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Medicaid 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-followUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine if Davis Ethical Pharmacy inappropriately billed United HealthCare for … Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government, … To determine if Davis Ethical Pharmacy inappropriately billed …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyXII.9.B Liens Against Payments Processed Using a Joint Custody Account – XII. Expenditures
… responsible for determining if a lien, offset, or payment assignment against each vendor exists. In the event that a lien, offset, or payment assignment does exist, OSC will redirect the appropriate … line was redirected due to a lien, offset, or payment assignment. All Business Units can also review the M171 …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii9b-liens-against-payments-processed-using-joint-custody-accountComptroller DiNapoli Releases State Audits
… Payments for Recipients with Multiple Identification Numbers and No Social Security Numbers (Follow-Up) (2014-F-1) An initial audit report, … were enrolled into Medicaid with multiple identification numbers. In a follow-up, auditors found DOH officials have … were enrolled into Medicaid with multiple identification numbers …
https://www.osc.ny.gov/press/releases/2014/08/comptroller-dinapoli-releases-state-auditsSelected Aspects of the Dam Safety Program (Follow-Up) (2013-F-4)
We have followed up on the actions Department of Environmental Conservation (Department) officials took to implement the recommendations contained in our audit
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2013-13f4.pdfProgram Oversight and Monitoring of the Maximus Contract for the New York State of Health (Insurance Marketplace) Customer Service Center (2015-S-80)
The objective of our audit was to determine whether the Department is providing sufficient oversight to ensure that Maximus is implementing the contract as inte
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s80.pdfComptroller DiNapoli Releases School Audits
… P. DiNapoli today announced his office completed audits of the Madison Central School District and the Starpoint Central School District . “In an era of limited … and operations, my office continues to provide taxpayers the assurance that their money is being spent appropriately …
https://www.osc.ny.gov/press/releases/2016/02/comptroller-dinapoli-releases-school-audits-0State Agencies Bulletin No. 1092
… the requirements for certification without an election and is eligible to be certified as the exclusive negotiating … OSC has identified all employees in Bargaining Unit 31 and will automatically end date existing dues (code 202) and agency shop fees (code 213) to Council 82 for all employees in the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1092-new-union-bargaining-unit-31State Comptroller DiNapoli Releases Municipal Audits
… and work progress through photographic evidence. In addition, city officials ensured construction change … and after a thorough review. They avoided $11.3 million in interest and financing costs over 30 years by obtaining a … and securing grants to fund 27 percent of project costs. In addition, city officials withheld payments to contractors …
https://www.osc.ny.gov/press/releases/2021/07/state-comptroller-dinapoli-releases-municipal-audits-1Examination of Island Peer Review Organization
… We examined select subcontractor expenses the Department of Health (Department) made to Island Peer Review Organization (IPRO) under contract … in administrative charges and nearly $180,000 in out-of-pocket expenses. Our objective was to determine whether … We examined select subcontractor expenses the Department of Health Department made to Island Peer Review Organization …
https://www.osc.ny.gov/state-agencies/audits/2018/09/14/examination-island-peer-review-organizationAdministration of Non-Competitive and Limited-Competition Contracts (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit report, Administration of Non-Competitive and Limited-Competition Contracts (Report … To determine the extent of implementation of the five recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2017/01/09/administration-non-competitive-and-limited-competition-contracts-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). Background … rendered to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid recipients are also enrolled in Medicare Part C. Under Medicare Part C, managed care plans …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followExamination of Sunset LG Realty, LLC
… Purpose We examined more than $5,000 in select bonuses that Sunset LG … other compensation paid to Sunset employees. Key Findings We found Downstate approved reimbursements to Sunset for … We examined more than $5000 in select bonuses that Sunset LG …
https://www.osc.ny.gov/state-agencies/audits/2018/10/30/examination-sunset-lg-realty-llcState University of New York Upstate Medical Center – Selected Travel Expenses
… paid by SUNY Center with outliers in the area of mileage; one of these individuals also had reimbursements … locations. Each individual was reimbursed for tolls and mileage associated with transporting the packages. Key …
https://www.osc.ny.gov/state-agencies/audits/2013/06/26/state-university-new-york-upstate-medical-center-selected-travel-expensesXI-A.9 Receiving – XI-A. Purchasing
… SECTION OVERVIEW AND POLICIES Overview The purpose of this section is to provide guidance to ensure that agencies receive the goods and services they ordered in the proper condition … The purpose of this section is to provide guidance to ensure …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xia/xi-a9-receivingSupplemental Payments to Executive Employees (2015-S-77)
We audited the Westchester County Health Care Corporation – Supplemental Payments to Executive Employees. The audit covered January 1, 2012 to January 15, 2016.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s77.pdfAn Economic Snapshot of the Greater Jamaica Area - September 2016
The Greater Jamaica area in Queens fell on hard times during the 1970s, but has been slowly recovering.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-6-2017.pdfJefferson-Lewis-Hamilton-Herkimer-Oneida Board of Cooperative Educational Services – Separation Payments (2016M-304)
… 23,700 students. BOCES, which provides 59 educational and administrative services to its component school …
https://www.osc.ny.gov/local-government/audits/boces/2016/10/28/jefferson-lewis-hamilton-herkimer-oneida-board-cooperative-educational-servicesComptroller DiNapoli Releases Municipal Audits
… Thomas P. DiNapoli today announced his office completed audits of the Binghamton-Johnson City Joint Sewage Treatment … Plant , Copenhagen Fire Department , Dansville Public Library , Greenlawn Water District , Lake George Fire Company , Shelter Rock Public Library District and the City of Utica. “In today’s fiscal …
https://www.osc.ny.gov/press/releases/2015/12/comptroller-dinapoli-releases-municipal-audits-0Housing Trust Fund Corporation: Internal Controls Over and Maximization of Federal Funding for Various Section 8 Housing Programs and the COVID Rent Relief Program (2022-S-28)
To determine whether Homes and Community Renewal (HCR) has established and maintains adequate internal controls to oversee and monitor the federally funded Section 8 Housing Choice Voucher Program and Performance-Based Contract Administration Program and the COVID Rent Relief Program to ensure ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s28.pdf