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Overpayments of Certain Medicare Crossover Claims (Follow-Up)

… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …

https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-follow

Selected Aspects of Travel Expenses

… the Metropolitan Transportation Authority’s New York City Transit, MTA Bus Company, and MTA Bridges and Tunnels were … six constituent agencies – including New York City Transit (Transit), MTA Bus Company (MTA Bus), MTA Bridges and Tunnels … the Metropolitan Transportation Authoritys New York City Transit MTA Bus Company and MTA Bridges and Tunnels …

https://www.osc.ny.gov/state-agencies/audits/2015/05/18/selected-aspects-travel-expenses

Medicaid Payments for Excessive Dental Services (Follow-Up)

… of implementation of the six recommendations included in our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background Our initial audit … by these payments may be legitimate services provided in good faith, other dental services appeared highly …

https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-follow

Contract with EBSCO Subscription Services, Inc. (Follow-Up)

… August 12, 2010, examined the Office of General Services’ (OGS) administration of contracts for subscription services … the propriety and accuracy of billings. Key Findings OGS fully implemented each of the three recommendations made in our initial audit. As a result, OGS recovered the $105,000 of overbillings cited in our …

https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-follow

Reporting and Utilization of Bias Incident Data

… whether the New York City Police Department (NYPD) is accurately collecting, recording, and reporting bias … Investigation for its collection and publication. The NYPD is responsible for capturing, recording, and reporting hate … reportedly took place in New York City. The NYPD’s data is drawn from Incident Reports that are prepared by its Hate …

https://www.osc.ny.gov/state-agencies/audits/2014/09/25/reporting-and-utilization-bias-incident-data

Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)

… included in our initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report … (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare … we identified about 271,000 unnecessary Medicaid managed care payments (totaling about $111 million) that were made on …

https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-follow

Medicaid Payments for Medicare Part A Beneficiaries (Follow-Up)

… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our initial … for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary medical insurance for inpatient … made in our audit report Medicaid Payments for Medicare Part A Beneficiaries 2009S36 …

https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-follow

New York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)

… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …

https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-follow

Overpayments for Services Also Covered by Medicare Part B (Follow-Up)

… supplementary medical insurance covering a broad range of outpatient medical services, physicians' fees, and medical …

https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-follow

Management of General School Funds (Follow-Up)

… report John F Kennedy Educational Campus Management of Ge …

https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-follow

Vehicle and Heavy Equipment Purchase Program (Follow-Up)

… Port Authority included funds for vehicle and equipment rentals in its annual Purchase Program. We also found that …

https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-follow

Management and Control of Employee Overtime Costs (Follow-Up)

… report, issued on August 17, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not effectively manage and … proper prior approvals and justification. In addition, the Port Authority did not meet the 20 percent overtime reduction …

https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-follow

Unnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)

… audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background Our initial … the costs of medical care provided to children placed at voluntary agencies. Key Finding Department officials made … of Health: Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47) …

https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-follow

Tuition Assistance Program – State Financial Aid Program at Barnard College

… whether Barnard College complied with the Education Law and the Commissioner of Education’s Rules and Regulations when certifying students for State financial … nearly 50 fields of the arts, humanities, social sciences and natural sciences. Annual tuition for full-time students …

https://www.osc.ny.gov/state-agencies/audits/2015/08/03/tuition-assistance-program-state-financial-aid-program-barnard-college

Improper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)

… recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report … 30, 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 recipients who, by State law, were precluded from enrollment in managed care programs. We recommended that the Department investigate …

https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-follow

Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014

… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for … audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing …

https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014

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