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United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… practice of Dr. John Gomes routinely waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the … pay medical claims for services provided to Empire Plan members. United contracts with certain providers who agree to … by United, to furnish medical services to Empire Plan members. United pays these “participating providers” directly …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesControls Over Cash Advance Accounts (Follow-Up)
… report, Controls Over Cash Advance Accounts (Report 2014-S-22). Background Our initial audit report, which was issued on December 22, 2014, determined whether Parks needs their advance accounts … Preservation: Controls Over Cash Advance Accounts (2014-S-22) …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). … Medicaid inappropriately paid 29,289 fee-for-services pharmacy claims totaling $978,251 on behalf of 18,010 Medicaid recipients whose pharmacy benefits were covered by managed care. We …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followSummit Educational Resources – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Summit Educational … 2013. Background Summit provides a wide range of services to children with disabilities from ages three through 21. Summit provides preschool special education services to children with developmental disabilities from 38 school …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/summit-educational-resources-compliance-reimbursable-cost-manualSelected Aspects of the Migrant Education Program
… Purpose To determine whether the State Education Department (Department) properly oversees the Migrant Education Program (Program) to ensure that it complies with all requirements and achieves its program goals. Background The … Determine whether the State Education Department properly oversees Migrant Education …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programMotor 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-twoState Agencies Bulletin No. 835
… N/S salary to assign the highest grade level (using the hiring rate) to which such salary can be assigned on the CSEA … a promotion, demotion or lateral. Hourly N/S – Convert the hiring rate of the graded position from the CSEA salary … this salary to assign the highest grade level (using the hiring rate) to which such salary can be assigned on the CSEA …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/835-revised-method-calculating-salaries-employees-upon-movement-civilOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for cost-sharing liabilities such as deductibles and coinsurance. However, these liabilities may be paid by … Healthfirst took actions to prevent further errant claims and overpayments. Additionally, providers submitted claim … one recommendation for the Department of Health to review and recover the remaining Medicaid overpayments for excessive …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… programs also obtain savings through the 340B Drug Pricing Program, which requires drug manufacturers to … ensure providers bill physician-administered drugs at the discounted drug acquisition cost. Key Findings Department …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… Institute (Institute), established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… in our initial audit report, Medicaid Claims Processing Activity - October 1, 2008 through March 31, 2009 (Report … Interest Department of Health: Medicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (2008-S-155) … Department of Health: Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012 (2012-S-24) …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followContracts for Personal and Miscellaneous Services (Follow-Up)
… determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have documentation … to provide information on any actions that are planned to address the unresolved issues discussed in this review. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… included in our initial audit report, Inspecting Highway Bridges and Repairing Defects (Report 2012-S-33). … the New York State Thruway Authority (NYSTA) inspects its highway bridges and repairs defects (i.e., flagged … repairs defects identified during inspections. However, highway bridges were not always inspected timely, including …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… Background In our initial audit report, which was issued on January 15, 2010, our objective was to determine whether the New York State Thruway Authority (NYSTA) adequately ensured that fuel … Other Related Audits/Reports of Interest New York State Thruway Authority: Gas Prices at Thruway Travel Plazas …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followAccuracy of Reported Discharge Data (Follow-Up)
To determine the extent of implementation of the three recommendations included in our initial audit report Accuracy of Reported Discharge Data 2009N9
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followRainbow Rhymes Learning Center (Follow-Up)
… Purpose To determine the implementation status of the three … initial report, State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial … State Education Department (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followOversight of Grants (Follow-Up)
… Department officials are awaiting implementation of a new Statewide Grants Management System, currently scheduled …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… Payments for hospital services are generally based on standard fee schedules. However, hospitals may be entitled … for special items, while agreements with other hospitals do not have such limitations. From April 1, 2011 to June 30, 2011, …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughDiNapoli: Former Treasurer Sentenced in Oakfield Fire Department Theft
… treasurer Samantha Hilchey was ordered to pay $16,281 in restitution at her sentencing Monday in Oakfield Town Court. Hilchey created direct withdrawals … "Also disturbing is the unknown whereabouts of $4,340 in cash from a Mother's Day raffle. I thank Genesee County …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-former-treasurer-sentenced-oakfield-fire-department-theftState Agencies Bulletin No. 1644
To inform agencies of OSCs automatic processing of the April 2018 CSEA Performance Advances and provide instructions for payments not processed automatically
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1644-april-2018-civil-service-employees-association-csea-performance