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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… To determine whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were … with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on procedure codes …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… determine whether Stony Brook University complied with the Education Law and the Commissioner of Education’s Rules and Regulations when certifying students … certification processes. Key Recommendations The Higher Education Services Corporation should recover $4,170,880, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… whether LaGuardia Community College complied with the Education Law and the Commissioner of Education’s Rules and Regulations when certifying students … good academic standing. Key Recommendations The Higher Education Services Corporation should recover $91,911 plus …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-collegeContracts for Personal and Miscellaneous Services (Follow-Up)
… longer applicable. Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followCapital Planning and Maintenance
… capital maintenance and improvement projects; whether or not it has developed reasonable long-term capital plans; and … capital plans as required, the plans are incomplete and do not identify all of the Authority’s needs – in particular, … capital maintenance and improvement projects whether or not …
https://www.osc.ny.gov/state-agencies/audits/2016/04/08/capital-planning-and-maintenanceHousing Preferences for Veterans (Follow-Up)
… by housing companies and lax enforcement by the New York City Department of Housing Preservation and Development (NYC … found two housing companies in Manhattan (Hamilton House and Clinton Towers) filled vacant apartments with non-veterans even though veterans had been …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followAudit of the Tuition Assistance Program at Pratt Institute
… To determine whether Pratt Institute complied with the Education Law (Law) and the Commissioner of Education's Rules and Regulations (Regulations) when … student a $50 refund check. Key Recommendations The Higher Education Services Corporation should recover $35,736 from …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-pratt-instituteRainbow Rhymes Learning Center (Follow-Up)
… Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial audit report, which was issued on … Department: Rainbow Rhymes Learning Center Report (2009-S-84) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… By classifying them as discharged, DoE’s reported graduation rate was higher than the actual rate and the … its discharge classifications, and hence its dropout and graduation rates. Key Recommendations None Other Related …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… included in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). … included in our initial audit report Travel Plaza Revenues and Capital Improvements …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Inspecting Highway Bridges and Repairing Defects (Report 2012-S-33). Background In our initial audit report, which was issued on Report April … NYSTA implemented the three recommendations we made in our initial report. Key Recommendations None Other Related …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… Purpose To determine the extent of implementation of the five … (Port Authority) generally did not have documentation to justify the need for new or renewed contracts for personal … addition, the Port Authority did not provide documentation to support that it periodically reassessed all of its …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… resulted in correct provider payments. We identified five reportable conditions. The first reportable condition entailed the identification and … file loaded onto the eMedNY system. The remaining four reportable conditions resulted in overpayments of …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… ended July 31, 2013, the Institute reported that it served 502 inpatients and 1,154 outpatients, and employed a maximum …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Rebates and Discounts on … are administered to patients by a medical professional in an office setting. To reduce Medicaid costs for … cost. Key Findings Department officials made progress in addressing the problems we identified in the initial …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for excessive amounts of coinsurance on 497 claims for clinic services. Because of the excessive claims, Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followOversight of Grants (Follow-Up)
… We found that the monitoring performed by the Freight and Passenger Rail Bureau and the Aviation Bureau could be … Statewide Grants Management System, currently scheduled for April 2014, which they believe will address several of the remaining issues. …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… for the Period April 1, 2011 Through June 30, 2011 (2011-S-42). Background The New York State Health Insurance Program … coverage to active and retired State, participating local government and school district employees and their … for the Period April 1, 2011 Through June 30, 2011 (2011-S-42) …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughTrash Can Free Stations Pilot Program
… reduce refuse in the City’s subway system by removing the garbage cans from the platforms at selected stations. SEO’s objective … solve the problem “of poor customer experience of exposed garbage bags in stations and eliminate the accompanying …
https://www.osc.ny.gov/state-agencies/audits/2015/09/22/trash-can-free-stations-pilot-programMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… administration of these laws. Our audit covered the period April 1, 2011 through March 31, 2013. Background The … or whose property they might damage as a result of an accident. According to Article VI, Section 317 and Article … for the Three Fiscal Years Ended March 31, 2011 (2012-S-25) …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-two