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Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing … improper payments for HIV tests, duplicate billings, and clinic, practitioner, and health home services. By the end of …
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 … October 31, 2014. Background The Office promotes the mental health and well-being of all New Yorkers. Its mission … whose needs have not been well met by more traditional mental health services. Currently, 78 ACT provider teams are …
https://www.osc.ny.gov/state-agencies/audits/2015/05/06/assertive-community-treatment-program2014 Year End Report
… Purpose The objective of our examination was to determine whether payments to … Fund for Disability Benefits. However, the majority of these claims are processed by a third-party administrator, … The objective of our examination was to determine whether payments to …
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 the owner’s associates inappropriately enrolled as Medicaid … violations and questionable practices connected to the owner of a Medicaid eye care provider (Provider) and … To determine if the owner of a Medicaid eye care provider and the owners …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andHate Crime Reporting
… period January 1, 2010 through March 12, 2014. Background New York State Executive Law requires all State, city, and local … due to their actual or perceived race, color, national origin, ancestry, gender, religion, religious practice, age, …
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
… if BlueCross BlueShield's (Empire's) payments to Saratoga Hospital (Saratoga) for special items were made according to the provisions of the … 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
… Empire’s payments to Bassett are generally based on standard fee schedules. However, Bassett is entitled to … as implants, drugs, and blood) that are not covered by the standard fee schedules. Per Empire’s agreement with Bassett, …
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
… examined the Arts education received by a random sample of 310 New York City students who attended 166 New York City public high schools. These 310 students were from the cohort of 51,874 students who …
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
… processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it … coverage; $2,689,352 in inappropriate payments for lab services claims submitted well beyond the required time frame … billings; $222,806 in overpayments for claims for a dialysis drug billed at 10 times the number of units actually …
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
… drugs, duplicate procedures, transportation services, eye care services, and nursing home and other services. At …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Accounts Payable Advisory No. 71
… Subject : New Form 1099-NEC and Updated Form 1099-MISC Reference : Guide to Financial Operation, … Guidance : The Internal Revenue Service (IRS) revised Form 1099-MISC effective for the 2020 tax year to accommodate … The Internal Revenue Service IRS revised Form 1099MISC effective for the 2020 tax year to accommodate …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/71-processing-payments-subject-federal-reportingAccess Controls Over Selected Critical Systems (Follow-Up)
… by NYS IT policy and standards. Further, the audit team encountered significant delays during the audit due to …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followCourt Facilities Aid and Assistance Program
… through 13 Judicial Districts, including nine District Offices (Nassau and Suffolk counties have separate District Offices within District 10) and the Deputy Chief Judge for … OCA administers the CFIA program through its District Offices for all areas outside of New York City. For New York …
https://www.osc.ny.gov/state-agencies/audits/2019/12/18/court-facilities-aid-and-assistance-programCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… Objectives To determine if the Department of Corrections and Community Supervision (DOCCS) has developed targets and plans to effectively meet its contributions toward Executive Order 88 (EO 88) and … To determine if the Department of Corrections and Community …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsMedicaid 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 … are still needed. We identified uncollected drug rebates totaling $183.7 million, as follows: $119 million in rebates missed due to errors in Department claim extraction …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programHolland Central School District – Claims Audit (2021M-210)
… adequately supported and properly audited before payment. In addition, the current claims auditor did not receive …
https://www.osc.ny.gov/local-government/audits/school-district/2022/03/04/holland-central-school-district-claims-audit-2021m-210Ripley Central School District – Financial Management (2021M-23)
… the Ripley Central School District (District) Board of Education (Board) and District officials properly managed … reasonable estimates for appropriations and the amount of appropriated fund balance that will be used to fund … whether the Ripley Central School District District Board of Education Board and District officials properly managed …
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/13/ripley-central-school-district-financial-management-2021m-23Milford Central School District – Fund Balance Management (2022M-94)
… and District officials properly managed fund balance in accordance with statute. Key Findings The Board and … District officials did not properly manage fund balance in accordance with statute. As of June 30, 2021, surplus fund … comply with the statutory limit and use the excess funds in a manner beneficial to taxpayers. Develop and adopt a …
https://www.osc.ny.gov/local-government/audits/school-district/2022/08/26/milford-central-school-district-fund-balance-management-2022m-94Port Jervis City School District – Financial Condition (2022M-152)
… $23.6 million, exceeding the 4 percent statutory limit by 26 percentage points or $20.4 million. We project that the … budgets and reduce surplus fund balance to comply with the statutory limit. Budget for the funding of reserves and capital projects rather than …
https://www.osc.ny.gov/local-government/audits/school-district/2022/11/23/port-jervis-city-school-district-financial-condition-2022m-152