Search
United Community Services, Inc. – Compliance With the Reimbursable Cost Manual
… Class in an Integrated Setting (SCIS) program to children with disabilities between the ages of three and five years. … programs. Also, United has a collaboration agreement with Bushwick United Headstart (Bushwick) and provides … identified $207,295 in reported costs that did not comply with the Manual’s requirements and recommend such costs be …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/united-community-services-inc-compliance-reimbursable-cost-manualInternal Control System Components
… system of internal controls. Included in that guidance are five specific components of internal control that must be …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/internal-control-system-componentsSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… Selected Operating and Administrative Practices at the Bureau of Narcotic Enforcement (Report 2011-S-19). Background … report, issued November 21, 2012, examined whether the Bureau of Narcotic Enforcement (Bureau) was effectively and efficiently combating …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… ). Background Our initial audit report, which was issued on January 5, 2015, determined that, for the 27-month … 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy … issuance of the follow-up report to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followControls Over Cash Advance Accounts (Follow-Up)
… Background Our initial audit report, which was issued on December 22, 2014, determined whether Parks needs their … issuance of the follow-up review to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely waived Empire Plan members’ … an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New … September 30, 2014. Key Recommendations Recover from Dr. John Gomes $1,258,855 in overpayments funded by the State. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesTuition Assistance Program – College of Westchester
… The College of Westchester, (Westchester) offers programs in business, computer, digital media, and health fields. … to the school on behalf of 1,590 students. We reviewed a sample of 50 randomly selected awards paid during that … future compliance with the eligibility requirements cited in the report. Westchester should comply with the State …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/tuition-assistance-program-college-westchesterTuition Assistance Program – Wagner College
… Purpose To determine whether Wagner College officials complied with the Education Law and the … are responsible for certifying student eligibility. Wagner College (Wagner) is a four-year private college located on Staten Island. It offers programs in the … To determine whether Wagner College officials complied with the Education Law and the …
https://www.osc.ny.gov/state-agencies/audits/2016/05/19/tuition-assistance-program-wagner-collegeTuition Assistance Program – LIM College
… certifying students for State financial aid. Background TAP is the largest student grant program administered by the Higher Education Services … risk that a significant number of students certified for TAP were not eligible for awards. Nonetheless, our tests did …
https://www.osc.ny.gov/state-agencies/audits/2015/10/01/tuition-assistance-program-lim-collegeThe Alcott School – Compliance With the Reimbursable Cost Manual
… ended June 30, 2014. Background Alcott is an SED-approved, not-for-profit special education provider located in Westchester County, New York. Alcott provides preschool … is reimbursed for preschool special education services through rates set by SED. The reimbursement rates are based …
https://www.osc.ny.gov/state-agencies/audits/2016/07/25/alcott-school-compliance-reimbursable-cost-manualNY-Sun Incentive Program
… commitment of $1 billion to stimulate the marketplace for solar energy in New York. NY-Sun aims to add more than three gigawatts (3 billion watts) of solar capacity, enough to power approximately 400,000 homes … through initial design reviews and field inspections upon project completion. Key Findings In general, the Authority’s …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/ny-sun-incentive-programCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the … not-for-profit organization located in Schenectady, New York. Crossroads provides preschool special education …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… services to children with disabilities between the ages of three and five years. Newmeadow is reimbursed for preschool special education services through rates set by SED. These reimbursement rates are based on … or have a process for identifying board members’ conflicts of interest on an ongoing basis. Key Recommendations To SED: …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the four recommendations included in our initial report, Inspecting Highway Bridges and … five years. Key Finding Authority officials made progress in correcting the problems we identified. Of the four prior … are planned to address the unresolved issues discussed in this review. …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… of 3 recommendations made in our audit report NYS Health Insurance Program Empire BlueCross BlueShield …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate Revenue ( 2013-S-41 ). … To determine the extent of implementation of 3 recommendations made in our intl audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followThe ARC of Ulster-Greene – Compliance With the Reimbursable Cost Manual
… Ulster-Greene provides these services to children with disabilities between the ages of three and five years. … be eligible for reimbursement, reported costs must comply with the guidelines specified in the RCM. For the year ended … service costs charged to the programs that did not comply with SED’s requirements for reimbursement. Key …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/arc-ulster-greene-compliance-reimbursable-cost-manualUse of State Appropriations
… It is governed by a Board of Directors, most of whom are involved in the wine and grape industry, and has six …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsInternal Control System Components
… of Motor Vehicles’ (Department) management of its internal control system appropriately addresses all five components of internal control. Our audit scope included the period January 1, 2013 … York State Governmental Accountability, Audit and Internal Control Act requiring each State agency to institute a …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/internal-control-system-componentsUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… that a provider performed a procedure that was distinct or independent from another procedure that was performed on … same patient. Modifier 59 is used to identify procedures or services that are not normally billed together, but are … with modifier 59 may involve a different anatomical site or separate injury. From September 1, 2012 to August 31, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59