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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… in our initial audit report, United HealthCare - Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, the … fraudulent claims to NYSHIP and received payments for those claims. We coordinated our audit and investigative …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… GHI include periodontal scaling and root planing for the treatment of periodontal disease. Scaling involves the … Scaling and root planing are covered by GHI for the treatment of periodontal disease, and according to GHI's … periodontal disease is indicated. The objective of the treatment is to help shrink periodontal pockets, heal gum …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… through December 31, 2013. Background Medicaid provides a wide range of medical services to those who are economically …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careAnnual Assessment of Market Orders for 2012, 2013, and 2014
… expenses related to its administration of Article 25 of the Agriculture and Markets Law. We performed our audit … that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 … and the Cabbage Research and Development Program. Article 25 of the Agriculture and Markets Law authorizes the market …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Cancer Service Network, Inc.
… all services to various vendors, including JLJ Consulting Group, LTD (JLJ Consulting), a for-profit corporation, which … We referred our findings to the United States Attorney’s Office – Southern District of New York (US Attorney). Based … made to Cancer Service Network Inc CSN for the Cancer S …
https://www.osc.ny.gov/state-agencies/audits/2014/09/24/cancer-service-network-incOversight of International Offices
… has recently scaled back its international presence and closed offices in Australia, Brazil, Chile, China, Mexico and …
https://www.osc.ny.gov/state-agencies/audits/2013/06/28/oversight-international-officesUser Access Controls Over Selected System Applications
… colleges, a research enterprise, a clinical system, and a hospital that includes a Level 1 trauma center and a dedicated children’s hospital and cancer center. To facilitate patient care, …
https://www.osc.ny.gov/state-agencies/audits/2020/06/10/user-access-controls-over-selected-system-applicationsControls Over Equipment (Follow-Up)
… $285.6 million in equipment. Descriptions, purchase order numbers, and other information about major movable equipment … Equipment costing $500 or more must be tagged and the tag numbers are recorded in the asset management system. When …
https://www.osc.ny.gov/state-agencies/audits/2022/12/20/controls-over-equipment-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from … of Health took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followWindows Domain Administration and Management
… of security policies, procedures, and practices, and know how to protect State entity information. The Security …
https://www.osc.ny.gov/state-agencies/audits/2023/05/31/windows-domain-administration-and-managementImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… in our initial audit report, Improper Medicaid Payments to Eye Care Providers (Report 2015-S-6 ). Background Under … State requirements. As a result of these weaknesses, six eye care professionals who did not comply with the … Department of Health: Improper Medicaid Payments to Eye Care Providers ( 2015-S-6 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances (Follow-Up)
… report, Facility Oversight and Timeliness of Response to Complaints and Inmate Grievances ( 2017-S-2 ). About the … facilities throughout the State and the timely response to complaints and inmate grievances. The Commission receives more than 7,000 complaints and inmate grievances annually. The Commission …
https://www.osc.ny.gov/state-agencies/audits/2019/06/18/facility-oversight-and-timeliness-response-complaints-and-inmate-grievances-followCUNY Bulletin No. CU-758
… for processing the 2023 CUNY rate increases for Elevator Mechanics. Affected Employees CUNY employees in the title of Elevator Mechanic are affected. Background A Consent … regarding rate increases for employees in the title of Elevator Mechanic, Elevator Mechanic’s Helper, and Supervisor …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-758-cuny-elevator-mechanic-rate-increases-2023Big Flats Fire District #2 – Internal Controls Over Financial Operations (2012M-155)
… January 1, 2011 through June 21, 2012. Background The Big Flats Fire District No. 2 is located in Chemung County. … Big Flats Fire District 2 Internal Controls Over Financial …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/01/30/big-flats-fire-district-2-internal-controls-over-financial-operations-2012mCity of Binghamton – Apparent Misappropriation of Parks and Recreation Department Funds (2013M-169)
… Common Council is the City’s legislative branch. John Whalen was a City employee for 39 years. He was … from which he misappropriated program funds totaling at least $107,984. Specifically, we found that the City could … on this account and the bank statements were mailed to his home address. Even though the account was titled in the …
https://www.osc.ny.gov/local-government/audits/city/2013/10/03/city-binghamton-apparent-misappropriation-parks-and-recreation-department-fundsCity of Troy – Budget Review (B5-14-23)
… Purpose of Audit The purpose of our budget review was to determine whether the significant … revenue and expenditure projections in the City’s proposed budget for the 2015 fiscal year are reasonable. Background … are outstanding. Key Findings The City’s proposed budget, while generally reasonable, needs improvement to make …
https://www.osc.ny.gov/local-government/audits/city/2014/11/07/city-troy-budget-review-b5-14-23Allegany County Industrial Development Agency – Internal Controls Over Selected Financial Activities (2012M-244)
… Agency (ACIDA) was established in 1973 and is governed by a Board of Directors which comprises five members who are … criteria before it approved the construction of a $760,000 facility with the apparent sole function of housing the … for an IDA to construct a building to be used for County office space. Key Recommendations Adopt written policies and …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2013/05/31/allegany-county-industrial-development-agency-internalCity of Glen Cove -- Budget Review (B17-7-12)
… permit revenues, an increase of $53,000 over the 2017 estimate. City officials estimate $675,000 in termination payments, including $625,127 …
https://www.osc.ny.gov/local-government/audits/city/2017/10/13/city-glen-cove-budget-review-b17-7-12City of Troy – Budget Review (B5-15-22)
… and expenditure projections in the City’s proposed budget for the 2016 fiscal year are reasonable. Background The City … liquidate cumulative deficits in the City’s general fund for the years ending December 31, 1993, 1994 and 1995. Local … proposed budget includes estimated revenues related to the sale of real property, franchise fees, sales tax and advanced …
https://www.osc.ny.gov/local-government/audits/city/2015/11/10/city-troy-budget-review-b5-15-22