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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield … 2012 (Report 2012-S-132). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… recommendations made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield … 31, 2012 (Report 2013-S-28). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Plan covers many health care services, … discount revenue that was not credited to the Department for the period January 1, 2010 through December 31, 2012. … Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims Submitted by Davis Ethical …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the Milestone School for Child Development (Milestone) on its Consolidated Fiscal … The audit included all expenses claimed on Milestone’s CFR for the fiscal year 2012-13, and certain expenses claimed on Milestone’s CFRs for the two fiscal years ended June 30, 2012. Background The …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualExamination of Unemployment Insurance Benefits
… of our examination were to determine if Unemployment Insurance (UI) payments made by the Department of Labor (DOL) … of our examination were to determine if Unemployment Insurance UI payments made by the Department of Labor DOL …
https://www.osc.ny.gov/state-agencies/audits/2014/06/09/examination-unemployment-insurance-benefitsSelected Aspects of Discretionary Spending
… $15,500 for training with no written justification of the business need, including $12,500 for two separate three-day … Other Related Audit/Report of Interest Battery Park City Authority: Selected Aspects of Discretionary …
https://www.osc.ny.gov/state-agencies/audits/2014/09/19/selected-aspects-discretionary-spendingProperty Tax Freeze Credit
… PTF Credit for tax year 2015, homeowners must receive the STAR property tax exemption (i.e., the property must be the … either the homeowner or property was not eligible for the STAR property tax exemption. This includes out-of-state …
https://www.osc.ny.gov/state-agencies/audits/2016/11/08/property-tax-freeze-creditKids Quality Care, Inc. – Compliance With the Reimbursable Cost Manual
… the Training Institute (KTI). The New York City Department of Education (DoE) pays tuition and fees to KQC using rates … CFR filed with SED. SED reimburses the DoE for a portion of its payments to KQC. For the two fiscal years ended June … services. The personal service disallowances consisted of $73,258 in excess salary costs for its Executive …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-quality-care-inc-compliance-reimbursable-cost-manualOvertime and Other Time and Attendance Matters Found in the Use of Certain Federal Funds
… Station found one conductor was not at his assigned post when a train made a stop. Key Recommendations Monitor …
https://www.osc.ny.gov/state-agencies/audits/2014/01/24/overtime-and-other-time-and-attendance-matters-found-use-certain-federal-funds-0Selected Employee Travel Expenses
… including 17 employees with outliers in lodging, meals, rental cars, air fare, train, large negative adjustment, fuel and …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/selected-employee-travel-expenses-0Kids & the Training Institute, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Kids & the Training Institute, Inc. (KTI) on the Consolidated Fiscal Report (CFR) were properly … Determine whether costs reported by Kids the Training Institute Inc on CFR were properly calculated adeqtly documented allwble under the Manual by SED …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-training-institute-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… system processes Medicaid claims for ancillary services in accordance with Medicaid reimbursement policies. The audit … Ancillary services refer to health care services provided in the home, medical offices, clinics, and other freestanding … controls within eMedNY designed to pay Medicaid claims in accordance with the Department's Medicaid reimbursement …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientMedicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from October … To determine whether the Department of Healths eMedNY system …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Kids in Action of Long Island, Inc. – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Kids in Action of Long Island, Inc. (Kids in Action) on its Consolidated Fiscal Report (CFR) were … (CFR Manual). The audit covered expenses reported on Kids in Action’s CFR for the fiscal year ended June 30, 2015. …
https://www.osc.ny.gov/state-agencies/audits/2022/03/04/kids-action-long-island-inc-compliance-reimbursable-cost-manualRolling Stock Programs Department – Selected Aspects of the M9 Rail Car Project Management
… the M9 contract so that the contractor delivers the cars on time, within the required scope and quality, and … 18, 2013, LIRR awarded a contract to procure new M9 train cars. The procurement is managed by LIRR’s Rolling Stock … The contract includes a firm initial base order of 92 cars with options for an additional 584 M9 cars for LIRR …
https://www.osc.ny.gov/state-agencies/audits/2022/03/25/rolling-stock-programs-department-selected-aspects-m9-rail-car-project-managementMedicaid Program – Oversight of Managed Long-Term Care Member Eligibility
… (Department) made improper Medicaid managed long-term care (MLTC) premium payments on behalf of ineligible … are enrolled in MLTC plans, which provide long-term care services, such as home health care and nursing home care, for people who are chronically … of Health made improper Medicaid managed longterm care MLTC premium payments on behalf of ineligible enrollees …
https://www.osc.ny.gov/state-agencies/audits/2022/08/05/medicaid-program-oversight-managed-long-term-care-member-eligibilityAccess Controls Over Selected Critical Systems (Follow-Up)
… to complete our work, which limited the amount of testing we were able to perform. Key Findings OCFS has made …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followOversight of Construction Management Contracts
… Objective To determine if the Office of Parks, Recreation and Historic Preservation is adequately … through July 17, 2020. About the Program The Office of Parks, Recreation and Historic Preservation (Parks) is responsible for operating and maintaining the State …
https://www.osc.ny.gov/state-agencies/audits/2021/06/24/oversight-construction-management-contractsMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2020 … To determine whether the Department of Healths eMedNY system …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Technology Transfer Program and Royalty Payments
… Objective To determine if the Research Foundation for the State University of New York (Research Foundation) has taken the appropriate steps to protect the … through August 14, 2019. About the Program The Research Foundation’s mission is to provide talent, services, and …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/technology-transfer-program-and-royalty-payments