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Medicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
To determine the extent of implementation of the four recommendations made in our initial audit report Medicaid Payments for Pharmacy Claims Joia Pharmacy and a Related Prescriber Report 2013S4
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… the Department, through its Medicaid claims processing and payment system (eMedNY), pays providers directly for … a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for services …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Northside Center for Child Development (Northside) on its Consolidated Fiscal Report (CFR) were … To determine whether the costs reported by Northside Center for Child Development Northside on its …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualMay 1998: Accounting Requirements and Program Information for Multi-Modal Transportation Program
… improvement, reconditioning and preservation of: rail freight facilities and intercity rail passenger facilities and equipment; the ports of Albany, … the project is consistent with an approved airport layout plan; and county, town, city and village roads, highways, …
https://www.osc.ny.gov/local-government/publications/may-1998-accounting-requirements-and-program-information-multi-modal-transportation-programReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 ). Background We issued our initial … costs of recipients diagnosed with end stage renal disease (ESRD) who were eligible for, but not enrolled in … Medicaid Costs for Recipients With End Stage Renal Disease ( 2015-S-14 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the Interdisciplinary Center for Child Development (ICCD) on its Consolidated … Other Related Audits/Reports of Interest Lifeline Center for Child Development, Inc.: Compliance With the … Reimbursable Cost Manual ( 2016-S-95 ) Kennedy Child Study Center: Compliance With the Reimbursable Cost Manual ( …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualDiNapoli: Former City of Corning Clerk Arrested for Stealing Public Funds
… clerk Stephanie Burlew. She was charged with grand larceny in the third degree, a class D felony, for allegedly … fees; code enforcement fees; utility receipts; water and sewer fees; and parking summons fees. “I‘m dismayed that we continue to …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-former-city-corning-clerk-arrested-stealing-public-fundsDiNapoli: More Security Needed for Hazardous Materials at SUNY University Centers
… Two of the State University of New York’s (SUNY) flagship campuses, Buffalo and Stony Brook, did not properly monitor or restrict access to hazardous … Two of the State University of New Yorks SUNY flagship campuses Buffalo and Stony Brook did not properly monitor or restrict …
https://www.osc.ny.gov/press/releases/2018/12/dinapoli-more-security-needed-hazardous-materials-suny-university-centersRevenue Enhancement Ideas: Cash Management for Local Governments and School Districts
… starts with building an accurate cash flow estimate and monitoring actual receipts and disbursements. Review monthly analysis reports from the … daily cash balances. Perform a detailed cash flow analysis and update it throughout the year. Conduct more frequent cash …
https://www.osc.ny.gov/local-government/publications/revenue-enhancement-ideas-cash-management-local-governments-and-school-districtsLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… benefits. This booklet explains some of those benefits and the services available to you as a member of our system, … (service retirement benefits) if you meet the service and age requirements; Benefits you may receive if you become … plan booklet describes the benefits available to Tier 1 and 2 members who elected coverage under the Legislative and …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Life Changes: Getting Your Affairs in Order and A Guide for Survivors
… be expected of them? This presentation can help guide you. The first section discusses what you can do now to ensure … to donate your organs after your death, be sure it’s noted on your driver’s license or carry an organ donation card in … It is a good idea to review and update this information on a regular basis. The section below is for your survivors. …
https://www.osc.ny.gov/retirement/publications/getting-your-affairs-order-and-guide-survivorsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… and if so, to quantify the overpayments made by United HealthCare resulting from this practice. The audit covered … with United HealthCare (United) to process and pay medical claims from health care providers for services provided to … claims from non-participating providers at amounts that are generally higher (and often significantly higher) than …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Excessive Medicaid Payments for … ended June 30, 2009, we identified about $600 million in Medicaid payments that could have been avoided had the … pace with other states’ efforts to limit Medicaid payments in areas where Medicaid and Medicare programs overlap. The …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). Background … which was issued on December 9, 2010, examined whether nursing home claims submitted to Medicaid for hospital bed … reserve days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve day limits. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… designated with modifier code 59 that were not distinct and independent from other services provided on the same day. … health insurance coverage to more than 1.2 million active and retired State, participating local government and school district employees and their dependents. The …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Hamburg Recreation Worker Sentenced to Jail and Probation for Stealing $156K
… months of weekends in jail and five years of probation for her theft of $156,374, which she has now repaid. Joanne … Erickson, 54, took fees from 2011 to 2017, including money for children’s programs, according to an investigation and … defendant embezzled money intended to support programs for children in her community. My office will continue to …
https://www.osc.ny.gov/press/releases/2019/03/hamburg-recreation-worker-sentenced-jail-and-probation-stealing-156kMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… (Board), the Division works with cemetery officials on a wide range of issues, including the sale of lots, service … cemeteries from falling into disrepair or insolvency. When a not-for-profit cemetery is abandoned, either due to fiscal … the local municipality and can become a financial and/or program burden on the community. The Law establishes certain …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its Supportive Housing Contract C007374 with the Postgraduate Center for Mental Health (PCMH) by ensuring that contracted services … To determine whether the Office of Mental Health OMH is effectively administering …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… tracking and reporting on spending and using such funds in compliance with program requirements. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingDiNapoli: Strong Growth for Local Sales Tax Collections Halfway Into 2018
… sales tax collections across New York grew 6 percent in the first six months of 2018, according to a report released … totaled $8.5 billion compared to $8 billion during the same period last year. This is the highest half-year increase in the state since 2010 and …
https://www.osc.ny.gov/press/releases/2018/08/dinapoli-strong-growth-local-sales-tax-collections-halfway-2018