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Cost-Saving Ideas: Capital Planning for Local Governments and School Districts
… Who will be responsible for overseeing the plan's development and implementation? How will an asset inventory … funding sources include fund balances, reserve funds, annual budget appropriations and private sources such as … to consider the annual budgetary impact of capital acquisitions, some of which will require extra expenses such …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-capital-planning-local-governments-and-school-districtsMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… drugs, to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. Beginning on October …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansPrograms for Little Learners – Compliance With the Reimbursable Cost Manual
… the two fiscal years ended June 30, 2014. Background PFLL is an SED-approved, for-profit special education provider … service costs, which consisted of $41,298 in health insurance costs for salaried employees that were not … the Program, and $433 in agency administration costs for life insurance that were incorrectly reported as direct costs …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/programs-little-learners-compliance-reimbursable-cost-manualYork College – Time and Attendance Practices for Public Safety Staff
… (York) is a senior CUNY college located in Jamaica, Queens. York enrolls over 8,242 students in liberal arts, … shift, either to junior staff or to a contracted security officer, at straight pay rather than overtime rates. Video … he did not actually work. Per the video footage, another officer (not the sergeant) actually worked a fire watch post …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/york-college-time-and-attendance-practices-public-safety-staffOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… hospitals must indicate a patient’s “level of care” on a claim to ensure accurate processing and payment. Certain … claims. Our initial audit report, which was issued on July 25, 2013, identified $7.8 million in Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… rates that participating providers agree to accept for the same services. Often, the rates for non-participating … Overpayments for Services at the Capital Region Ambulatory Surgery Center (2007-S-72) United Health Care: New York State … Insurance Program - Overpayments for Services at the Day Op Center of North Nassau (2007-S-120) …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesLeague for the Handicapped – Compliance With the Reimbursable Cost Manual
… Audits/Reports of Interest State Education Department: Summit Educational Resources - Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/league-handicapped-compliance-reimbursable-cost-manualCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the … New York. Crossroads provides preschool special education services to children with disabilities who are … included $11,111 for iPads, software, laptops, and various curriculum materials that were purchased with private grant …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Center for Disability Services (CFDS) on its Consolidated Fiscal … To determine whether the costs reported by the Center for Disability Services CFDS on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). … Department of Health (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare health insurance … initial audit report Unnecessary Managed Care Payments for Medicaid Recipi …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 through June 30, 2014 for the Apple and Sour Cherry Market Orders and the period April 1, 2011 through March 31, … to a contract with the New York Apple Association, Inc. (NYAA). Key Recommendations Follow up on the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance. The audit … pay for medical care provided in outpatient settings. Medicaid is a joint state and federal health program for … with low incomes. People who qualify for both Medicare and Medicaid are referred to as "dual eligibles." For dual …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bSexual Harassment Policy for the Office of the State Comptroller
… The website also contains contact information for DHR’s regional offices across New York State. Civil Rights Act of …
https://www.osc.ny.gov/sexual-harassment-policyMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
To determine whether Medicaid managed care organizations MCOs made inappropriate payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… Objective To determine if the New York City Department of Education (DOE) arranged for … placed in special education services and programs within the required time frames, and provided all of the services and programs recommended in the students’ … To determine if the New York City Department of Education DOE arranged for …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… Fee-for-Service Payments for Services Covered by Managed Care (Report 2017-S-74 ). About the Program The Department of … providers using the fee-for-service (FFS) or managed care method. Under the FFS method, the Department, through … rendered to Medicaid recipients. Under the managed care method, the Department pays managed care plans a monthly …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… of Finance (DOF) identifies and collects fines and fees that are due for parking violations. This audit covered … Collections Unit responsible for collecting fines and fees for violations issued within NYC, and also the Outside … (outside of NYC) totaled about $67.6 million. Fines and fees due from respondents with addresses outside of New York …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… the appropriate International Classification of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Hospitals use International Classification of Diseases (ICD) procedure codes on their claims to report mechanical … ventilation services. When hospitals use a specific ICD procedure code to report a patient received 96 … we identified; remind hospitals to use the proper ICD procedure code that represents the duration of time the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from January 2018 through October 2022. … EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans under the New York State …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefits