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Empire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with … rate schedules for the payment of inpatient and outpatient hospital services. Hospitals may be entitled to additional …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followEmblemHealth 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
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsMaximizing Incentives for Individuals With Disabilities (Follow-Up)
… First Commission for improving competitive employment opportunities and outcomes for all individuals with … and JobZone and CareerZone, which are job search and career planning tools. Six State agencies in addition to OMH, … for the Aging, and the State Education Department’s Adult Career and Continuing Education Services – Vocational …
https://www.osc.ny.gov/state-agencies/audits/2024/02/20/maximizing-incentives-individuals-disabilities-followOversight of Child Protective Services (Follow-Up)
… had not yet developed a plan on how to do so. Further, closure codes for non-report calls could more accurately reflect the nature of closure and why the call did not result in a report. …
https://www.osc.ny.gov/state-agencies/audits/2024/09/06/oversight-child-protective-services-followArtificial Intelligence Governance
… and sometimes serious, consequences. New York City (NYC or City) and some of its agencies have been using AI to aid their operations. For example, the NYC Police Department (NYPD) uses AI to power its facial … To ensure transparency in the use of AI and similar tools, NYC has enacted laws and policies to require the reporting of …
https://www.osc.ny.gov/state-agencies/audits/2023/02/16/artificial-intelligence-governanceCompliance With Special Education Requirements – Evaluations (Follow-Up)
… initial audit report, Compliance With Special Education Requirements – Evaluations (Report 2017-N-3 ). About the … of the Commissioner of Education (Regulations) stipulate requirements for the referral, evaluation, Individualized … our initial audit report Compliance With Special Education Requirements Evaluations Report 2017N3 …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followOversight of Chemical Dependence Residential Services (Follow-Up)
… 819 and Part 820 programs. Before issuing an operating certificate, OASAS is required to inspect programs for … viability review before the program’s current operating certificate expires. The objective of our initial audit, …
https://www.osc.ny.gov/state-agencies/audits/2023/10/30/oversight-chemical-dependence-residential-services-followOversight of New York State Forest Tax Programs (Follow-Up)
… included in our initial audit report, Oversight of New York State Forest Tax Programs (Report 2020-S-51 ). About the Program New York State’s land area of 30.2 million acres comprises … both healthy forests and a stable forest economy, in 1974, New York enacted Real Property Tax Law 480a – a tax incentive …
https://www.osc.ny.gov/state-agencies/audits/2023/12/05/oversight-new-york-state-forest-tax-programs-followImplementation of the Security Guard Act (Follow-Up)
… in our initial audit report, Implementation of the Security Guard Act ( 2019-S-42 ). About the Program The … Article 7-A of the General Business Law, also known as the Security Guard Act (Act), requires that individuals working as security guards have a valid registration card, and entrusts …
https://www.osc.ny.gov/state-agencies/audits/2023/09/29/implementation-security-guard-act-followImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… included in our initial audit report, Improper Managed Care Payments for Misclassified Patient Discharges … Medicaid recipients receive their medical services through managed care, whereby the Department pays managed care organizations (MCOs) a monthly premium for each …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followCompliance With School Safety Planning Requirements (Follow-Up)
… actions and the State Education Department Commissioner’s Regulations (State Regulations) and DOE Chancellor’s Regulations (City Regulations) provide additional guidance. …
https://www.osc.ny.gov/state-agencies/audits/2024/01/11/compliance-school-safety-planning-requirements-followOversight of Building Construction Site Safety (Follow-Up)
… initial audit report, Oversight of Building Construction Site Safety (Report 2021-N-3 ). About the Program The New … and DOB Violations when a property or construction site does not comply with codes, rules, and regulations. The … with applicable codes, laws, and rules for construction site safety. The audit, which covered the period January 2018 …
https://www.osc.ny.gov/state-agencies/audits/2024/01/10/oversight-building-construction-site-safety-followOversight of Persons Convicted of Driving While Intoxicated (Follow-Up)
… protocols to minimize the risk that offenders would drive vehicles without IIDs. Specifically, the Office often …
https://www.osc.ny.gov/state-agencies/audits/2018/11/29/oversight-persons-convicted-driving-while-intoxicated-followOversight of Passenger Safety
… of driver licenses; traffic convictions; and reportable accidents. Key Findings Because OPWDD drivers repeatedly …
https://www.osc.ny.gov/state-agencies/audits/2018/10/01/oversight-passenger-safetyNew York Youth Jobs Program
… of Labor (Labor) is ensuring that employers meet New York Youth Jobs Program (Program) eligibility … which was established in 2011 under section 25-a of the New York State Labor Law (Law) and known formerly as both the New York Youth Works Program and the Urban Youth Jobs …
https://www.osc.ny.gov/state-agencies/audits/2019/01/09/new-york-youth-jobs-programSecurity Over Critical Information Systems (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations included in our initial audit report, … which was issued on July 19, 2017, determined whether the security controls over critical State Education … To determine the extent of implementation of the two recommendations …
https://www.osc.ny.gov/state-agencies/audits/2018/11/13/security-over-critical-information-systems-followYork College – Time and Attendance Practices for Public Safety Staff (Follow-Up)
… recommendations included in our initial audit report, Time and Attendance Practices for Public Safety Staff ( … nor York College had adequate internal controls over time and attendance for Public Safety officers. No one was … Public Safety (Department) staff, and officers could alter time cards by writing over time stamps from punch clocks. We …
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/york-college-time-and-attendance-practices-public-safety-staff-followRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… are required to develop Nurse Coverage Plans to address typical patterns of absenteeism and identify alternate …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by … drugs and January 1, 2012 to December 31, 2017 for therapy services. About the Program Many of the State’s … Medicare program covers physical, occupational, and speech therapy services, as well as prescription drugs. When these …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareImplementation of the Dignity for All Students Act (Follow-Up)
… initial audit report, Implementation of the Dignity for All Students Act (Report 2016-S-28 ). About the Program New York State’s Dignity for All Students Act (DASA) seeks to provide students in New York … report some DASA incidents or may not report them at all, and incident records often were not adequate to clearly …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-follow