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Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the State’s Medicaid … for Services Also Covered by Medicare Part B (2012-S-27) Department of Health: Overpayments for Services …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… is an SED-approved, not-for-profit organization located in Schenectady, New York. Crossroads provides preschool … reported costs must comply with the guidelines specified in the RCM. For the fiscal year ended June 30, 2014, Crossroads reported about $1.27 million in reimbursable costs on its CFR for two rate-based preschool …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Albany, New York. CFDS provides preschool special … ended December 31, 2013, CFDS reported about $4.8 million in reimbursable costs on its CFR for five preschool special … the year ended December 31, 2013, we identified $81,581 in costs that were not in compliance with the Manual. These …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… of Motor Vehicles (Department) has adequate procedures in place to accurately report its assessable expenses incurred in connection with the administration of Article VI and … our audit pursuant to legislative mandates included in these statutes, which direct that the Comptroller and the …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoBornhava – Compliance With the Reimbursable Cost Manual
… disabilities from birth to five years of age. Bornhava is authorized by SED to provide preschool special education services and is reimbursed for these services through rates set by SED. …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/bornhava-compliance-reimbursable-cost-manualJowonio School – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Syracuse, New York. Jowonio provides preschool special … ended June 30, 2014, Jowonio reported over $7.6 million in reimbursable costs on its CFRs for four rate-based … fiscal years ended June 30, 2014, we identified $118,110 in costs that were not in compliance with the RCM. These …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/jowonio-school-compliance-reimbursable-cost-manualGovernment-Wide Financial Data – 2022 Financial Condition Report
… and liabilities and deferred inflows of resources in three categories: Net investment in capital assets Restricted net position Unrestricted net … Statement of Activities This statement reports the change in net position, which is calculated by: Reducing the …
https://www.osc.ny.gov/reports/finance/2022-fcr/government-wide-financial-dataNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32 ). About the Program … The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 million members. Civil Service … in our initial audit report Payments by Empire BlueCross for Hospital Services for Ineligible Members Report 2019S32 …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesChildren's Development Group, PLLC – Compliance With the Reimbursable Cost Manual
… allowable, properly calculated, and adequately documented in accordance with applicable State Education Department … reporting year ended June 30, 2016, CDG reported $427,599 in reimbursable costs for its Preschool Integrated Special … services to 18 children from nine school districts located in Washington and Essex counties Key Findings For the …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/childrens-development-group-pllc-compliance-reimbursable-cost-manualEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… not covered by fee schedules. Intraocular lenses are used in the treatment of cataracts – the clouding of the lens in the eye – which cause vision problems. A cataract is … not be paid. When hospitals send claims for reimbursement, in addition to general service codes, they typically include …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsMinds in Motion, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Minds in Motion, Inc. (MIM) on its Consolidated Fiscal Reports … for-profit special education provider located in Newburgh. MIM provides preschool special education … the fiscal year ended June 30, 2015, MIM reported $571,094 in reimbursable costs for the one rate-based preschool …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/minds-motion-inc-compliance-reimbursable-cost-manualUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… by the Department of Civil Service (Civil Service), covers active and retired State, participating local … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. Civil … billed United for higher-paying E/M services than what were actually performed. For the period January 1, 2016 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… NY– the Executive’s program for pursuing energy efficiency in certain New York State government buildings while … growth, environmental protection, and energy security in the State. EO 88 is intended to accomplish broader State … State government utility expenses, fostering investment in smart buildings, protecting the environment and public …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… allowable, properly calculated, and adequately documented in accordance with applicable State Education Department … reporting year ended June 30, 2015, BANY reported $245,613 in reimbursable costs for its Special Education Itinerant … these services to 18 children from 12 school districts in Westchester County. Key Findings For the reporting period …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualOversight of Critical Foster Care Program Requirements (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Oversight of Critical Foster … the foster care program, including placing children in foster care settings, certifying and approving certain … initial audit examined whether OCFS has effective controls in place to ensure that foster homes meet required criteria …
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… the Department maintains drug termination dates in eMedNY, its claims processing control system. Key Findings … For the audit period, auditors identified $29 million in improper Medicaid payments for drugs dispensed after their …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Payments for Brand Name Drugs
… this means a brand name drug will be substituted with a generic drug that is equivalent to the brand name drug. … written” either in writing or electronically; otherwise, a generic drug should be dispensed. Usually, brand name drugs are more expensive than generic drugs. Key Findings We identified $1,102,823 in …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Depew, serving students from Erie, Genesee, and Niagara … 30, 2017, Cantalician reported approximately $2.23 million in reimbursable costs on its CFRs for two rate-based special … fiscal year ended June 30, 2017, we identified $358,254 in ineligible costs reported by Cantalician on its CFRs for …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualState Education Department Examination of Payments to Tough Man, Inc.
… or reimbursable from other funding sources. This includes registration fees, sponsorships, licensing fees, and … for the contracts we examined. Each student paid a registration fee to participate in the triathlons supported …
https://www.osc.ny.gov/state-agencies/audits/2019/03/01/state-education-department-examination-payments-tough-man-incSpringbrook NY, Inc. – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on Springbrook’s CFR for the fiscal year ended June 30, 2015. About the Program … three and five years of age. Springbrook is reimbursed for these services through rates set by SED. The … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/springbrook-ny-inc-compliance-reimbursable-cost-manual