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Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017

… 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, 2017 through … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …

https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017

Selected Aspects of Discretionary Spending

… 1962 to expedite the completion of the $700 million master plan for the State University of New York (SUNY). This master plan enabled SUNY to accommodate twice the number of students … resources. To accomplish its mission, the Fund incurs direct costs for specific program purposes and it incurs …

https://www.osc.ny.gov/state-agencies/audits/2014/09/19/selected-aspects-discretionary-spending

Medicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions

… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …

https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatient

Anthem Blue Cross – Coordination of Benefits With Medicare

… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with … To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for …

https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicare

Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016

… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2016, eMedNY processed about 202 million claims, resulting in payments to providers of about $29 billion. The claims are …

https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016

Medicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015

… 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, 2015 through … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …

https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015

Drug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses

… Purpose To determine whether the Office of Alcoholism and Substance Abuse Services (OASAS) is effectively monitoring Drug and Alcohol Treatment program contracts to ensure provider claims do not … June 30, 2014. Background The New York State Office of Alcoholism and Substance Abuse Services (OASAS) oversees …

https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expenses

Medicaid Program – Oversight of Managed Care Provider Networks

… reported timely and accurately, including issuing guidance detailing MCO responsibilities within the deficiency review …

https://www.osc.ny.gov/state-agencies/audits/2025/10/22/medicaid-program-oversight-managed-care-provider-networks

Selected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery

… responsible for the contamination of inactive hazardous waste sites. This audit covers the period April 1, 2011 … The Department is responsible for the Inactive Hazardous Waste Disposal Site Program (Program), also known as the … sites containing consequential amounts of hazardous waste. Sites that pose a significant threat to public health …

https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recovery

Dual Employment

… by UCS require non-judicial employees to obtain in writing prior to engaging in any outside employment. Such … nine occasions where the hours worked conflicted. The two cases included patterns of claiming to be working two places … The Inspector General of UCS should investigate the cases we identified and take appropriate actions as …

https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employment

Selected Travel Expenses

… The travel policy also contains language regarding mileage when the employee is in official travel status. In addition, the LIRR has a personal vehicle policy for mileage reimbursement when the employee is not in official …

https://www.osc.ny.gov/state-agencies/audits/2015/03/23/selected-travel-expenses

City of Glen Cove – Budget Review (B7-16-12)

… million in revenue in the 2017 proposed budget from the sale of waterfront property and City officials were unable to … over the 2016 estimate. This increase is associated with building permit applications that are part of the … settlements. The City’s proposed budget complies with the tax levy limit. Key Recommendations The City should …

https://www.osc.ny.gov/local-government/audits/city/2016/10/14/city-glen-cove-budget-review-b7-16-12

Selected Financial Management Practices

… Purpose To determine if the Hudson River Park Trust has established adequate controls over the following financial management functions: revenue and … To determine if the Hudson River Park Trust has established adequate controls over the …

https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practices

Controls Over Cash Advance Accounts

… To determine whether the Office of Parks, Recreation and Historic Preservation (Parks) needs its cash advance accounts … To determine whether the Office of Parks Recreation and Historic Preservation Parks needs its cash advance accounts …

https://www.osc.ny.gov/state-agencies/audits/2014/12/22/controls-over-cash-advance-accounts

Access Controls Over Student Information Systems (2014-MR-1)

… report - pdf] We also released 6 letter reports to the following school districts: Altmar-Parish-Williamstown … Westhill Central School District [pdf] . Purpose of Audit The purpose of our audit was to determine if school districts … controlled access to Student Information Systems for the period July 1, 2011 through April 30, 2013. Background …

https://www.osc.ny.gov/local-government/audits/school-district/2014/08/19/access-controls-over-student-information-systems-2014-mr-1

Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims

To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient claims

https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claims

Uncollected Penalties

… Purpose To determine if the Department of Agriculture and Markets (Department) effectively pursues and collects outstanding … To determine if the Department of Agriculture and Markets Department effectively pursues and …

https://www.osc.ny.gov/state-agencies/audits/2013/07/31/uncollected-penalties

Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021

… 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 from October 2020 … computer system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible …

https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021