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Medicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… of Health's eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed … The Department's eMedNY computer system processes Medicaid claims submitted by providers for services rendered to … it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, 2012, …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Westchester School for Special Children – Compliance With the Reimbursable Cost Manual
… charges, the Executive Director spent $4,254 at a Harley Davidson dealer; $1,723 for lodging at the Majestic …
https://www.osc.ny.gov/state-agencies/audits/2013/07/02/westchester-school-special-children-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… ended September 30, 2011, eMedNY processed approximately 178 million claims resulting in payments to providers of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Children’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the expenses reported on the Consolidated Fiscal Reports (CFRs) of the Children’s Center for Early Learning (Center) were calculated properly, … To determine whether the expenses reported on the Consolidated Fiscal Reports CFRs of the Childrens Center for Early Learning Center were calculated proper …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… reported on the Consolidated Fiscal Reports (CFRs) of Metro Therapy, Inc. (Metro Therapy) were calculated properly, documented … the three fiscal years ended June 30, 2011. Background Metro Therapy is based in Hauppauge, New York and provides … costs reported on the Consolidated Fiscal Reports CFRs of Metro Therapy Inc Metro Therapy were calculated properly …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualSunshine Developmental School – Compliance With the Reimbursable Cost Manual
… on its Consolidated Fiscal Reports (CFRs) were allowable and properly documented pursuant to the State Education … School (Sunshine Developmental) provides special education and integrated therapeutic preschool programs for about 600 children between the ages of three and five years in the New York City boroughs of Brooklyn, …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/sunshine-developmental-school-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … Medicaid payments, including: $1,822,467 in payments for pharmacy claims that posed patient safety concerns or …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013MTA-NYC Transit Medical Assessment Centers
… examinations and assessments are done at one of Transit’s five MAC locations. In addition, there is a 24-hour lab located in Downtown Brooklyn. Employees are assigned to a MAC according to their work location. If testing is needed, …
https://www.osc.ny.gov/state-agencies/audits/2014/11/10/mta-nyc-transit-medical-assessment-centersNew York City School-Based Health Centers – Security and Controls Over Medications and Related Supplies
… have implemented proper controls over their medications and related supplies. Our audit covered the period July 1, … health care alternative for preschool, elementary, middle, and high school students in low-income, high-risk … medical facilities (e.g., hospitals, diagnostic and treatment centers, and community organizations) that …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/new-york-city-school-based-health-centers-security-and-controls-over-medications-andDual Employment
… (OCA), which is the administrative arm of UCS, under the direction of the Chief Administrative Judge. UCS employs …
https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employmentInstitutes of Applied Human Dynamics – Compliance With the Reimbursable Cost Manual
… Manual (Manual). The audit included all expenses claimed for the fiscal year 2012-13 and certain expenses for the two fiscal years ended June 30, 2012. Background The … Institutes of Applied Human Dynamics, Inc. (Institutes) is a not-for-profit organization that provides full-day …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/institutes-applied-human-dynamics-compliance-reimbursable-cost-manualCollection and Use of Oil Spill Funds
… Laws of 1977 established the Oil Spill Fund to pay for the cleanup and removal of petroleum spills. The statute assigns … for the Fund as well as the duty to review and process all cleanup bills submitted for payment. The Department is … collects fees from PBS facilities and reimbursements of cleanup costs from spillers. During the two fiscal years …
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-fundsMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in … billings and hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, … providers in the Medicaid program who were charged with or found guilty of crimes that violate health care programs’ …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Housing Preferences for Disabled Veterans (Follow-Up)
… to follow the Division’s guidance concerning the law, and the Division failed to monitor the housing companies … to properly review housing company compliance and to increase monitoring of housing company compliance. … Other Related Audit/Report of Interest Office of Children and Family Services: Housing Preference for Disabled Veterans …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/housing-preferences-disabled-veterans-followSelected Financial Management Practices
… Purpose To determine if the Hudson River Park Trust has established adequate controls over the … 1, 2010 through March 26, 2014. Background The Hudson River Park Trust (Trust) is a public benefit corporation authorized under the Hudson River Park Act (Act) in 1998. The Act also created Hudson …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practicesMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … supply. During the audit period, the Medicaid program paid pharmacy providers through the fee-for-service method and the … To determine whether the Department of Health paid pharmacy providers for controlled substances in compliance …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Astor Services for Children & Families (Astor) on its Consolidated Fiscal … fiscal year ended June 30, 2013. Background Astor, a not-for-profit organization located in Rhinebeck, New York, … the ages of three and five years. Astor is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualContract Participation of Minority- and Women-Owned Business Enterprises
… a “good faith” effort to achieve their goals, and report quarterly on their level of participation to the Department … the Authority when a MWBE prime contractor makes a related payment to a MWBE subcontractor. Contact DED to obtain … participation purposes. Follow such guidance in preparing quarterly MWBE program reports. Other Related Audits/Reports …
https://www.osc.ny.gov/state-agencies/audits/2015/07/08/contract-participation-minority-and-women-owned-business-enterprisesHear 2 Learn PLLC – Compliance With the Reimbursable Cost Manual
… fiscal year ended June 30, 2013. Background Hear 2 Learn is a privately owned institution located in Syracuse, New … in two counties in central New York. Hear 2 Learn is reimbursed for SEIT services through rates set by SED. These …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/hear-2-learn-pllc-compliance-reimbursable-cost-manualQuality of Internal Control Certifications (Follow-Up)
… Purpose In 2012, we conducted a series of audits at 12 State agencies focusing specifically on their 2011-2012 … maintained documentation supporting the answers given. The 12 audits were performed at the following agencies: … quality of Internal Control Certifications at 10 of the 12 agencies. We found instances where Internal Control …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/quality-internal-control-certifications-follow