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Management of Indoor Air Quality for Individuals With Asthma (Follow-Up)
… With Asthma (Report 2020-S-59 ). About the Program Asthma is a significant public health problem in the United States. It is one of this country’s most common and costly diseases, … LHDs visited 17,352 households, consisting of 26,602 individuals, from January 1, 2021 through June 30, …
https://www.osc.ny.gov/state-agencies/audits/2024/09/09/management-indoor-air-quality-individuals-asthma-followCost-Saving Ideas: Capital Planning for Local Governments and School Districts
… the plan's development and implementation? How will an asset inventory and requests for capital assets be developed … to find specific sections of the law related to capital asset management. More Information Our office has created …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-capital-planning-local-governments-and-school-districtsMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. Beginning on October …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansPrograms for Little Learners – Compliance With the Reimbursable Cost Manual
… service costs, which consisted of $41,298 in health insurance costs for salaried employees that were not proportionate to the health insurance costs for hourly employees, $11,917 in compensation … the Program, and $433 in agency administration costs for life insurance that were incorrectly reported as direct costs …
https://www.osc.ny.gov/state-agencies/audits/2018/09/24/programs-little-learners-compliance-reimbursable-cost-manualYork College – Time and Attendance Practices for Public Safety Staff
… Central) provides general oversight of CUNY operations and is responsible for monitoring academic development and other activities at the individual colleges. Each college is responsible for complying with governing laws, … regulations, policies, and guidelines. York College (York) is a senior CUNY college located in Jamaica, Queens. York …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/york-college-time-and-attendance-practices-public-safety-staffOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… recommendations made in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions … care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s “level of care” on a … overpayments. The overpayments occurred primarily because hospitals billed Medicaid for higher (and more costly) levels …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely waived Empire Plan members’ … an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New … September 30, 2014. Key Recommendations Recover from Dr. John Gomes $1,258,855 in overpayments funded by the State. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesLeague for the Handicapped – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the League for the Handicapped (LFH) on its Consolidated Fiscal Report … the fiscal year ended June 30, 2014. Background LFH, a not-for-profit organization located in Springville, New York, is … that LFH reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/league-handicapped-compliance-reimbursable-cost-manualCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Crossroads Center … Crossroads provides preschool special education services to children with disabilities who are between the ages of … information, including costs, that Crossroads reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… Reimbursable Cost Manual (Manual). Our audit covered the calendar year ended December 31, 2013. Background CFDS is an … costs must comply with Manual requirements. For the calendar year ended December 31, 2013, CFDS reported about …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six … Department of Health (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who … for the recipients in question, the net savings to Medicaid would have been about $36 million. The …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety … Order Program, particularly its Apple Market Order, which is administered pursuant to a contract with the New York …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… 1, 2009 through December 31, 2009. Background Medicare is a federal health program for the elderly and disabled. It … for medical care provided in outpatient settings. Medicaid is a joint state and federal health program for certain … "dual eligibles." For dual eligible recipients, Medicare is generally the primary payer while Medicaid is the …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bSexual Harassment Policy for the Office of the State Comptroller
… Introduction The Office of the State Comptroller (OSC) is committed to maintaining a workplace free from sexual harassment. Sexual harassment is a form of workplace sex discrimination. All employees are … prevents sexual harassment in the workplace. This Policy is one component of OSC’s commitment to a discrimination-free …
https://www.osc.ny.gov/sexual-harassment-policyMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … than if the patient was simply discharged home from the hospital. Key Findings The audit identified 2,808 managed …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… in special education. In New York City (NYC), the DOE is responsible for determining eligibility for and providing … parental consent to evaluate. However, arranging placement is not the end of the process as it is more important that eligible students be provided with the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… Objective To determine the extent of implementation of the six … system, pays providers directly for services rendered to Medicaid recipients. Under the managed care method, the … the managed care plans pay providers for services rendered to their members. The State’s Medicaid program offers …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… that can issue parking summonses within New York City (NYC). During fiscal years 2017 through 2019, DOF processed … for collecting fines and fees for violations issued within NYC, and also the Outside Collection Agency/External Inquiry … from respondents who have New York plates and live within NYC. DOF refers other cases to the NYC Law Department, which …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two … of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as the severity of the malnutrition diagnosis increases, Medicaid’s payment to a hospital will increase. We issued our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… 2018-S-45 ). About the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s … air to the lungs in a patient whose ability to breathe is diminished or lost. Hospitals use International … in the initial audit report; however, additional action is needed. In particular, the Office of the Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-follow