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Medicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… Purpose To determine whether the Department of Health established adequate controls to prevent duplicate … services using the APG payment methodology. The Department of Health (Department) adopted the APG methodology in an … are reimbursed based on patient condition and complexity of service. The Department phased in the APG methodology …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessWage Theft Investigations (Follow-Up)
… Investigations (2013-S-38). Background Our initial report, issued on June 6, 2014, determined the Department was not completing wage theft investigations timely. As of … reports that track information to monitor these plans and alert senior management to accounts in arrears. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/05/22/wage-theft-investigations-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… receiving fair compensation for use of its facilities by Columbia personnel. In addition, the Institute was not …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for Medicare Part B, which provides supplementary medical insurance covering a broad range of outpatient medical … to dual-eligible recipients. After Medicare adjudicates a claim, Medicaid pays the balance that is not covered by …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followHourly Based Information Technology Services
… (i) at the appropriate hourly bill rates; (ii) for consultants with the required months of experience; and (iii) … the bill rates for all standard and most specialty title consultants are based in part on months of experience. Bill …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-servicesSelected Aspects of Discretionary Spending
… in New York State. Its two major programs are the Clean Water State Revolving Fund and the Drinking Water State Revolving Fund. These programs help … projects that prevent water pollution and provide safe drinking water. During the audit period, we identified …
https://www.osc.ny.gov/state-agencies/audits/2014/09/29/selected-aspects-discretionary-spendingReal Estate Portfolio
… Authority has accounted for all of its real estate holdings, established a value for those holdings, and determined the need to either hold or dispose … The Authority has not accounted for all of its property holdings. Specifically, the Authority's property reports …
https://www.osc.ny.gov/state-agencies/audits/2014/03/27/real-estate-portfolioEfficiency of Warehouse Space (Follow-Up)
… as of April 2022, of the six recommendations included in our initial audit report, Efficiency of Warehouse Space … State warehouses – leased and State owned – did not exist. In response to the onset of the COVID-19 pandemic in March 2020, OGS shifted its priorities, requiring it to …
https://www.osc.ny.gov/state-agencies/audits/2022/05/25/efficiency-warehouse-space-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… plans. MLTC plans provide long-term care services, such as home health care, nursing home care, and durable medical equipment, to people who are chronically …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… International Classification of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as … hospital will increase. We issued our initial audit report on April 8, 2019. The audit objective was to determine … 31, 2017. We identified $416,237 in Medicaid overpayments on inpatient claims that contained a severe malnutrition …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followHoags Corners Volunteer Fire Company, Inc. – Internal Controls (2014M-09)
… instead of the two required signatures. During 2013, the current Treasurer ensured that there were two signatures on … The Board established a "best practices" policy for use of debit cards. However, the term "best practices" is vague, and …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/04/04/hoags-corners-volunteer-fire-company-inc-internal-controls-2014m-09Lakeville No. 2 Fire District – Oversight of Financial Operations (2013M-25)
… Purpose of Audit The purpose of our audit was to assess the oversight of the District’s financial operations for the period January … The purpose of our audit was to assess the oversight of the Districts financial operations for the period January …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/05/17/lakeville-no-2-fire-district-oversight-financial-operations-2013m-25Jericho Fire District – Professional Services (2012M-236)
… District entered into written agreements with the physical trainer and the engineering consultant, there are no Board … these contracts. Further, the payments to the physical trainer were not in accordance with the written agreement. … the written agreement, dated May 2007, states that the trainer is to be paid $40 per hour, during our audit period …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/02/01/jericho-fire-district-professional-services-2012m-236Brentwood Volunteer Fire Department – Internal Controls Over Financial Operations (2013M-79)
… the 2011-12 fiscal year. Key Findings The Treasurer does not perform monthly bank reconciliations, or present bank … accounts are inadequate and inaccurate. The Board has not contracted for an audit of the Treasurer’s records for about 10 years. The Treasurer did not submit monthly or annual financial reports to the Board …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2013/06/14/brentwood-volunteer-fire-department-internal-controls-overCity of Long Beach – Budget Review (B7-14-12)
… obligations to fund operating deficits to submit their proposed budgets for the next fiscal year to the State … the deficit obligations are outstanding. Key Findings The proposed budget includes revenue of $9,184,475 for refuse and … City officials plan to raise the additional revenue with a fee increase that has not yet been approved by the City …
https://www.osc.ny.gov/local-government/audits/city/2014/05/14/city-long-beach-budget-review-b7-14-12Health Sciences Charter School – Procurement (2013M-211)
… services such as janitorial services, school uniforms and kitchen supplies. Key Recommendations Develop and adopt …
https://www.osc.ny.gov/local-government/audits/charter-school/2013/10/25/health-sciences-charter-school-procurement-2013m-211Rockland County – Budget Review (B6-13-22)
… for paying down the remaining $31.3 million deficit. The residential energy tax revenue estimate is overly optimistic … deficit in the general fund. Reassess the estimate for residential energy tax revenue. Reduce the revenue estimate …
https://www.osc.ny.gov/local-government/audits/county/2013/11/25/rockland-county-budget-review-b6-13-22Essex County Sheriff’s Department – Internal Controls Over Cash Receipts and Disbursements (2013M-35)
… 2012. Background Essex County is located in northeastern New York State and has a population of approximately 39,000. …
https://www.osc.ny.gov/local-government/audits/county/2013/04/19/essex-county-sheriffs-department-internal-controls-over-cash-receipts-andBroome County – Financial Condition (2013M-224)
… million for the general fund, $9.6 million for the County road fund, and $2.3 million for the road machinery fund. Key Finding County officials did not …
https://www.osc.ny.gov/local-government/audits/county/2013/10/04/broome-county-financial-condition-2013m-224Watervliet City School District – Payroll and Claims Processing (2013M-4)
… the leave time records for 12 employees were inaccurate, with balances that exceeded or were less than the amounts … leave accruals to which they are entitled in accordance with their employment agreements. Ensure that all separation … payments are calculated accurately and paid in accordance with employment agreements. Consider recovering apparent …
https://www.osc.ny.gov/local-government/audits/school-district/2013/06/28/watervliet-city-school-district-payroll-and-claims-processing-2013m-4