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Hear 2 Learn PLLC – Compliance With the Reimbursable Cost Manual
… provides preschool special education services to children with disabilities from birth through age five. During the … Itinerant Teacher (SEIT) services to 105 children with learning disabilities from 15 school districts in two … be eligible for reimbursement, reported costs must comply with RCM requirements. For the fiscal year ended June 30, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/hear-2-learn-pllc-compliance-reimbursable-cost-manualOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the State’s Medicaid recipients are … the $7.3 million in Medicaid overpayments we identified. At the time of our follow-up, $3,125 was recovered, but more than $1 million in potential recoveries were likely lost due to the inaction on overpayments for claims that are …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Crossroads Center for Children, (Crossroads) on its Consolidated Fiscal Report … 30, 2014. Background Crossroads is an SED-approved, not-for-profit organization located in Schenectady, New York. … the ages of three and five years. Crossroads is reimbursed for preschool special education services through rates set by …
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
… To determine whether the costs reported by the Center for Disability Services (CFDS) on its Consolidated Fiscal … December 31, 2013. Background CFDS is an SED-approved not-for-profit special education provider located in Albany, New … the ages of three and five years. CFDS is reimbursed for preschool special education program services through …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… the administration of Article VI and Article VII of the Vehicle and Traffic Law. We performed our audit pursuant to … 31, 2013. Background The Department administers the Motor Vehicle Financial Security Act (Security Act) and the Motor Vehicle Safety Responsibility Act (Responsibility Act). These …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoBornhava – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Bornhava on its Consolidated Fiscal Report (CFR) were properly … rates set by SED. The reimbursement rates are based on financial information, including costs, that Bornhava reports to SED on its annual CFR. To be eligible for reimbursement, reported …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/bornhava-compliance-reimbursable-cost-manualJowonio School – Compliance With the Reimbursable Cost Manual
… vehicle costs, $2,370 in non-reimbursable interest, and $512 in non-reimbursable purchases. Key Recommendations To …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/jowonio-school-compliance-reimbursable-cost-manualGovernment-Wide Financial Data – 2022 Financial Condition Report
… Government-wide financial statements provide a long-term view of finances. They record revenues and expenses when the … Governmentwide financial statements provide a longterm view of finances …
https://www.osc.ny.gov/reports/finance/2022-fcr/government-wide-financial-dataNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
To assess the extent of implementation of the five recommendations included in our initial audit report Payments by Empire BlueCross for Hospital Services for Ineligible Members Report 2019S32
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesChildren's Development Group, PLLC – Compliance With the Reimbursable Cost Manual
… reported costs must comply with SED’s Reimbursable Cost Manual (RCM) requirements. For the reporting year ended … $48,144 in other than personal service costs – such as insurance premiums and property lease payments – that did not …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/childrens-development-group-pllc-compliance-reimbursable-cost-manualEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… additional payments for special items, such as implants, which are not covered by fee schedules. Intraocular lenses are used … treatment of cataracts – the clouding of the lens in the eye – which cause vision problems. A cataract is corrected …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsMinds in Motion, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Minds in Motion, … MIM provides preschool special education services to children with disabilities who are between three and four … financial information, including costs, that MIM reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/minds-motion-inc-compliance-reimbursable-cost-manualUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… 2017-S-34 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of … United’s reimbursement. Billing for a higher level of care than the service actually provided is known as upcoding. … were upcoded or unsupported for the higher level of care billed. We found United’s method for monitoring …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… of BuildSmart NY– the Executive’s program for pursuing energy efficiency in certain New York State government … advancing economic growth, environmental protection, and energy security in the State. EO 88 is intended to accomplish … green jobs and stimulating the marketplace for clean energy and energy-efficient products and services. EO 88 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… of New York, LLC (BANY) on its Consolidated Fiscal Report (CFR) were allowable, properly calculated, and adequately … requirements. The audit covered costs reported on BANY’s CFR for the reporting year ended June 30, 2015. About the … including costs, that BANY reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualOversight of Critical Foster Care Program Requirements (Follow-Up)
… our initial audit report, Oversight of Critical Foster Care Program Requirements (Report 2015-S-79 ). About the … and supervises child welfare services, including foster care and adoption, through its Division of Child Welfare and … Services (counties). These entities administer the foster care program, including placing children in foster care …
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… The State’s Medicaid program is administered by the Department of Health (Department) and is overseen at the federal level by the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Payments for Brand Name Drugs
… the period from July 2016 through January 2022. About the Program The Department of Health (Department) administers New York’s Medicaid program. The Medicaid program covers medically necessary prescription and …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… it operated: Preschool Special Class – over 2.5 hours per day and Preschool Integrated Special Class – over 2.5 hours per day (collectively referred to as the Programs). Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualState Education Department Examination of Payments to Tough Man, Inc.
… or reimbursable from other funding sources. This includes registration fees, sponsorships, licensing fees, and … collectively $150,000 for the contracts we examined. Each student paid a registration fee to participate in the triathlons supported …
https://www.osc.ny.gov/state-agencies/audits/2019/03/01/state-education-department-examination-payments-tough-man-inc