Search
United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… of Dr. John Gomes routinely waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments … 2011 through September 30, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health … United pays these “participating providers” directly based on claims they submit for the services rendered. Members pay …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesControls Over Cash Advance Accounts (Follow-Up)
… accounts and whether the money is properly accounted for and used for appropriate business expenses. We concluded that these …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report … which was issued on January 5, 2015, determined that, for the 27-month period October 1, 2011 through December 31, … our initial audit report Improper FeeforService Payments for Pharmacy Services …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followSummit Educational Resources – Compliance With the Reimbursable Cost Manual
… Fiscal Report CFR were properly calculated adequately do …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/summit-educational-resources-compliance-reimbursable-cost-manualSelected Aspects of the Migrant Education Program
… agricultural worker or fisher, and who has moved between school districts within the past three years to obtain … reach challenging academic standards and graduate with a high school diploma (or its equivalency), and/or participate … in a school in New York since the ninth grade earn a high school diploma at the same rate as children in the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… audit was to determine whether the Department of Motor Vehicles (Department) has adequate procedures in place to … direct that the Comptroller and the Commissioner of Motor Vehicles ascertain the annual amount of expenses incurred in … Act). These Acts help ensure that the operators of motor vehicles driven in New York State possess adequate insurance …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoState Agencies Bulletin No. 835
… N/S salary to assign the highest grade level (using the hiring rate) to which such salary can be assigned on the CSEA … a promotion, demotion or lateral. Hourly N/S – Convert the hiring rate of the graded position from the CSEA salary … this salary to assign the highest grade level (using the hiring rate) to which such salary can be assigned on the CSEA …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/835-revised-method-calculating-salaries-employees-upon-movement-civilOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for Medicare Part C Coinsurance Charges (2011-S-33). Background Our initial report, issued on September 26, …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations included in our initial audit … setting. To reduce Medicaid costs for prescription drugs, the federal government established the Medicaid Drug Rebate … To determine the extent of implementation of the five recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… included in our initial audit report, New York State Psychiatric Institute - Controls Over State Resources … (Report 2008-S-145). Background The New York State Psychiatric Institute (Institute), established in 1895, is …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… from approved providers, were accurately processed, and resulted in correct provider payments. We identified five … The first reportable condition entailed the identification and prevention of a potential $20.3 million overpayment … five recommendations have been implemented and three recommendations have been partially implemented. …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followContracts for Personal and Miscellaneous Services (Follow-Up)
… in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2009-S-54 ). Background Our … 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have … justify the need for new or renewed contracts for personal and miscellaneous services. In addition, the Port Authority …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … three with flagged conditions, and the Department of Transportation was not always notified of red flags within … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… Background In our initial audit report, which was issued on January 15, 2010, our objective was to determine whether the New York State Thruway Authority (NYSTA) adequately ensured that fuel … Other Related Audits/Reports of Interest New York State Thruway Authority: Gas Prices at Thruway Travel Plazas …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Accuracy of Reported Discharge Data (Report 2009-N-9). Background In … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followRainbow Rhymes Learning Center (Follow-Up)
… Purpose To determine the implementation status of the three recommendations in our initial report, State … To determine the implementation status of the three recommendations in our initial report State …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followOversight of Grants (Follow-Up)
… Purpose To assess the extent of implementation as of March 7, 2014 of … given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in this report. … To assess the extent of implementation as of March 7 2014 of …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… Through June 30, 2011 (2011-S-42). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating local government and school district … Payments for hospital services are generally based on standard fee schedules. However, hospitals may be entitled …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughSUNY Bulletin No. SU-197
… Incentive Payment should be calculated as follows: Full-Time Annually Paid Employees Full-time employees paid on an annual basis will receive the full amount of $500 added to their basic annual salary. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-197-2013-chancellors-power-suny-performance-incentive-paymentSUNY Bulletin No. SU-211
… Purpose To inform agencies of OSC’s automatic processing of the 2014 … University Professions, provides for a $250 increase to basic annual salary in 2014. Effective Date(s) The 2014 … 10/22/14 (Administration PP15L Pay End Date) are eligible to receive the $250 increase to basic annual salary. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-211-2014-chancellors-power-suny-performance-incentive-payment