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Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… payments and improve claims processing controls. Other Related Audits/Reports of Interest Department of Health: …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… of Health system has adequate controls to ensure accurate enrollments in the Medicaid program and to determine whether improper enrollments caused Medicaid overpayments. The audit covered … fully assess the adequacy of NYSOH controls over Medicaid enrollments and fully determine the extent to which improper …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthTowns’ Road Management Plans (2014-MR-2)
… [pdf] , Dryden [pdf] , Highland [pdf] , Masonville [pdf] , Newark Valley [pdf] , Oneonta [pdf] , Preston [pdf] , and … and repair needs and financing. Five towns (Dryden, Newark Valley, Oneonta, Schoharie and Preston) had an annual …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2015/03/20/towns-road-management-plans-2014-mr-2Sky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programMedicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… for Medicaid recipients diagnosed with end stage renal disease who were entitled to Medicare coverage at the time of … for claims billed with incorrect information pertaining to other health insurance coverage that recipients had; $357,498 … claim that was billed at a higher level of care than what was actually provided; and $25,354 in improper payments …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016Inspire (Orange County Cerebral Palsy Association) – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2013. Background Inspire, located in Goshen, New York, was originally founded as Orange County … preschool special education programs at three sites (Goshen, Newburgh, and Monroe, New York) that serve …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/inspire-orange-county-cerebral-palsy-association-compliance-reimbursable-cost-manualSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… State costs related to site investigation and remediation, bill for and collect these costs from responsible parties in … billing process and the timeliness of billing. However, bill preparation is a very time-consuming process and billing … which delays recovery of some State costs until the next bill is prepared. We reviewed 21 bills for eight sites and …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryMedicaid Program – Claims Processing Activity April 1, 2024 Through September 30, 2024
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible members and generates payments to reimburse the providers for their claims. During the 6-month period ended September … to providers. However, we also identified the need for improvement in the processing of certain types of claims. …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/medicaid-program-claims-processing-activity-april-1-2024-through-september-30-2024Selected Employee Travel Expenses
… using State funds to pay for her travel with him and the team to local and national track events. Key Recommendations …
https://www.osc.ny.gov/state-agencies/audits/2014/05/07/selected-employee-travel-expensesCity of Glen Cove – Budget Review (B7-16-12)
… totaling more than $4 million in the general, water, and golf and recreation funds. The City included $3.9 million in … to monitor the financial position of the water and golf and recreation funds and implement a financial plan that …
https://www.osc.ny.gov/local-government/audits/city/2016/10/14/city-glen-cove-budget-review-b7-16-12Elmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Elmcrest Children’s Center, Inc. (Elmcrest) on its Consolidated Fiscal Report … integrated preschool classroom within its early education center. Elmcrest is authorized by SED to provide preschool … Compliance With the Reimbursable Cost Manual (2015-S-45) Center for Disability Services: Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualNorth Country Kids, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by North County Kids, Inc. (North Country) on its Consolidated Fiscal Reports (CFRs) were … Cost Manual (RCM). The audit covered expenses reported on North Country’s CFR for the fiscal year ended June 30, 2014, … To determine whether costs reported by North County Kids Inc on its Consolidated Fiscal Reports were …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manualSecurity and Effectiveness of Division of Criminal Justice Services’ Core Systems
… effectively, and available to continue processing in the event of a disaster or mishap that disables normal … Division systems are at risk for total data loss in the event of a regional disaster. ITS does not have an … Coordinate with the Division to develop and regularly test a comprehensive disaster recovery plan. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-division-criminal-justice-services-core-systemsControls Over Cash Advance Accounts
… advance accounts by transferring the funds to an unrelated account, without notifying the Office of the State … them to OSC as required by State law. Parks’ Petty Cash Account, which had not been reconciled in at least four … authorized, and Parks officials were unable to explain or account for the surplus. Parks inappropriately used Petty …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/controls-over-cash-advance-accountsKids & 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 … with another privately-owned special education company, Kids Quality Care, Inc. (KQC). The New York City Department … Determine whether costs reported by Kids the Training Institute Inc on CFR were properly …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-training-institute-inc-compliance-reimbursable-cost-manualMedicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… payments, as follows: $10.2 million was paid for managed care premiums on behalf of Medicaid recipients who also had … inpatient claims that should have been paid by managed care; $784,905 was paid for inpatient claims that were billed at a higher level of care than what was actually provided; $652,210 was paid for …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… than $36 billion. The claims are processed and paid in weekly cycles, which averaged about 12.1 million claims and …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021City of Newburgh – Budget Review (B21-6-13)
… review was to determine whether the significant revenue and expenditure projections in the City’s 2022 proposed … must be submitted to the State Comptroller for examination and recommendations. Key Findings The City’s proposed budget … parking violation fines, sanitation user fees, sewer usage and sale of metered water. Based on projections, the health …
https://www.osc.ny.gov/local-government/audits/city/2021/11/10/city-newburgh-budget-review-b21-6-13Higher Education – 2021 Financial Condition Report
… year before were 2.0 and 0.5 percent, respectively. Online course enrollment for the State University of New York (SUNY) … the 2019-20 academic year, an estimated 297,661 students received State Tuition Assistance Program (TAP) awards, totaling $838.3 million. New York State also provided …
https://www.osc.ny.gov/reports/finance/2021-fcr/higher-educationInternal Controls Over Selected Financial Operations (Follow-Up)
… In 1934, the New York State Legislature enacted the Alcoholic Beverage Control Law (Law), creating the State Liquor Authority and the Division of Alcoholic Beverage Control (both commonly and hereafter … 31, 2020, SLA generated almost $49 million in revenue from licenses and fees. Travel expense reports provide …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-follow