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Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, Overpayments of Hospitals’ Claims for … which was issued on July 25, 2013, identified $7.8 million in Medicaid overpayments. The overpayments occurred primarily … Medicaid for higher (and more costly) levels of care when, in fact, patients received lower cost ALC. We recommended …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followUnity House of Troy – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Troy, New York. Unity provides a variety of services to … 31, 2012, Unity reported approximately $6.85 million in reimbursable costs on its CFR for the rate-based preschool … year ended December 31, 2012, Unity claimed $404,952 in ineligible costs for its rate-based preschool special …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/unity-house-troy-compliance-reimbursable-cost-manualDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… Substance Abuse Services (OASAS) is effectively monitoring Drug and Alcohol Treatment program contracts to ensure … communities, schools, and families through alcohol and drug prevention and treatment and to meet clients’ individual … with providers for delivery of specific alcohol- and drug-related services. OASAS reimburses the providers for the …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesThe ARC of Ulster-Greene – Compliance With the Reimbursable Cost Manual
… Ulster-Greene, a not-for-profit organization located in Kingston, New York, is an SED-approved provider of … disabilities between the ages of three and five years. In 2014, Ulster-Greene provided preschool special education … to about 130 children from ten school districts located in Ulster, Green and Delaware counties. Ulster-Greene is …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/arc-ulster-greene-compliance-reimbursable-cost-manualCollection of Special Hauling and Divisible Load Overweight Permit Fees
… special hauling permit is generally used to move a single piece of equipment or other item that exceeds legal …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/collection-special-hauling-and-divisible-load-overweight-permit-feesOversight of Child Protective Services Outside New York City (Follow-Up)
… Protective Services Outside New York City (Report 2007-S-129). Background Our initial audit report, which was issued … 4, 2009, determined that the districts are intervening in a timely and appropriate manner to protect the children who … of Child Protective Services Outside New York City (2007-S-129) …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/oversight-child-protective-services-outside-new-york-city-followSelected Aspects of the Minority- and Women-Owned Business Enterprises Program
… and recertified Minority- and Women-Owned Business Enterprises (MWBEs) and processed agencies’ annual MWBE goal … business enterprise (WBE). Key Findings Accurate vendor contact information is critical for interested agencies and … Participation of Minority- and Women-Owned Business Enterprises (2014-S-7) Metropolitan Transportation Authority: …
https://www.osc.ny.gov/state-agencies/audits/2016/04/04/selected-aspects-minority-and-women-owned-business-enterprises-programCollection and Use of the Motor Vehicle Law Enforcement Fee
… March 31, 2012. Background New York State collects the Motor Vehicle Law Enforcement Fee (Fee) on each automobile … departments and district attorney's offices to combat motor vehicle theft and insurance fraud. The State Police … to fund its Auto Theft Unit (ATU) and to detect and reduce motor vehicle theft and insurance fraud. Key Findings The …
https://www.osc.ny.gov/state-agencies/audits/2013/07/12/collection-and-use-motor-vehicle-law-enforcement-feeOversight of the Supported Housing Program – Rehabilitation Support Services, Inc.
… State-operated facilities) and indirectly (through service providers). OMH offers, among other programs, the … them through other programs. RSS is a Program service provider in upstate New York, serving eight different … environment wherein OMH officials have placed excessive trust in certain service providers to properly handle State …
https://www.osc.ny.gov/state-agencies/audits/2017/05/04/oversight-supported-housing-program-rehabilitation-support-services-incCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… have significantly higher costs. Additionally, there is a clear inconsistency in Medicaid payment rules for …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followField of Dreams, Inc. – Compliance With the Reimbursable Cost Manual
… (SED) guidelines, including the Reimbursable Cost Manual (RCM) and the Consolidated Fiscal Reporting and Claiming Manual (CFR Manual). The audit covered the costs submitted by FOD to SED … Departments guidelines including the Reimbursable Cost Manual and the Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2022/10/26/field-dreams-inc-compliance-reimbursable-cost-manualCompliance With Special Education Regulations for the Provision of Services
… Objective To determine if the New York City Department of Education (DOE) arranged for eligible students to be placed in special … programs within the required time frames, and provided all of the services and programs recommended in the students’ … To determine if the New York City Department of Education DOE arranged for eligible students to be placed …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… that can issue parking summonses within New York City (NYC). During fiscal years 2017 through 2019, DOF processed … for collecting fines and fees for violations issued within NYC, and also the Outside Collection Agency/External Inquiry … from respondents who have New York plates and live within NYC. DOF refers other cases to the NYC Law Department, which …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections (Follow-Up)
… for overseeing three types of casinos in the State: commercial, video lottery terminal (VLT), and Class III tribe/nation (tribe/nation). Commercial and VLT casinos are required to remit a percentage … Finally, while we found the Commission was adequately monitoring casinos to ensure that revenues were appropriately …
https://www.osc.ny.gov/state-agencies/audits/2021/05/05/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collections-followControls Over Federally Funded Programs and Maximization of Federal Funding
… Renewal is obtaining federal reimbursements on time and in a manner that recovers all costs and adequately ensures … and utility costs by installing energy efficiency measures in the homes of income-eligible persons, especially those … Services (HHS) and must expend and account for WAP awards in accordance with federal statutes, regulations, and the …
https://www.osc.ny.gov/state-agencies/audits/2021/08/18/controls-over-federally-funded-programs-and-maximization-federal-fundingUtilization of the Arch Street Yard and Shop Facility (Follow-Up)
… providing transportation services in and around the New York City metropolitan area. As part of the MTA’s East Side Access Project (ESA), it constructed a new yard and shop facility at Arch Street in Long Island City, adjacent to the No. 7 line Hunters Point Ave. Station. This facility was designed to provide …
https://www.osc.ny.gov/state-agencies/audits/2020/01/28/utilization-arch-street-yard-and-shop-facility-followCollection of Petroleum Business Tax and Motor Fuel Excise Tax
… it to appropriately collect Petroleum Business Tax and Motor Fuel Excise Tax, as required by relevant law and … on the product involved. Fuels subject to PBT include motor fuel and highway diesel motor fuel, among others. Effective January 1, 2020, the PBT …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/collection-petroleum-business-tax-and-motor-fuel-excise-taxEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from … To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… various crisis services, and clinic expansion. One key piece of data on the monthly reports is known as “New …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report … program. Many Medicaid recipients are also enrolled in Medicare. Under the Medicare buy-in program (Buy-in Program), administered by the … included in our initial audit report Improper Payments of Medicare BuyIn Premiums for Ineligible Recipients Report …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-follow