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Variety Child Learning Center – Compliance With the Reimbursable Cost Manual
… through June 30, 2014, Variety provided certain rate-based preschool special education services (Preschool Special Class and Preschool Special Education Itinerant Teacher services) to …
https://www.osc.ny.gov/state-agencies/audits/2017/05/31/variety-child-learning-center-compliance-reimbursable-cost-manualSpotted Zebra Learning Center, Inc. – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Spotted Zebra Learning Center, Inc. (Spotted Zebra) on its Consolidated … Determine whether costs reported by Spotted Zebra Learning Center Inc on its Consolidated Fiscal Report were …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/spotted-zebra-learning-center-inc-compliance-reimbursable-cost-manualQuestionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (Follow-Up)
… issues with medical records provided by a physician, Dr. Riaz Ahmad, to support his Medicaid claims. Our review of a sample of Dr. Ahmad’s medical records found they contained inadequate … Key Finding At the time of our follow up review, the Office of the Medicaid Inspector General (OMIG) was actively …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/questionable-payments-practitioner-services-and-pharmacy-claims-pertaining-selectedUniversal Pre-Kindergarten Program – Monitoring of Health and Safety Requirements
… Education Department’s (Department) monitoring of the Universal Pre-Kindergarten providers’ compliance with … January 1, 2013 through August 4, 2016. Background The Universal Pre-Kindergarten (UPK) program was established … whether the State Education Departments monitoring of the Universal PreKindergarten providers compliance with …
https://www.osc.ny.gov/state-agencies/audits/2016/12/20/universal-pre-kindergarten-program-monitoring-health-and-safety-requirementsJawonio, Inc. – Compliance With the Reimbursable Cost Manual
… and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual … and chronic medical conditions. Jawonio is approved by SED to provide preschool special education services to … is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial …
https://www.osc.ny.gov/state-agencies/audits/2016/10/07/jawonio-inc-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… weights; $389,813 in improper payments for inpatient, clinic, durable medical equipment, transportation, and eye …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Oversight of Homeless Shelters (Follow-Up)
… and support to county Departments of Social Services (Local Districts) in the operation of these programs. Through … meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, it has delegated … for oversight of smaller, uncertified shelters to the Local Districts. However, the Office remains responsible for …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … through September 30, 2011. Background The Department of Health (Department) administers the State's Medicaid program. … live in New York State; and Improper claims for certain clinic services, physician-administered drugs, and vision …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that … April 1, 2013 through September 30, 2013. Background The Department of Health (Department) administers the State’s … controls. Other Related Audits/Reports of Interest Department of Health: Medicaid Claims Processing Activity …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Medicaid Program – Improper Payments to a Physical Therapist
… 1, 2010 through September 30, 2013. Background Mark Amir is a physical therapist who owns and operates Madison … who are enrolled in both Medicare and Medicaid. Under this arrangement, Medicare is the primary payer and Medicaid … Medicare claims using the National Provider Identifier (NPI) for his group practice and the related Medicaid claims …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistAffordable Home Ownership Development Program
… Purpose To determine whether Affordable Home Ownership Development Program (Program) grant managers are … To determine whether Affordable Home Ownership Development Program Program grant managers are …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/affordable-home-ownership-development-programSelected Employee Travel Expenses
… in compliance with State travel rules and is in the best interest of the State. Work with the Comptroller's …
https://www.osc.ny.gov/state-agencies/audits/2014/02/18/selected-employee-travel-expensesWhispering Pines Preschool, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Whispering Pines Preschool, Inc. (Whispering Pines) on its … for preschool special education services through rates set by SED. These reimbursement rates are based on financial … for three rate-based programs for the two years covered by our audit. The ineligible costs included: $71,397 in …
https://www.osc.ny.gov/state-agencies/audits/2015/06/02/whispering-pines-preschool-inc-compliance-reimbursable-cost-manualMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified … FQHCs billed incorrect reimbursement rates on their claims for group therapy services. The FQHCs billed an approximate rate of $200 per person for group therapy, as opposed to the required $35.16 rate per …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupFinancial Management Practices
… District’s (District) financial management practices in the areas of revenue collection, payroll, procurement, … levied on beneficiaries along the two watersheds. In addition, the District collects permit fees for access … by the Federal Energy Regulatory Commission (FERC) in 2007 for public safety reasons. The District has cut …
https://www.osc.ny.gov/state-agencies/audits/2014/11/25/financial-management-practicesMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… with improper payments for duplicate billings and for clinic and durable medical equipment services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Audit of the Tuition Assistance Program at Pratt Institute
… Corporation: Audit of the Tuition Assistance Program at New York Career Institute (2013-T-1) …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-pratt-instituteNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followProcurement and Contracting Practices (Follow-Up)
To determine the extent of implementation of the eight recommendations included in our initial audit report Procurement and Contracting Practices
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followDairy Inspections
… these records quarterly. The Unit also responds to consumer and producer complaints, conducts and supervises the … economic industry functions such as ensuring dairy products are properly represented in labeling and advertising …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/dairy-inspections