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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: … processes and pays Plan claims for hospital services in accordance with agreements Empire negotiates with member … Key Finding Empire officials made considerable progress in implementing the recommendations we made in our initial …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New … benefits plan for NYSHIP. The New York State Department of Civil Service contracts with Empire BlueCross BlueShield … To determine the extent of implementation of 3 recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate … made in our intl audit report United HealthCare Insurance Company of New York Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followControls and Accountability of Court, Trust and Bail Funds
… Department of Finance accurately accounts for Court, Trust and Bail funds. This audit covered from January 1, 2011 … Section 2601 of the New York State Civil Practice Law and Rules requires that all moneys paid into the New York … or no heirs able or willing to administer the estates), and other miscellaneous funds. Finance's Court Assets …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/controls-and-accountability-court-trust-and-bail-fundsSelected Procurement and Contracting Practices
… SUNY’s requirements to manage cost and could serve as best practice examples if more widely shared among the … to encourage campuses to identify, share, and adopt common best practices to manage costs and ensure efficiency. Other …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/selected-procurement-and-contracting-practicesReStacking Occupancy Initiative
… to implement this initiative. In 2011, OGS created the NYS Real Estate Center (Center) to oversee all real estate operations and consolidate the use of existing … large sections of vacant space that in turn was used to house employees currently in leased space. This method is …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/restacking-occupancy-initiativeMedicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… effectively implemented and applied the new APR DRG-based hospital inpatient payment system for Medicaid services when … implemented to provide a more equitable payment method for hospital inpatient services and to better reflect the … For instance, Medicaid paid $153,329 on a claim with hospital charges totaling $9,685 for a patient who died …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsConservation Fund – Sources and Uses of Funds
… support ranging between $40 million and $45 million based on annual license revenues that totaled $47 million to $69 …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-fundsSelected Aspects of Discretionary Spending
… is committed to public service and strives to be a model of what taxpayers expect from government. During the … are appropriate and dollar thresholds, as appropriate, for such items. In addition, the policies should prescribe … meetings, memberships in professional organizations, and training. In addition, an Authority procurement card was used …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/selected-aspects-discretionary-spending-2Fire District Information
… to file an annual financial report (AFR) with the New York State Comptroller's Office, within 60 days of the end of the year, on our Online Services portal. Below are some resources to make that as easy as … for Implementing New Training Requirements [pdf] List of Training Providers For Training Providers: …
https://www.osc.ny.gov/local-government/resources/fire-district-informationInternal Controls Over Selected Financial Operations (Follow-Up)
… SLA issues both on- and off-premises licenses (e.g., for bars and grocery stores, respectively) as well as manufacturing and wholesale …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-followTechnology Transfer Program and Royalty Payments (Follow-Up)
… at SUNY schools. We found the Research Foundation retained ownership rights for 94 percent of all IP disclosures from … through March 12, 2019; made decisions about retaining ownership rights for disclosed IP within the applicable time …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/technology-transfer-program-and-royalty-payments-followMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Objective To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to managed care organizations. The audit covered the period … To determine whether Medicaid made improper Supplemental Maternity Capitation Payments to …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No … in Mainstream Managed Care and Family Health Plus (Report 2015-S-47 ). About the Program Most Medicaid … enrolled recipients. We issued our initial audit report on July 11, 2017. The audit objective was to determine …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andOversight of Homeless Shelters
… Annual Homeless Assessment Report to Congress , New York State has the second largest population of homeless in the … 2007 and 2018. The Office administers programs for the State’s low-income residents and provides support to local … seeks to meet critical transitional housing needs of the State’s homeless population while guiding them to …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up)
… of Homeless Services (DHS) implemented the recommendations in our initial audit report, Oversight of Selected Fiscal … services for eligible homeless families and individuals in New York City and for fiscal oversight of the homeless … similar shelters and often exceeded prescribed ranges. In addition, the various DHS data systems were not …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-selected-fiscal-aspects-homeless-shelter-services-followThrough Ages, Inc. – Compliance With the Reimbursable Cost Manual
… 30, 2015, we identified $137,377 in reported costs that did not comply with the requirements in the RCM and CFR …
https://www.osc.ny.gov/state-agencies/audits/2020/06/03/through-ages-inc-compliance-reimbursable-cost-manualRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Report 2020-S-39 ). About the Program Many of the … the Medicaid services their recipients require, such as pharmacy services. Many recipients have other third-party …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… Medicaid managed care organizations inappropriately paid for durable medical equipment beyond allowed rental limits, and whether the Medicaid program could achieve … audit covered the period from July 2016 to December 2021 for non-oxygen-related durable medical equipment rentals and …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentals