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Medicaid Program – Improper Payments to a Physical Therapist
… Purpose To determine whether Mark Amir, a physical therapist participating in New York’s … April 1, 2010 through September 30, 2013. Background Mark Amir is a physical therapist who owns and operates … crossover system. During our audit period, Medicaid paid Mark Amir $305,215. Key Findings Medicaid overpaid Mark Amir …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistWhispering Pines Preschool, Inc. – Compliance With the Reimbursable Cost Manual
… services to infants, toddlers, and preschool-age children in nine counties. Whispering Pines has three sites (Delanson, … 30, 2012, Whispering Pines reported about $6.1 million in reimbursable costs on its CFRs for three rate-based … with SED’s requirements, and communicate with SED to get clarification as needed. Other Related Audits/Reports of …
https://www.osc.ny.gov/state-agencies/audits/2015/06/02/whispering-pines-preschool-inc-compliance-reimbursable-cost-manualNew 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-followDynamic Center Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs submitted by Dynamic Center Inc. on its Consolidated Fiscal Report were properly calculated, adequately documented, and allowable under the State Education Department’s guidelines, including the … To determine whether the costs submitted by Dynamic Center Inc on its Consolidated …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/dynamic-center-inc-compliance-reimbursable-cost-manualAnnual Assessment of Market Orders for 2012, 2013, and 2014
… and Markets (Department) has adequate procedures in place to accurately report its assessable expenses related … our audit pursuant to legislative mandates included in Section 294(8) of this Law, which direct that the … dairy products. Each specific market order detailed in Department regulations is established to assist the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Audit of the Tuition Assistance Program at CUNY Medgar Evers College
… students for State-funded Tuition Assistance Program (TAP) awards. Background Medgar Evers College, located in … years ended June 30, 2010, the school certified 13,293 TAP awards totaling $22 million that were paid to the school for …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeJCC of Mid-Westchester – Compliance With the Reimbursable Cost Manual
… Background JCC is a not-for-profit organization located in Scarsdale, New York, that offers a variety of services to children and adults in the community, including health, fitness, art, music, … June 30, 2014, JCC reported approximately $5.4 million in reimbursable costs on its CFRs for its ratebased preschool …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/jcc-mid-westchester-compliance-reimbursable-cost-manualImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Improper Medicaid Payments for … the Department maintains drug termination dates in eMedNY, its claims processing and payment system. We … date. Key Finding Department officials made minor progress in addressing the problems identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followThe Kelberman Center, Inc. – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2017. About the Program Kelberman is an SED-approved special education provider located in Utica. … and services for children and adults with Autism Spectrum Disorder and their families through various programs and …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/kelberman-center-inc-compliance-reimbursable-cost-manualImproper Medicaid Payments for Childhood Vaccines (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Medicaid Payments for … no cost to physicians and public health clinics enrolled in the VFC Program. Because the federal government purchases … fee for administering the vaccines. For children enrolled in Medicaid, the Medicaid program pays the vaccine …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/improper-medicaid-payments-childhood-vaccines-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… serving about 1.1 million members. The Department of Civil Service (Civil Service) contracts with UnitedHealthcare Insurance … and paid over $16.6 billion in medical/surgical claims. Civil Service maintains eligibility and enrollment records …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesNational Directory of New Hires Data Security
… federal requirements for securing National Directory of New Hires data. The audit covers the period June 2, 2016 to … these programs, the Office obtains National Directory of New Hires (Directory) data provided by the Office of Child … The Directory data is composed of information on new hires, quarterly wage, and unemployment insurance. The …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… extent of implementation of the three recommendations made in our initial audit report, Medicaid Overpayments for … provides the force needed to deliver air to the lungs in a patient whose ability to breathe is diminished or lost. … 1, 2014 through December 31, 2018. We identified $975,795 in overpayments on 32 inpatient claims that reported 96 …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesAbilities First, Inc. – Compliance With the Reimbursable Cost Manual
… covered expenses reported on AFI’s 2018 and 2019 CFRs for the fiscal year ended June 30, 2019. About the Program AFI is a not-for-profit special education provider located in Wappingers … and 5 years at four different locations. AFI is reimbursed for these services through rates set by SED. The …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/abilities-first-inc-compliance-reimbursable-cost-manualWindows Domain Administration and Management
… of Information Technology Services has security controls in place to ensure appropriate management and monitoring of … controllers ultimately control access and authorization in a Microsoft Windows environment, it is vital to ensure that appropriate controls are in place and that policies and standards are being adhered …
https://www.osc.ny.gov/state-agencies/audits/2023/05/31/windows-domain-administration-and-managementEmpire BlueCross – Overpayments for Physician-Administered Drugs
… services provided by a hospital, skilled nursing facility, or hospice. These benefits cover a range of … by a health care professional in a hospital or facility setting. From January 1, 2017 through December 31, … drugs provided in a hospital, skilled nursing facility, or hospice are paid under the Empire Plan’s …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugsCompliance With Payment Card Industry Standards
… (PCI) compliance and whether selected CUNY colleges are in compliance with PCI standards. Our audit scope covered the … boroughs. As of January 2019, CUNY offered 1,400 academic programs, 200 majors leading to associate and baccalaureate degrees, and 800 graduate degree programs to over a half-million students in a …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/compliance-payment-card-industry-standardsState Agencies Bulletin No. 1747
… have maintenance deductions in each agency. This report is now available for all agencies except SUNY and CUNY. The … A PayServ bulletin board notice will be posted when it is available. Agency Actions Agencies are required to become … deduction should be immediately end dated when an employee is no longer receiving employer provided maintenance. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1747-change-maintenance-rates-employee-housing-and-mealsGovernment-Wide Financial Data – 2023 Financial Condition Report
… and liabilities and deferred inflows of resources in three categories: Net investment in capital assets Restricted net position Unrestricted net position (deficits) The 2023 year over year increase in net position is most notably related to increased tax …
https://www.osc.ny.gov/reports/finance/2023-fcr/government-wide-financial-data