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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were not distinct and independent from other services provided on the same day. The audit covered the … to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and … Tuition Assistance Program (TAP) awards. Background Stony Brook University (Stony Brook) is a university within the State University of … To determine whether Stony Brook University complied with the Education Law and …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… certifying students for State-funded Tuition Assistance Program (TAP) awards. Background LaGuardia Community … fields, including nursing, business, liberal arts, and computer science. LaGuardia’s student enrollment at the time … York City residents is about $4,500. TAP is an entitlement program designed to provide funds for paying tuition costs to …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-collegeHousing Preferences for Veterans (Follow-Up)
… included in our initial audit report, Housing Preferences for Veterans (Report 2011-N-3 ). Background Our initial … State Legislature had extended the right of preference for housing to many more veterans, few actually benefited due … included in our initial audit report Housing Preferences for Veterans Report 2011N3 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followAudit of the Tuition Assistance Program at Pratt Institute
… of Education's Rules and Regulations (Regulations) when certifying students for State-funded Tuition Assistance … of Educations Rules and Regulations Regulations when certifyi …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-pratt-instituteRainbow Rhymes Learning Center (Follow-Up)
… State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial audit … (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate and adequately supported. … State Education Department: Rainbow Rhymes Learning Center Report (2009-S-84) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… when we examined DoE’s discharge classifications for its 2004-08 general education cohort (i.e., the students …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… Purpose To determine the extent of implementation of the eight … which was issued on January 15, 2010, our objective was to determine whether the New York State Thruway Authority … contracts. We found that the NYSTA's efforts were adequate to ensure fuel and food concessionaires pay full rent on time …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Purpose To determine the extent of implementation of the three … was issued on Report April 26, 2013, our objective was to determine whether the New York State Thruway Authority … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2009-S-54 ). Background Our … 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have … justify the need for new or renewed contracts for personal and miscellaneous services. In addition, the Port Authority …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… were accurately processed, and resulted in correct provider payments. We identified five reportable conditions. The first reportable condition entailed the identification and … Other Related Audits/Reports of Interest Department of Health: Medicaid Claims Processing Activity October 1, 2008 …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… Institute (Institute), established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… in our initial audit report, Rebates and Discounts on Physician-Administered Drugs (2010-S-72). Background … qualified providers. Providers are required to pass on the savings to Medicaid when they submit claims for 340B drugs. Our initial audit report, which was issued on July 24, 2012, determined the Department of Health had …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followTrash Can Free Stations Pilot Program
… effectively evaluated the various Phases of the Trash Can Free Stations Pilot Program, intended to improve … In October 2011, Transit’s SEO began the “Trash Can Free Stations Pilot Program” (or Pilot Program) to reduce … effectively evaluated the various Phases of the Trash Can Free Stations Pilot Progra …
https://www.osc.ny.gov/state-agencies/audits/2015/09/22/trash-can-free-stations-pilot-programMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Two Fiscal Years Ended March 31, 2013
… Vehicle and Traffic Law, the Department is responsible for tracking its cost of administering these Acts, and assessing …
https://www.osc.ny.gov/state-agencies/audits/2015/03/19/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-twoSelected Aspects of the Migrant Education Program
… Purpose To determine whether the State Education Department (Department) properly oversees the Migrant Education Program (Program) to ensure that it complies with … and achieves its program goals. Background The Migrant Education Program (Program) is a federal grant program …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programReview of Credit Card Expenses at Finger Lakes DDSO
… reviewed select Procurement Card transactions incurred by Finger Lakes Developmental Disabilities Service Office (DDSO) to Finger Lakes Home Supply from December 18, 2012 through June … The objective of our examination was to determine whether Finger Lakes DDSO adhered to State purchasing laws, rules and …
https://www.osc.ny.gov/state-agencies/audits/2015/06/12/review-credit-card-expenses-finger-lakes-ddsoFuel and Services
… prices, and received the quality and quantity of goods and services it procured during its response to Superstorm Sandy. … the reasonableness of prices paid for the procurement of services from the ten vendors in our examination, (ii) the …
https://www.osc.ny.gov/state-agencies/audits/2015/06/30/fuel-and-servicesCollection of Medicaid Accounts Receivable (Follow-Up)
… Purpose To determine the extent of implementation of the four … through February 18, 2010, we found the Department needed to act more effectively to collect about $37 million of accounts receivable … To determine the extent of implementation of the four …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/collection-medicaid-accounts-receivable-followArrochar Meats, Inc.
… direction and oversight of DMNA. Arrochar Meats is a food catering business located in Staten Island, New York, that regularly provides food to the New York Army National Guard (National Guard). We … to fuel and 16 vouchers totaling $78,062 related to food DMNA purchased from Arrochar Meats during the period …
https://www.osc.ny.gov/state-agencies/audits/2015/07/29/arrochar-meats-inc