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Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Medicaid payments, including: $1,822,467 in payments for pharmacy claims that posed patient safety concerns or were …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Contracted Programs With Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc.
… Purpose To determine whether the Office of Alcoholism and Substance Abuse Services (OASAS) is effectively monitoring … programs for the prevention and treatment of alcohol and substance abuse. OASAS entered into a five-year contract with … Related Audit/Report of Interest Office of Alcoholism and Substance Abuse Services: Samaritan Village, Inc. - Chemical …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/contracted-programs-puerto-rican-organization-motivate-enlighten-and-serve-addicts-incMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… claims for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 … with incorrect information pertaining to other health insurance coverage that recipients had; $112,981 in overpayments for nursing home claims for which eMedNY did not correctly deduct the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Substances Act (Act), which was enacted to combat illegal use of controlled substances, limits the quantities of … a pharmacy filled two telephone orders for alprazolam (a drug used to treat anxiety) on the same day for one … for a 30-day supply even though telephone orders for this drug are limited to a five-day supply that can only be …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsSocial Adult Day Services
… the New York State Office for the Aging (NYSOFA) and the Department of Health (DOH), are effectively overseeing Social Adult Day … to client eligibility, service plans, staffing, training, and physical safety. The audit covers the period April 1, … State agencies particularly the Office for the Aging and the Department of Health are effectively overseeing …
https://www.osc.ny.gov/state-agencies/audits/2015/12/02/social-adult-day-servicesOverpayments to Cabrini Medical Center (Follow-Up)
… overpayments to the Department of Health (Department) for further review. Auditors determined the eMedNY system did …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followTuition Assistance Program – State Financial Aid Program at Barnard College
… is a women’s liberal arts college. Located in Manhattan, near Columbia University, students at both schools can enroll …
https://www.osc.ny.gov/state-agencies/audits/2015/08/03/tuition-assistance-program-state-financial-aid-program-barnard-collegePublic School Safety – Incident Reporting and Unauthorized Student Departures
… Act (SAVE Act) requires public school districts to collect data on violent and disruptive incidents that occur on school … of Criminal Justice Services, SED developed a uniform incident reporting system, the Violent and Disruptive … to SED by September 30 of each year. SED uses this VADIR data to calculate each school’s “School Violence Index” …
https://www.osc.ny.gov/state-agencies/audits/2015/04/29/public-school-safety-incident-reporting-and-unauthorized-student-departuresMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… of about $2.4 million; $555,103 in improper payments for pharmacy claims that were not in compliance with State …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Assertive Community Treatment Program
… Purpose To determine whether the Office of Mental Health (Office) is effectively overseeing the … The Office promotes the mental health and well-being of all New Yorkers. Its mission is to facilitate recovery for … development and in the early identification and treatment of children’s serious emotional disturbances; and to improve …
https://www.osc.ny.gov/state-agencies/audits/2015/05/06/assertive-community-treatment-program2014 Year End Report
… various system edits and validation checks, approved, and submitted to our Office for approval prior to payment by the … checks as the claims processed by the Board and SFCC and submitted to our Office for approval. If either the Board or … over $1.3 million that were approved by the Board and submitted to our Office for final approval even though the …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-reportMedicaid Program – Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services
… Purpose To determine if the owner of a Medicaid eye care provider and … inappropriately enrolled as Medicaid recipients and to determine if the provider inappropriately billed Medicaid … To determine if the owner of a Medicaid eye care provider and the owners associates …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andHate Crime Reporting
… city, and local police agencies (agencies) to report crime data, including hate crimes, to the Division. Crimes are … incidents that agencies report to the Division include data, such as the number of incident(s) reported, date of the incident(s), bias …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingSelected Payments for Special Items Made to Stony Brook University Hospital from January 1, 2011 through March 31, 2011
… New York's Stony Brook University Hospital (Stony Brook) for special items were made according to the provisions of … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-stony-brook-university-hospital-january-1-2011-throughEmpire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… (Empire's) payments to Saratoga Hospital (Saratoga) for special items were made according to the provisions of … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januarySelected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011
… payments to Mary Imogene Bassett Hospital (Bassett) for special items were made according to the provisions of … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-throughCompliance With State Arts Education Requirements
… (NYC) Department of Education (DoE) students completed an Arts education curriculum that complied with State Education Department Regulations. Background Arts education-related studies conclude that an Arts education reduces the risk of students dropping out of …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/compliance-state-arts-education-requirementsMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 1, 2012 through March 31, 2013. Background The Department of Health (Department) administers the State's Medicaid … 167 million claims resulting in payments to providers of about $26 billion. The claims are processed and paid in …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Real Estate Portfolio
… Frontier Transportation Authority has accounted for all of its real estate holdings, established a value for those holdings, … and determined the need to either hold or dispose of properties, and whether it has disposed of real property … Frontier Transportation Authority has accounted for all of its real estate holdings established a value for those …
https://www.osc.ny.gov/state-agencies/audits/2014/03/27/real-estate-portfolio