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Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… the implementation status of the four recommendations made in our initial audit report, Questionable Payments for … to treat Dr. Ahmad’s patients. Due to the deficiencies in Dr. Ahmad’s records, there was insufficient assurance that … also questioned whether medications Dr. Ahmad prescribed in connection with these services, which accounted for …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… hospitals must indicate a patient’s “level of care” on a claim to ensure accurate processing and payment. Certain … formally notify hospitals of the correct way to bill inpatient claims for ALC, and modify IPRO’s sampling … initial report, notified hospitals of the correct way to bill inpatient claims for ALC, and modified IPRO’s sampling …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our initial audit … issued on April 18, 2012, examined whether the Department of Health (Department) made premium payments to Medicaid … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followDairy Inspections
… industry that benefits producers and consumers alike. The Milk Control and Dairy Services Unit (Unit) within the … farm, plant, bulk tank, pasteurization, and Certified Milk Inspector (CMI) inspections. CMIs are private … by the Department to inspect dairy farms and obtain milk samples in accordance with applicable State and Federal …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/dairy-inspectionsMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… disadvantaged and/or have special health care needs. In general, the Medicaid program pays medical providers … a monthly premium for every Medicaid recipient enrolled in the MCO, and the MCO arranges for the provision of … was no longer appropriate for recipients enrolled in managed care. As of December 2013, approximately 4 million …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careSelected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… whether Empire BlueCross BlueShield (Empire) paid claims for special items according to the provisions of the … and its member hospitals and to determine if payments for certain special items, in relation to the hospitals' … portion of the Empire Plan (Plan), which includes coverage for inpatient and outpatient hospital services. Empire …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireDisposal of Electronic Devices
… dispose of electronic devices on their own; however, OGS' Surplus Unit provides this service for many State agencies. … no longer contain any retrievable information. OGS' Surplus Unit does not accept any responsibility for clearing … had 36 electronic devices ready for disposal through OGS' Surplus Unit. Key Findings Seven of the 36 computer hard …
https://www.osc.ny.gov/state-agencies/audits/2013/09/04/disposal-electronic-devicesImproper Medicaid Payments for Childhood Vaccines (Follow-Up)
… Program The Vaccines for Children Program (VFC Program) is a federally funded Medicaid benefit that provides free … diseases. The Centers for Disease Control and Prevention (CDC) is responsible for implementation of the VFC Program. The CDC …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/improper-medicaid-payments-childhood-vaccines-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… extent of implementation of the two recommendations made in our initial audit report, Maximizing Drug Rebates for … Recovery Plans (Report 2017-S-61 ). About the Program In 1990, Congress created the Medicaid Drug Rebate Program, … from drug manufacturers. The Affordable Care Act, enacted in 2010, extended prescription drug rebates to cover …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followControls Over Equipment (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Controls Over Equipment (Report … (H+H) capital assets include land, buildings, construction in progress, and equipment. As of June 30, 2022, H+H reported approximately $11 billion in capital assets, of which about $5 billion included medical …
https://www.osc.ny.gov/state-agencies/audits/2022/12/20/controls-over-equipment-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Payments by UnitedHealthcare for … Civil Service and United have made significant progress in addressing the issues identified in the initial audit. United recovered about $500,000 of the …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Requirements – Evaluations (Follow-Up)
… Objective To determine the extent of implementation of the four … schools/students) and provided special education services to approximately 192,000 of these students in the 2021-22 … year. The DOE is responsible for evaluating students to determine their eligibility for special education services …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from April 2018 … and certain claims going back to January 2017. About the Program In 1990, Congress created the MDRP to reduce state … federal expenditures for Medicaid prescription drugs. The program was later expanded to require rebate collection for …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programOversight of Building Construction Site Safety (Follow-Up)
… to issue Office of Administrative Trials and Hearings (OATH) Summonses and DOB Violations when a property or … the period January 2018 to December 2021, found that DOB’s oversight of building construction sites – including … required codes, rules, and regulations. Additionally, DOB’s enforcement activities provided limited assurance that …
https://www.osc.ny.gov/state-agencies/audits/2024/01/10/oversight-building-construction-site-safety-followCompliance With Payment Card Industry Standards (Follow-Up)
… in our initial audit report, Compliance With Payment Card Industry Standards (Report 2017-S-11 ). About the … are automatically replenished with the customer’s credit card on file, and the Authority contracts with a third-party … accounts. The Authority directly handles in-person credit card payments for E-ZPass tags at its administrative …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/compliance-payment-card-industry-standards-followFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances (Follow-Up)
… of implementation of the five recommendations included in our initial report, Facility Oversight and Timeliness of … patterns or trends, such as a significant increase in complaints at a specific facility or system-wide, in a timely manner. In addition, the Commission could improve …
https://www.osc.ny.gov/state-agencies/audits/2019/06/18/facility-oversight-and-timeliness-response-complaints-and-inmate-grievances-followState Agencies Bulletin No. 2357
… Time Entry Earnings Code HZ5 to $1.00/hour and Earnings Codes HZ6 to $1.50/hour. Agency Actions: Agencies should … page or the Time Entry Interface (NPAY502) using Earnings Codes HZ5 and HZ6 as applicable. Undeliverable Checks: When a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2357-july-2025-increase-hazard-duty-pay-employees-designatedEssex County – Financial Condition and Internal Controls Over Payroll (2013M-177)
… Purpose of Audit The purpose of our audit was to review the financial … to January 31, 2013. Background Essex County is located in northeastern New York State and has a population of … processing of payroll and leave time accruals has resulted in a lack of segregation of duties and lack of compensating …
https://www.osc.ny.gov/local-government/audits/county/2013/11/15/essex-county-financial-condition-and-internal-controls-over-payroll-2013m-177Montgomery County – Financial Condition (2013M-234)
… the period January 1, 2010, to May 31, 2013. Background Montgomery County covers 400 square miles and has a … Montgomery County Financial Condition 2013M234 …
https://www.osc.ny.gov/local-government/audits/county/2013/10/04/montgomery-county-financial-condition-2013m-234City of Yonkers – Budget Review (B23-6-6)
… Background The Office of the State Comptroller, as Fiscal Agent for the City of Yonkers (City), determined that the … in material compliance with the requirements of the Fiscal Agent Act (Chapter 488 of the Laws of 1976). The City’s … legal process by which a property owner can challenge the real property tax assessment on a given property to reduce …
https://www.osc.ny.gov/local-government/audits/city/2023/07/07/city-yonkers-budget-review-b23-6-6