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Capital Program Revenue and Expenses (Follow-Up)
… the extent of implementation of the recommendations in our initial audit report, Capital Program Revenue and … Racetrack, Belmont Park, and Saratoga Race Course. In 2011, Resorts World New York City Casino (Resorts) opened … expenses, operational support, and enhanced purses. In 2012, a temporary, State-controlled Reorganization Board …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/capital-program-revenue-and-expenses-followQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… issues with medical records provided by a physician, Dr. Riaz Ahmad, to support his Medicaid claims. Our review of a sample of Dr. Ahmad’s medical records found they contained inadequate … Key Finding At the time of our follow up review, the Office of the Medicaid Inspector General (OMIG) was actively …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedThe Child School – Compliance With the Reimbursable Cost Manual
… The School provides special education services to New York City children between 6 and 21 years of age. The …
https://www.osc.ny.gov/state-agencies/audits/2015/09/11/child-school-compliance-reimbursable-cost-manualMedicaid Program – Improper Payments to a Physical Therapist
… 1, 2010 through September 30, 2013. Background Mark Amir is a physical therapist who owns and operates Madison … who are enrolled in both Medicare and Medicaid. Under this arrangement, Medicare is the primary payer and Medicaid … Medicare claims using the National Provider Identifier (NPI) for his group practice and the related Medicaid claims …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistAffordable Home Ownership Development Program
… Purpose To determine whether Affordable Home Ownership Development Program (Program) grant managers are … To determine whether Affordable Home Ownership Development Program Program grant managers are …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/affordable-home-ownership-development-programNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in voluntary agencies. The Department administers the New York State Medicaid program. Many foster care children …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followDairy Inspections
… these records quarterly. The Unit also responds to consumer and producer complaints, conducts and supervises the … economic industry functions such as ensuring dairy products are properly represented in labeling and advertising …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/dairy-inspectionsAnnual Assessment of Market Orders for 2012, 2013, and 2014
… the period July 1, 2011 through June 30, 2014 for the Apple and Sour Cherry Market Orders and the period April 1, … the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… Purpose To determine whether Empire BlueCross BlueShield (Empire) paid claims for special items … Interest New York State Health Insurance Program: Empire BlueCross BlueShield – Selected Payments for Special Items … New York State Health Insurance Program: Empire BlueCross BlueShield – Selected Payments for Special Items …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireSelected Aspects of the Motor Carrier Safety Assistance Program
… is responsible for administering State participation in the Federal Motor Carrier Safety Assistance Program … of the cases we reviewed, the Department did not use progressive enforcement actions. Instead, violators in these … safety histories and out-of-service violations. Impose progressive enforcement actions, such as compliance reviews …
https://www.osc.ny.gov/state-agencies/audits/2014/01/22/selected-aspects-motor-carrier-safety-assistance-programImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… serious mental illness and/or substance use disorders. We issued our initial audit report on June 22, 2018. The … the period October 1, 2015 through December 31, 2017. We determined the Department failed to collect rebates for HARP-related drugs since the program’s inception. We notified Department officials of this and, in response, …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followUser Access Controls Over Selected System Applications
… colleges, a research enterprise, a clinical system, and a hospital that includes a Level 1 trauma center and a dedicated children’s hospital and cancer center. To facilitate patient care, … clinical applications after they had transferred to new jobs that did not require that access. Further, in 12 of 27 …
https://www.osc.ny.gov/state-agencies/audits/2020/06/10/user-access-controls-over-selected-system-applicationsMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… into a national rebate agreement with the Centers for Medicare & Medicaid Services in exchange for Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… Health-authorized overlapping Medicaid and Essential Plan coverage. The audit covered the period from January 2017 … in Department-authorized periods of overlapping insurance coverage. Medicaid is the payer of last resort, which means recipients’ other third-party health insurance coverage, such as insurance under the Essential Plan, must be …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… in our initial audit report, Improper Medicaid Payments to Eye Care Providers (Report 2015-S-6 ). Background Under … State requirements. As a result of these weaknesses, six eye care professionals who did not comply with the … Department of Health: Improper Medicaid Payments to Eye Care Providers ( 2015-S-6 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followSelected Aspects of Parking Violations Operations to Collect Fines and Fees
… Objective To determine whether the New York City Department of Finance … This audit covered the period from January 1, 2014 to February 4, 2019. About the Program DOF is responsible for … Summons Tracking and Accounts Receivable System (STARS) to accomplish these tasks. Key Findings Overall, we …
https://www.osc.ny.gov/state-agencies/audits/2019/12/04/selected-aspects-parking-violations-operations-collect-fines-and-feesFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances (Follow-Up)
… Grievances ( 2017-S-2 ). About the Program The State Commission of Correction (Commission) is responsible for oversight of all 511 … facilities, and 446 county and local facilities. The Commission is charged with both the periodic inspection of …
https://www.osc.ny.gov/state-agencies/audits/2019/06/18/facility-oversight-and-timeliness-response-complaints-and-inmate-grievances-followOperational Advisory No. 27
… changing the policy regarding the use of Accounting Date in the Statewide Financial System (SFS). This notice confirms … 1, 2016. The definition of Accounting Date, as defined in the Guide to Financial Operations (GFO), Chapter XIV, … Current guidance regarding the Obligation Date field in SFS is not changing. Agencies should continue to ensure …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/27-accounting-date-policy-change-confirmation