Search
Medicaid Program – Medicaid Drug Rebate Program Under Managed Care
… Purpose To determine whether the Department of Health (Department) has taken appropriate steps to maximize … care. Other Related Audit/Report of Interest Department of Health: Rebates and Discounts on Physician-Administered Drugs … To determine whether the Department of Health has taken appropriate steps to maximize rebate …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careUnited Community Services, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by United Community Services, Inc. … documented, program-related, and allowable pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (Manual). The audit covered expenses claimed on United’s CFRs for the …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/united-community-services-inc-compliance-reimbursable-cost-manualUnited HealthCare – Empire Plan Drug Rebates
… Determine if United HealthCare Insurance Company of NY credited Department of Civil Service for all rebate …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesCompliance With Payment Card Industry Standards
… in the United States, consisting of 64 institutions and about 460,000 enrolled students. SUNY System Administration … Key Findings SUNY schools were generally knowledgeable about PCI compliance and the need to protect credit card data …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/compliance-payment-card-industry-standardsUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine if Davis Ethical Pharmacy inappropriately billed United … reimburses United for all properly adjudicated claims. Davis Ethical Pharmacy (Davis Ethical) is an independently owned pharmacy located in … To determine if Davis Ethical Pharmacy inappropriately billed United …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… were implemented. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Empire BlueCross Blue Shield - Payments to …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followMedicaid Program – Overpayments of Hospitals' Claims for Lengthy Acute Care Admissions
… Purpose To determine whether Medicaid overpaid hospitals by … higher levels of medical care than those actually provided to patients. The audit covers the period April 1, 2005 … To determine whether Medicaid overpaid hospitals by reimbursing for higher levels …
https://www.osc.ny.gov/state-agencies/audits/2013/07/25/medicaid-program-overpayments-hospitals-claims-lengthy-acute-care-admissionsDual Employment
… work additional time at another facility (referred to as extra service), or may allow them to work various percentages … they reportedly worked more than 40 additional hours of extra service per pay period. Follow-up and additional … between facilities that utilize dually employed or extra service staff, as well as with other agencies that also …
https://www.osc.ny.gov/state-agencies/audits/2013/12/19/dual-employment-2Corcraft's Textile Procurement Practices
… at competitive prices. Corcraft employs about 2,000 of the State's 55,000 incarcerated offenders in the industry … facilities. Sales were about $49 million for the State fiscal year ended March 31, 2013. We focused our audit …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/corcrafts-textile-procurement-practicesCriminal History Background Checks of Unlicensed Health Care Employees
… previously been submitted through CHRC. These fingerprint results are sent electronically to the Federal Bureau of … Services (DCJS), which in turn, send any criminal history results to the Department. If the person has been … Department of Health: Nursing Home Surveillance (2015-S-26) …
https://www.osc.ny.gov/state-agencies/audits/2017/06/08/criminal-history-background-checks-unlicensed-health-care-employeesAccounts Payable Advisory No. 29
… Guide to Financial Operations: Chapter XII, Section 4.B - Certification of Vouchers Chapter XII, Section 4.D - Certification of Internal Controls over the Payment Process … controls over the payment process as a basis for that certification. This certification requirement is separate and …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/29-internal-controls-certificationCanarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual
… audit focused primarily on expenses claimed on CCC’s CFR for the fiscal year ended June 30, 2018 and certain expenses claimed on its CFRs for the 2 fiscal years ended June 30, 2017. About the Program … $504 in unsupported compensation, including $433 in salary and $71 in fringe benefits for a Teacher Assistant. …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/canarsie-childhood-center-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Overlapping Medicaid and Essential Plan Enrollments
… reflected in eMedNY when individuals transitioned between the Medicaid and Essential Plan programs and to identify overpayments resulting from inaccurate enrollments. The audit covered the period January 2016 through May 2022. … reflected in eMedNY when individuals transitioned between the Medicaid and Essential Plan programs and to identify …
https://www.osc.ny.gov/state-agencies/audits/2022/10/11/medicaid-program-improper-overlapping-medicaid-and-essential-plan-enrollmentsOversight of Telemental Health Services (Follow-Up)
… be able to provide services via TMH after February 1, 2023. The objective of our initial audit report, which was …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followHousing Trust Fund Corporation – Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly Program
… for administering the RESTORE program, which assists senior citizen homeowners with the cost of addressing emergencies … and within the prescribed time frames to better support senior homeowners in need of assistance. Specifically, we …
https://www.osc.ny.gov/state-agencies/audits/2021/07/15/housing-trust-fund-corporation-oversight-residential-emergency-services-offer-home-repairsMedicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… reviewed by this audit: outpatient claims for clinic, practitioner, transportation, referred ambulatory, durable …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsControls Over Transportation Services and Transportation-Related Expenses
… and ensure accountability over transportation expenses and services. The audit covers OPWDD transportation expenses … poor driving records to ensure the safety of individuals it transports. When notified that an employee’s license has … issued limited guidance to DDSOs for monitoring repair and maintenance costs for its fleet and does not monitor these …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/controls-over-transportation-services-and-transportation-related-expensesOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… long-term care services, such as home health care and nursing home care, for people who are chronically ill or …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followControls Over Capital Improvements at City-Owned Homeless Shelters (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Controls Over Capital … services for eligible homeless families and individuals in the City and for fiscal oversight of the homeless … shelters. DHS contracts with public and private entities in its mission to: prevent homelessness when possible; …
https://www.osc.ny.gov/state-agencies/audits/2023/03/22/controls-over-capital-improvements-city-owned-homeless-shelters-followStep Up Therapy Services, PLLC – Compliance With the Reimbursable Cost Manual
… June 30, 2015, Step Up reported approximately $7.4 million in reimbursable costs for the SED preschool cost-based … 3 fiscal years ended June 30, 2015, we identified $810,382 in reported costs – $697,499 in personal service costs and $112,883 in other than personal …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/step-therapy-services-pllc-compliance-reimbursable-cost-manual