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Optimizing Medicaid Drug Rebates (Follow-Up)
… made in our initial audit report, Optimizing Medicaid Drug Rebates (Report 2015-S-1 ). Background The State’s … able to recover a portion of the Medicaid prescription drug costs by requesting rebates from drug manufacturers. We issued our initial audit report on …
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/optimizing-medicaid-drug-rebates-followOversight of the Agricultural Assessment Program
… if the Department of Taxation and Finance’s (Department) Office of Real Property Tax Services (ORPTS) is properly … To determine if the Department of Taxation and Finances Office of Real Property Tax Services is properly calculating …
https://www.osc.ny.gov/state-agencies/audits/2018/02/02/oversight-agricultural-assessment-programMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in … claims for Medicaid recipients who were enrolled in a managed care plan; $684,457 in overpayments for … the Medicaid program, eMedNY paid five of the providers a total of $292,681 from the date they were charged with a …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Financial Condition and Selected Expenses (Follow-Up)
… with New York State, a percentage of Resorts’ Video Lottery Terminal (VLT) revenues is to be directed to NYRA for …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/financial-condition-and-selected-expenses-followHawthorne Foundation, Inc. – Compliance With the Reimbursable Cost Manual
… 30, 2015. Background Hawthorne is an SED-approved, not-for-profit special education provider located in Westchester … three and five years of age. Hawthorne is reimbursed for preschool special education services through rates set by … Hawthorne reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/hawthorne-foundation-inc-compliance-reimbursable-cost-manualNY-Sun Incentive Program (Follow-Up)
… monitored for timely completion and inspected for quality assurance, and that deviations from policy are properly …
https://www.osc.ny.gov/state-agencies/audits/2018/06/20/ny-sun-incentive-program-followOversight of Nurse Licensing
… nursing license applicants; monitors nurses once they are licensed utilizing available criminal and misconduct data; … active professional nursing licenses – in the titles of licensed practical nurse, registered professional nurse, … the Department receives about 6,000 complaints against licensed professionals, including nurses. The final …
https://www.osc.ny.gov/state-agencies/audits/2017/09/29/oversight-nurse-licensingUnited HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
… of the recommendation made in our audit report, United HealthCare: Empire Plan Drug Rebate Revenue (2016-S-7). … of Civil Service (Department) contracted with United HealthCare (United) to administer the Empire Plan’s … Interest New York State Health Insurance Program: United HealthCare - Empire Plan Drug Rebate Revenue ( 2016-S-7 ) …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/united-healthcare-empire-plan-drug-rebate-revenue-followOversight of International Offices (Follow-Up)
… made significant improvements in managing payments to foreign offices, it did not have an appropriate monitoring system to evaluate foreign offices’ activities against contract performance … The recommendations were for ESD to better monitor its foreign office activities to ensure compliance with contract …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/oversight-international-offices-followAdministration of Non-Competitive and Limited-Competition Contracts (Follow-Up)
… the New York City Administration for Children’s Services (ACS) properly awarded, extended, and renewed non-competitive … contracts with vendors. We also determined if ACS sufficiently monitored contractor performance before … the three fiscal years ended June 30, 2013. We found that ACS officials did not provide sufficient oversight of …
https://www.osc.ny.gov/state-agencies/audits/2017/01/09/administration-non-competitive-and-limited-competition-contracts-followRailroad Bridge Inspection Program (Follow-Up)
… recommendations included in our original report, Railroad Bridge Inspection Program (Report 2013-S-5). Background Our … oversaw railroads in the State to ensure they meet the bridge inspection requirements. We concluded that the … monitoring whether the railroads complied with its bridge and inspection reporting requirements and made …
https://www.osc.ny.gov/state-agencies/audits/2016/10/04/railroad-bridge-inspection-program-followInfrastructure Inspection and Maintenance (Follow-Up)
… a risk existed that critical structures most in need of repair were not given priority, as the Corporation's process …
https://www.osc.ny.gov/state-agencies/audits/2017/01/12/infrastructure-inspection-and-maintenance-followSelected Financial Management Practices (Follow-Up)
… of the 19 recommendations included in our initial report, Selected Financial Management Practices ( 2013-S-56 ). Background Our prior audit found the Hudson … in correcting the problems we identified in the initial report. However, additional actions are still needed. We …
https://www.osc.ny.gov/state-agencies/audits/2017/09/15/selected-financial-management-practices-followExamination of Island Peer Review Organization
… We examined select subcontractor expenses the Department of Health (Department) made to Island Peer Review … in administrative charges and nearly $180,000 in out-of-pocket expenses. Our objective was to determine whether … by the Comptroller’s Office pursuant to Section 365-l of the Social Services Law. IPRO entered into subcontractor …
https://www.osc.ny.gov/state-agencies/audits/2018/09/14/examination-island-peer-review-organizationMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… City Health and Hospitals Corporation (HHC). Background Healthcare providers submit Medicaid claims to the Department … and resubmitted to eMedNY for payment. Medicaid allows healthcare billing companies, commonly referred to as service bureaus, to submit claims on behalf of healthcare providers. Service bureaus are required to enroll …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitalsWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… the ages of three and five years. Whitestone, located in Queens, New York, provides preschool services throughout … 30, 2013, Whitestone reported approximately $2.3 million in reimbursable costs for the programs. Key Findings For the … fiscal years ended June 30, 2013, we identified $154,563 in reported costs that did not comply with Manual …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualNursing Home Surveillance
… State regulations and procedures for conducting nursing home surveys and whether survey processes, including the … Complaint surveys investigate issues, and nursing home-reported incidents, that may involve non-compliance with … for severity and urgency to assess whether a nursing home has violated a federal or State regulation. If any …
https://www.osc.ny.gov/state-agencies/audits/2016/02/19/nursing-home-surveillanceSelect Financial Management Practices
… To determine if the Albany Port District Commissions Commission capital planning process and …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/select-financial-management-practicesInternal Control System Components
… Workers’ Compensation Board’s management of its internal control system appropriately addresses all five components of internal control. Our audit scope included the period January 1, 2013 … York State Governmental Accountability, Audit and Internal Control Act requiring each State agency to institute a …
https://www.osc.ny.gov/state-agencies/audits/2015/10/01/internal-control-system-componentsFinancial Management Practices
… Purpose To determine if the Hudson River-Black River Regulating District’s (District) financial management … Background The District regulates the flow of the Hudson River and the Black River to reduce flooding caused by excess … To determine if the Hudson RiverBlack River Regulating Districts District financial management …
https://www.osc.ny.gov/state-agencies/audits/2014/11/25/financial-management-practices