long Island Workforce Housing Act (2015-MR-4)
… , Brookhaven [pdf] , Huntington [pdf] , Islip [pdf] , and North Hempstead [pdf] , and the Villages of Farmingdale [pdf] , Hempstead [pdf] , and Mineola [pdf] . Purpose of Audit The purpose of our audit …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2016/01/08/long-island-workforce-housing-act-2015-mr-4Administration of the Article 8-A Loan Program
… Purpose To determine whether the loans awarded by New York City’s Department of Housing Preservation and Development (HPD) under the Article 8-A Program are being used only for qualified … purpose, and whether loan recipients are complying with the requirements of their loans with respect to correcting …
https://www.osc.ny.gov/state-agencies/audits/2014/09/18/administration-article-8-loan-programMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… 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 October 1, 2012 … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Audit of the Tuition Assistance Program at CUNY Medgar Evers College
… Purpose To determine whether Medgar Evers College complied with the Education Law and the Commissioner … Assistance Program (TAP) awards. Background Medgar Evers College, located in Brooklyn, is a senior college within the City University of New York, and offers a …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeCentral New York Regional Market Authority – Financial Condition (2024M-18)
… the Authority’s financial condition and planned for future capital and operational needs. Key Findings The Board and … the Authority’s financial condition and plan for future capital and operational needs. The Authority’s revenues have … the Authoritys financial condition and planned for future capital and operational needs …
https://www.osc.ny.gov/local-government/audits/public-authority/2024/05/14/central-new-york-regional-market-authority-financial-condition-2024m-18