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Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2013 through March 31, 2014. Background The Department of Health (Department) administers the State’s Medicaid program. … not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in overpayments for pharmacy …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Metro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… community centers. Pursuant to State Education Law, special education providers (including Metro Therapy) …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… live in New York State; and Improper claims for certain clinic services, physician-administered drugs, and vision …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Purchasing and Procurement Practices (Follow-Up)
… Documentation to justify NYRA’s use of BEMs was generally very limited. Additionally, there were weaknesses in NYRA’s …
https://www.osc.ny.gov/state-agencies/audits/2024/01/18/purchasing-and-procurement-practices-followOversight of Mental Health Education in Schools (Follow-Up)
… Association in New York State, Inc. (MHANYS), a non-profit organization, led a call to action for a State law that would …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/oversight-mental-health-education-schools-followWestchester School for Special Children – Compliance With the Reimbursable Cost Manual
… Davidson dealer; $1,723 for lodging at the Majestic View Lodge near Zion National Park; $1,620 at a cigar store; and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/02/westchester-school-special-children-compliance-reimbursable-cost-manualMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… of care, which caused overpayments of $412,737; Claims for childcare services while the recipient was hospitalized, …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012University at Albany – Sabbatical and Other Paid Leave
… guidelines and requirements relating to sabbatical leaves. In comparison, the guidelines and requirements for other paid leaves are general and limited. In previous audits, we recommended that SUNY strengthen … questionable uses of sabbatical leaves. The sabbaticals in question cost Albany $396,581. We also questioned the …
https://www.osc.ny.gov/state-agencies/audits/2013/07/30/university-albany-sabbatical-and-other-paid-leaveConservation Fund – Sources and Uses of Funds
… Purpose To determine whether Conservation Fund (Fund) revenues are accounted for properly and whether expenditures made from the Fund are consistent with applicable State law and … To determine whether Conservation Fund Fund revenues are accounted for properly and whether …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-fundsSky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help … cannot account for over $75,000 in contingency funds that were to be used specifically for client housing emergencies. … contingency funds. Determine whether any contingency funds were used for the personal benefit of Sky Light officials and …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programMedicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … $675,265 in overpayments; Claims with incorrect billings for alternate levels of care, which caused $465,313 in …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Churchill School and Center – Compliance With the Reimbursable Cost Manual
… $3,023,220 in claimed costs as follows: $1,412,227 in compensation costs incurred by the Center and the Development … that did not comply with Manual requirements; $376,597 in compensation paid to the Churchill's Executive Director and Chief Financial Officer in excess of SED's allowable …
https://www.osc.ny.gov/state-agencies/audits/2014/05/27/churchill-school-and-center-compliance-reimbursable-cost-manualAmerican Academy of Pediatrics, District II
… George Dunkel, the Executive Director of the AAP, was arrested and charged with one count of Grand Larceny in the …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiTravel Card Transactions
… Purpose The objective of our examination was to assess the timeliness of reconciling credit card transactions against expense reports and the appropriateness of select travel card … The objective of our examination was to assess the timeliness of reconciling credit card …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/travel-card-transactionsContract with Daytop Village, Inc. (Follow-Up)
… (OASAS) oversees programs for preventing and treating alcohol and substance abuse. Many of these programs are …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… Background Our initial audit report, which was issued on April 20, 2012, examined whether inappropriate Medicaid … issuance of the follow-up review to provide information on actions planned to address the unresolved issue discussed …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-follow2015 Year End Report
… Background The Board administered four sole custody funds in 2015.Board staff enter workers’ compensation claims data … staff follow up appropriately when system alerts indicate a potential duplicate payment. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/09/2015-year-end-reportExamination of Unemployment Insurance Benefits
… made by the Department of Labor (DOL) were appropriate and in accordance with applicable Federal and State laws and … payments and to prevent future inappropriate payments. In addition, we matched the DOL UI Benefit Overpayment File … outstanding benefit overpayments. The results contained in our report cover select high risk payment requests and …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/examination-unemployment-insurance-benefitsOther Bulletin No. 70
… such grade in fiscal year 2022-2023; and Has a Comp Rate Code of ANN on the payment effective date; and Did not have a … effective 03/30/2023 (Administration) using the Reason code PWH (Perf Withheld) and an increment code of 0003 in the Incr. Code field. These transactions …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-70-april-2023-state-university-construction-fund-scfOther Bulletin No. 69
… list on 03/31/2023 becomes eligible if they return to the payroll or are appointed to an eligible position between … requirement following the employee’s return to active payroll status. Demotions after 03/31/2023: An employee … Report to inactive individuals who are 62 or older in the calendar year and to active employees with the New York …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-69-april-2023-state-university-construction-fund-scf