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Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… weights; $389,813 in improper payments for inpatient, clinic, durable medical equipment, transportation, and eye … 14 of the providers we identified, but the status of one provider was still under review at the time our fieldwork …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Facility Structure, Safety, and Health Code Waivers (Follow-Up)
… audit report, Facility Structure, Safety, and Health Code Waivers (Report 2014-S - 27). Background There are … in place at a given facility, nor could it identify the code violations that had been waived at those facilities. … of Health: Facility Structure, Safety, and Health Code Waivers ( 2014-S-27 ) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/facility-structure-safety-and-health-code-waivers-followTrash Can Free Stations Pilot Program (Follow-Up)
… recommendations included in our initial report, Trash Can Free Stations Pilot Program (2014-S-29). Background Our … three recommendations included in our initial report Trash Can Free Stations Pilot Program 2014S29 …
https://www.osc.ny.gov/state-agencies/audits/2017/02/14/trash-can-free-stations-pilot-program-followAdministration of the Article 8-A Loan Program (Follow-Up)
… of the Article 8-A Loan Program ( 2013-N-4 ) NYC Department of Consumer Affairs: License Fee Revenues ( …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/administration-article-8-loan-program-followOversight of Homeless Shelters (Follow-Up)
… and directly oversees these larger-scale facilities, and is responsible for inspecting these certified shelters and …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followMaximus, Inc.
… extended the life of the contract to August 19, 2017. This is the fourth in a series of letters related to this … the equipment through the formal, competitive process DOH is required to follow under New York State procurement laws. …
https://www.osc.ny.gov/state-agencies/audits/2015/08/21/maximus-incExamination of Unemployment Insurance Willful Overpayments
… to 71 penalties valued at $4,022 that were under-assessed by NYDOL. In addition, staff recorded 6,405 overpayments … the penalty amount. We found these errors were caused by either NYDOL officials providing staff with unwritten …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/examination-unemployment-insurance-willful-overpaymentsUniversity at Albany – Sabbatical and Other Paid Leave
… determine whether the State University of New York SUNY at Albany Albany complied with policies for administering …
https://www.osc.ny.gov/state-agencies/audits/2013/07/30/university-albany-sabbatical-and-other-paid-leaveMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… Purpose To determine whether the Department of Health's eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, … claims submitted by providers for services rendered to Medicaid eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Westchester School for Special Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Westchester School for Special Children (WSSC) on its Consolidated Fiscal … in Yonkers, New York, provides special education services to school-age and preschool children between 3 and 21 years … To determine whether the costs reported by the Westchester …
https://www.osc.ny.gov/state-agencies/audits/2013/07/02/westchester-school-special-children-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… procedures; Inpatient claims billed with incorrect patient status codes and with high (intensive) levels of care that … promptly terminated 20 of these providers, but the status of the remaining provider (whom Medicaid paid $5,164 … recover the inappropriate Medicaid payments and to improve claim processing controls. Other Related Audits/Reports of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Children’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the expenses reported on the Consolidated Fiscal Reports (CFRs) of the Children’s … our scope period. Direct Center officials to disclose all “less-than-arm’s-length” transactions on any CFRs … To determine whether the expenses reported on the Consolidated Fiscal Reports CFRs …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… reported on the Consolidated Fiscal Reports (CFRs) of Metro Therapy, Inc. (Metro Therapy) were calculated properly, documented … the three fiscal years ended June 30, 2011. Background Metro Therapy is based in Hauppauge, New York and provides … costs reported on the Consolidated Fiscal Reports CFRs of Metro Therapy Inc Metro Therapy were calculated properly …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualSunshine Developmental School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Sunshine Developmental School on its Consolidated Fiscal … Reimbursable Cost Manual (Manual). The audit included all expenses claimed for the three fiscal years ended June … To determine whether the costs reported by the Sunshine Developmental School on …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/sunshine-developmental-school-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … information pertaining to recipients’ other health insurance coverage; $666,992 in overpayments for claims … the remaining inappropriate Medicaid payments and improve claim processing and monitoring controls. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013MTA-NYC Transit Medical Assessment Centers
… Purpose To determine whether the MTA-NYC Transit Medical Assessment Centers performed medical examinations for NYC Transit and MTA Bus employees in an economical manner. … Assessment Centers performed medical examinations for NYC Transit and MTA Bus employees in an economical manner …
https://www.osc.ny.gov/state-agencies/audits/2014/11/10/mta-nyc-transit-medical-assessment-centersNew York City School-Based Health Centers – Security and Controls Over Medications and Related Supplies
… their medications and related supplies. Our audit covered the period July 1, 2011 to November 21, 2013. Background New … third-party insurance for reimbursement, as appropriate. All SBHCs must provide, on-site, a core of age-appropriate … and reconcile discrepancies as appropriate; Document all student-supplied medication transactions, including the …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/new-york-city-school-based-health-centers-security-and-controls-over-medications-andDual Employment
… Unified Court System (UCS) employees who are dually employed at other State agencies are working their required … individuals throughout the State, some of whom are also employed by other government agencies. Regulations … 2010 and March 2012, seven UCS/OCA employees were dually employed and obtained at least $40,000 in combined pay. …
https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employmentInstitutes of Applied Human Dynamics – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported on the Consolidated Fiscal Reports (CFRs) of the Institutes of … Reimbursable Cost Manual (Manual). The audit included all expenses claimed for the fiscal year 2012-13 and certain … To determine whether the costs reported on the Consolidated Fiscal Reports CFRs of …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/institutes-applied-human-dynamics-compliance-reimbursable-cost-manualCollection and Use of Oil Spill Funds
… all fees due the New York Environmental Protection and Spill Compensation Fund (Oil Spill Fund or Fund) in compliance with applicable laws and if all expenditures from the Fund are reasonable, appropriate, and associated with spill remediation projects. The audit …
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-funds