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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… September 1, 2012 to August 31, 2013, United paid over $82.3 million for about 1.3 million services with modifier 59. …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and the … Assistance Program (TAP) awards. Background Stony Brook University (Stony Brook) is a university within the State University of New … To determine whether Stony Brook University complied with the Education Law and the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… status, and one student who did not maintain good academic standing. Key Recommendations The Higher Education Services … relating to full-time attendance and good academic standing. Other Related Audits/Reports of Interest Higher …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-collegeContracts for Personal and Miscellaneous Services (Follow-Up)
… Purpose To determine the extent of implementation of the four recommendations included in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2008-S-158 ). … To determine the extent of implementation of the four recommendations … included in our initial audit report Contracts for Personal and Miscellaneous Services 2 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followHousing Preferences for Veterans (Follow-Up)
… (Report 2011-N-3 ). Background Our initial report, issued on June 6, 2012, found that, although the New York State … found two housing companies in Manhattan (Hamilton House and Clinton Towers) filled vacant apartments with non-veterans even though veterans had been identified on their waiting lists. NYC HPD approved many of these …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followAudit of the Tuition Assistance Program at Pratt Institute
… comply with requirements relating to good academic standing, matriculation, and full-time attendance. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-pratt-instituteRainbow Rhymes Learning Center (Follow-Up)
… initial report, State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial … Department (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate and adequately … Interest State Education Department: Rainbow Rhymes Learning Center Report (2009-S-84) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… Purpose To determine the extent of implementation of the three … report, which was issued March 29, 2011, our objective was to determine whether the New York City Department of … without sufficient documentation under SED guidelines to support a discharge classification. Specifically, when we …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of the three recommendations included in our initial audit report, Inspecting Highway Bridges and … Repairing Defects (Report 2012-S-33). Background In our initial audit report, which was issued on Report April 26, … red flags within one week, as required. Furthermore, the initial evaluations and plans of action were not documented …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… audit report, Contracts for Personal and Miscellaneous Services ( 2009-S-54 ). Background Our initial report, issued … new or renewed contracts for personal and miscellaneous services. In addition, the Port Authority did not provide … all of its contracts for personal and miscellaneous services. We also found that the Port Authority's business …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… included in our initial audit report, Medicaid Claims Processing Activity - October 1, 2008 through March … eMedNY system reasonably ensured that Medicaid claims were submitted from approved providers, were … Audits/Reports of Interest Department of Health: Medicaid Claims Processing Activity October 1, 2008 Through March 31, …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… 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 one of two clinical …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… To reduce Medicaid costs for prescription drugs, the federal government established the Medicaid Drug Rebate …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… examined whether Medicaid made inappropriate payments to medical providers for services rendered to Medicaid … in Medicare Part C. Under Medicare Part C, managed care plans (also known as Medicare Advantage Plans) … 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-followOversight of Grants (Follow-Up)
… Purpose To assess the extent of implementation as of March 7, 2014 of the eight recommendations in our … To assess the extent of implementation as of March 7 2014 of the eight recommendations in our …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followTrash Can Free Stations Pilot Program
… To determine if Metropolitan Transportation-New York City Transit officials effectively evaluated the various … The Metropolitan Transportation Authority (MTA) New York City Transit (Transit) provides rapid transit services. It … Pilot Program” (or Pilot Program) to reduce refuse in the City’s subway system by removing the garbage cans from the …
https://www.osc.ny.gov/state-agencies/audits/2015/09/22/trash-can-free-stations-pilot-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-twoSelected Aspects of the Migrant Education Program
… academic standards and graduate with a high school diploma (or its equivalency), and/or participate in life … in New York since the ninth grade earn a high school diploma at the same rate as children in the “economically …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programReview of Credit Card Expenses at Finger Lakes DDSO
… reviewed select Procurement Card transactions incurred by Finger Lakes Developmental Disabilities Service Office (DDSO) to Finger Lakes Home Supply from December 18, 2012 through June … The objective of our examination was to determine whether Finger Lakes DDSO adhered to State purchasing laws, rules and …
https://www.osc.ny.gov/state-agencies/audits/2015/06/12/review-credit-card-expenses-finger-lakes-ddsoFuel and Services
… prices, and received the quality and quantity of goods and services it procured during its response to Superstorm Sandy. … the reasonableness of prices paid for the procurement of services from the ten vendors in our examination, (ii) the …
https://www.osc.ny.gov/state-agencies/audits/2015/06/30/fuel-and-services