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City of Binghamton – Apparent Misappropriation of Parks and Recreation Department Funds (2013M-169)
… Purpose of Audit The purpose of our audit was to ensure that the former Director properly deposited … Department purposes for the period of January 1, 2007, to January 5, 2013. Background The City of Binghamton is … Whalen was a City employee for 39 years. He was scheduled to retire from his position as the Director of Parks and …
https://www.osc.ny.gov/local-government/audits/city/2013/10/03/city-binghamton-apparent-misappropriation-parks-and-recreation-department-fundsMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2019, eMedNY processed over 142 million claims, resulting in payments to providers of more than $36 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019Background Checks at Municipal Youth Programs (2012-MS-5)
… report - pdf] We also released 8 letter reports to the following: Towns of Amherst [pdf] , Clifton Park [pdf] , Manlius [pdf] and … five municipalities performed some screening, but did not do it consistently or did not document the date and results …
https://www.osc.ny.gov/local-government/audits/city/2013/01/25/background-checks-municipal-youth-programs-2012-ms-5Audit of the Tuition Assistance Program at CUNY Medgar Evers College
… and the Commissioner of Education's Rules and Regulations when certifying students for State-funded Tuition Assistance Program (TAP) awards. Background Medgar Evers College, located in Brooklyn, is a senior college within the City University of New York, …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeMedicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… payments, as follows: $11.5 million was paid for managed care premiums on behalf of Medicaid recipients who also had … was paid for clinic, practitioner, inpatient, managed care, and laboratory claims that did not comply with Medicaid … claims where Medicaid was incorrectly designated as the primary payer instead of another insurer; $825,875 was paid …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022Annual Assessment of Market Orders for 2012, 2013, and 2014
… Purpose The purpose of this performance audit was to determine whether the Department of Agriculture and Markets (Department) has adequate … its assessable expenses related to its administration of Article 25 of the Agriculture and Markets Law. We …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Cancer Service Network, Inc.
… This overbilling included: (i) $73,568 for at least 1,903 hours that he did not work, (ii) $192,892 for 4,732 hours he … our findings to the United States Attorney’s Office – Southern District of New York (US Attorney). Based upon our … was sentenced in United States District Court for the Southern District of New York to over a year in federal pris …
https://www.osc.ny.gov/state-agencies/audits/2014/09/24/cancer-service-network-incNational Directory of New Hires Data Security
… of New Hires (Directory) data provided by the Office of Child Support Enforcement (Child Support Enforcement), a subdivision of the U.S. … requirements established by Health and Human Services and Child Support Enforcement. The state agency also must comply …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityComptroller DiNapoli Releases Municipal Audits
… County) The town did not have a written agreement or basis for rates charged to the Department of Corrections and Community Supervision DOCCS for sewer services. The town also charged sewer district … purchased incidentals for the program. Payments made to a movie theater totaling $4,730 were not documented. These …
https://www.osc.ny.gov/press/releases/2019/12/comptroller-dinapoli-releases-municipal-audits-1Medicaid Program – Claims Processing Activity April 1, 2019 Through September 30, 2019
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2019 …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/medicaid-program-claims-processing-activity-april-1-2019-through-september-30-2019Medicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… Objective To determine whether NY State of Health (NYSOH, New York’s online health plan marketplace) properly sent accurate, complete, and timely Medicaid eligibility and enrollment information to … where individuals, families, and small businesses can search for and enroll in Medicaid and other health insurance …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthMedicaid Program – Claims Processing Activity October 1, 2019 Through March 31, 2020
… Objective To determine whether the Department of Health’s (Department) eMedNY system reasonably ensured that … practitioner, clinic, inpatient, pharmacy, and episodic home health care claims that did not comply with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2020/10/20/medicaid-program-claims-processing-activity-october-1-2019-through-march-31-2020Selected M/WBE Purchases by Various Facilities
… Purpose To determine whether Department purchases from one vendor, American Indian Women Incorporated (AIW) complied … and safety equipment) through AIW, a registered M/WBE vendor. These purchases were for relatively low dollar … and that AIW is a legitimate, qualified M/WBE vendor certified by New York State. AIW served as an …
https://www.osc.ny.gov/state-agencies/audits/2014/03/07/selected-mwbe-purchases-various-facilitiesSelected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… Purpose To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the agreements between Empire and its …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireFranziska Racker Centers, Inc.: Compliance With the Reimbursable Cost Manual
… covered expenses reported on Racker’s 2017 and 2018 CFRs for the fiscal year ended June 2018. About the Program Racker … who are 3 to 5 years of age. Racker is reimbursed for these services through rates set by SED. The … Racker 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/2022/02/01/franziska-racker-centers-inc-compliance-reimbursable-cost-manualImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (Follow-Up)
… for Outpatient Services Billed as Inpatient Claims (Report 2022-S-16 ). About the Program The Department of Health (DOH) … to stay overnight in the hospital and be monitored by the health care team at the hospital throughout treatment and recovery. …
https://www.osc.ny.gov/state-agencies/audits/2025/03/12/improper-medicaid-payments-outpatient-services-billed-inpatient-claims-followMedicaid Program: Managed Care Payments for Services Not Coordinated Through Recipient Restriction Program Providers (2023-S-18)
To determine whether the Department of Health (DOH) provided adequate oversight to ensure managed care recipients in the Recipient Restriction Program received services from the appropriate providers.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-23s18.pdfCUNY Bulletin No. CU-299
… Purpose To explain procedures for entering payments into the Time Entry page. Affected … CUNY Central Office. … This bulletin explains procedures for entering payments into the Time Entry page …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-299-cuny-health-benefits-buy-out-waiver-program-payment-cycleCUNY Bulletin No. CU-279
… who elect to participate in the Health Benefits Buy Out Waiver Program and are also designated on the Buy Out Waiver Listing submitted by the CUNY University Benefits Office Background The Health Benefits Buy Out Waiver Program is authorized under IRC Section 125 and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-279-cuny-health-benefits-buy-out-waiver-program-payment-cycleMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans. The … plans (Plans) also offer supplemental insurance benefits for services that are not covered by original Medicare (e.g., … dental services). Plans reimburse health care providers for services provided to enrollees. Generally, Medicaid is …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-services