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Pipeline Safety Oversight (Follow-Up)
… million in property damage. The Public Service Commission (PSC) operates a federally certified safety program for … Department of Public Service (DPS) staff, who report to PSC, conduct investigations of accidents and performs … April 1, 2013 through October 21, 2015, determined whether PSC was providing oversight of pipeline safety in accordance …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/pipeline-safety-oversight-followOverpayments of Certain Medicare Crossover Claims
… directly to Medicaid and bypassed the controls afforded by the crossover system. Key Recommendations Correct the … the Medicaid overpayments totaling $10 million caused by flawed eMedNY computer programs that incorrectly processed … of Health: Overpayments for Services Also Covered by Medicare Part B (2010-S-50) Department of Health: …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… in our initial audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits … whether the Department was correctly paying claims for services to Medicaid recipients who also have health … and proactive steps to administer Medicaid reimbursements for services provided to dual eligible individuals. About …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followFinancial Management Practices
… permit fees for access rights to the Great Sacandaga Lake and assesses fees to power companies for dam usage to …
https://www.osc.ny.gov/state-agencies/audits/2014/11/25/financial-management-practicesUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Department of Financial Services. On December 10, 2015, William Davis, former owner Davis Ethical Pharmacy, pleaded … in the Second Degree in Nassau County District Court. William Davis was sentenced on February 9, 2016 and made … we did not test, and formally assess the conduct of William Davis. Key Finding United officials made progress …
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)
… dental claims on behalf of the State. Emblem Health is the parent company of GHI and HIP Health Plan of New York, … in nature. Instead, they are used when periodontal disease is indicated. The objective of the treatment is to help shrink periodontal pockets, heal gum tissue, and …
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
… Purpose To determine whether Medicaid made improper fee-for-service … Medicaid provides a wide range of medical services to those who are economically disadvantaged and/or have … providers directly for Medicaid-eligible services rendered to Medicaid recipients. Under the managed care plan method, …
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
… the Department, the Market Order Administration unit is responsible for administration of all farm product market … specific market order detailed in Department regulations is established to assist the industry in achieving a variety … Order Program, particularly its Apple Market Order, which is administered pursuant to a contract with the New York …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Cancer Service Network, Inc.
… This overbilling included: (i) $73,568 for at least 1,903 hours that he did not work, (ii) $192,892 for 4,732 hours he claims to have worked but could not provide documentation to substantiate he worked those hours, (iii) $45,626 for 2,085 hours for work subcontractors …
https://www.osc.ny.gov/state-agencies/audits/2014/09/24/cancer-service-network-incOversight of International Offices
… (ESD) monitors the effectiveness of its international offices and manages payments to foreign representatives to … representatives $2.7 million to manage ten international offices. ESD 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
… controls over select State University of New York Upstate Medical University (Upstate) system applications are … 8, 2019. About the Program Upstate, the only academic medical center in Central New York, consists of four … controls over select State University of New York Upstate Medical University Upstate system applications are effective …
https://www.osc.ny.gov/state-agencies/audits/2020/06/10/user-access-controls-over-selected-system-applicationsControls Over Equipment (Follow-Up)
To assess the extent of implementation of the six recommendations included in our initial audit report Controls Over Equipment Report 2017N9
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
… Objective To determine whether the Department of Health (Department) took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from April 2018 through March … To determine whether the Department of Health took appropriate steps to collect …
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)
… Objective To determine the extent of implementation of the one … administering and enforcing election laws in the State. To fulfill these responsibilities, the BOE offers assistance to the 57 County Boards of Elections and the New York City … To determine the extent of implementation of the one …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… initial audit report, Improper Medicaid Payments to Eye Care Providers (Report 2015-S-6 ). Background Under federal … program and to protect Medicaid recipients from receiving care or services from providers who are not qualified. The … requirements. As a result of these weaknesses, six eye care professionals who did not comply with the Department’s …
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)
… included in our initial report, Facility Oversight and Timeliness of Response to Complaints and Inmate Grievances ( 2017-S-2 ). About the Program The … included in our initial report Facility Oversight and Timeliness of Response to Complaints and Inmate Grievances 2017S2 …
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
… is to provide agency instructions for processing the 2023 CUNY rate increases for Elevator Mechanics. Affected … 09/25/2020, 03/17/2021, 11/01/2021, 03/17/2022 and 03/17/2023 as contained in the attached Salary Rate Chart . … Dates The current rate increase is effective as of 03/17/2023. Transactions to process this increase may be entered in …
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)
… 21, 2012. Background The Big Flats Fire District No. 2 is located in Chemung County. The District’s general fund … $101,467 for the 2012 fiscal year. Included in the budget is $30,000 for rent of the Golden Glow Volunteer Fire … of Fire Commissioners consists of five elected members and is responsible for the District’s overall 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 Troy – Budget Review (B5-15-22)
… Purpose of Budget Review The purpose of our budget review was to determine whether the significant … the 2016 fiscal year are reasonable. Background The City of Troy, located in Rensselaer County, issued debt totaling … City of Troy Budget Review B51522 …
https://www.osc.ny.gov/local-government/audits/city/2015/11/10/city-troy-budget-review-b5-15-22City of Troy – Budget Review (B5-14-23)
… the significant revenue and expenditure projections in the City’s proposed budget for the 2015 fiscal year are reasonable. Background The City of Troy, located in Rensselaer County, issued debt totaling $21,630,000 to liquidate cumulative deficits in the City’s general fund for the years ending December 31, …
https://www.osc.ny.gov/local-government/audits/city/2014/11/07/city-troy-budget-review-b5-14-23