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SUNY System Administration Office – Selected Employee Travel Expenses
… that were either for non-reimbursable expenses ($200 hotel room smoking charge) or lacked adequate assurance that the … charges). Key Recommendation Recover the $200 hotel room smoking charge from the hotel or the employee. Other …
https://www.osc.ny.gov/state-agencies/audits/2013/07/31/suny-system-administration-office-selected-employee-travel-expensesOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… made inappropriate payments to medical providers for services rendered to Medicaid recipients enrolled in a … providers that the plans reimburse directly for services provided to enrollees. Medicare Advantage Plan … for excessive amounts of coinsurance on 497 claims for clinic services. Because of the excessive claims, Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followAspire of Western New York – Compliance With the Reimbursable Cost Manual
… to the State Education Law, providers such as Aspire are reimbursed by counties through rates set by SED. SED sets …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/aspire-western-new-york-compliance-reimbursable-cost-manualMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Fiscal Year Ended March 31, 2014
… audit was to determine whether the Department of Motor Vehicles (Department) has adequate procedures in place … which direct that the Comptroller and the Commissioner of Motor Vehicles ascertain the annual amount of expenses … March 31, 2014. Background The Department administers the Motor Vehicle Financial Security Act (Security Act) and the …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-fiscalState University of New York Upstate Medical Center – Selected Travel Expenses
… we audited travel expenses for the highest-cost travelers in the State, each of whom incurred over $100,000 … paid by SUNY Center with outliers in the area of mileage; one of these individuals also had reimbursements … locations. Each individual was reimbursed for tolls and mileage associated with transporting the packages. Key …
https://www.osc.ny.gov/state-agencies/audits/2013/06/26/state-university-new-york-upstate-medical-center-selected-travel-expensesCollege at Purchase – Selected Employee Travel Expenses
… with rules and regulations and is free from fraud, waste, and abuse. The audit covers the period April 1, 2008 … complied with rules and regulations and is free from fraud waste and abuse …
https://www.osc.ny.gov/state-agencies/audits/2013/02/14/college-purchase-selected-employee-travel-expensesSelected Personal Service Contracts
… to ensure that criteria for contractor performance are in place, communicated to the relative parties, and used …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/selected-personal-service-contractsChurchill School and Center – Compliance With the Reimbursable Cost Manual
… should work together to ensure that only eligible costs are included on Churchill's CFRs. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2014/05/27/churchill-school-and-center-compliance-reimbursable-cost-manualMedicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it … of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed care …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012User Access Controls Over Selected System Applications (Follow-Up)
… education, research activities, and communication, Upstate owns and/or administers approximately 200 system … period of inappropriate active access. We also found users who maintained unnecessary and inappropriate access to …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/user-access-controls-over-selected-system-applications-followCVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service
… Objective To determine if CVS Health appropriately invoiced drug manufacturers and remitted corresponding rebate revenue … drugs provided under the Empire Plan Medicare Rx drug benefit. Our audit covered the period January 1, 2014 … in the Empire Plan and Medicare have their prescription drug coverage under Empire Plan Medicare Rx, a Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/cvs-health-accuracy-empire-plan-medicare-rx-drug-rebate-revenue-remitted-department-civilUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… The Empire Plan is the primary health benefits plan for NYSHIP, serving about 1.1 million members. Civil Service … December 2021, United paid approximately $878 million for physician-administered drugs. Key Findings We identified $5,536,537 in actual and potential overpayments for the cost of physician-administered drugs during the audit …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsMedicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
… Medicaid will only pay for medical care and services that are medically necessary, whose necessity is evident from …
https://www.osc.ny.gov/state-agencies/audits/2019/04/08/medicaid-program-improper-medicaid-payments-recipients-diagnosed-severe-malnutritionOffice of Temporary and Disability Assistance SSP Payments Made to State Employees
… of sources including the Social Security Administration (SSA), the Welfare Management System – the State’s repository … of our findings, OTDA determined the daily file from the SSA contained incorrect income eligibility information for an … of recipients’ income eligibility verifications to the SSA, so that the SSA may correct the eligibility …
https://www.osc.ny.gov/state-agencies/audits/2018/01/09/office-temporary-and-disability-assistance-ssp-payments-made-state-employeesEmpire BlueCross – Improper Payments for Special Items Billed by Hospitals Within Long Island Health Network
… according to the terms of its contract with Long Island Health Network and, if not, whether Empire BlueCross made … fee schedules. Under Empire’s contract with Long Island Health Network (LIHN), which covered ten hospitals on Long … according to the terms of its contract with Long Island Health Network and if not whether Empire BlueCross made …
https://www.osc.ny.gov/state-agencies/audits/2019/11/29/empire-bluecross-improper-payments-special-items-billed-hospitals-within-long-island-healthAccounts Payable Advisory No. 4
… Subject: Making Payments to Verizon for Landline Phone Services Guidance: Consistent with the Guide to … Improper preparation of vouchers payable to Verizon for landline services may delay payment crediting and … Making Payments to Verizon for Landline Phone Services …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/4-complex-entity-verizon-landline-servicesAccounts Payable Advisory No. 32
… Subject: Template for 1099 reporting SFS payments using a Single … reporting data to BSE’s Federal Reporting Unit using this template *. Prior to doing so, agencies should contact … Reporting Unit at [email protected] . *Please note, the template was updated this year due to 1099 reporting changes. …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/32-1099-reporting-single-payments-non-sfs-paymentsSouth Fallsburg Fire District – Internal Controls Over Financial Operations (2013M-181)
… period January 1, 2012, to May 13, 2013. Background The South Fallsburg Fire District is a district corporation of … policies, it does not have certain financial procedures in place. The Board has not ensured that procedures concerning … Ensure that formal written procedures are in place for financial recording and reporting. Provide the …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/09/13/south-fallsburg-fire-district-internal-controls-over-financial-operationsOlcott Fire Company, Inc. – Financial Operations (2013M-124)
… with his personal credit card and for unsubstantiated restaurant purchases. Key Recommendations Establish an …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/08/16/olcott-fire-company-inc-financial-operations-2013m-124Lakeville No. 2 Fire District – Oversight of Financial Operations (2013M-25)
… No. 2 Fire District is a district corporation of the State, distinct and separate from the Town of Livonia, in …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/05/17/lakeville-no-2-fire-district-oversight-financial-operations-2013m-25