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Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our … Department of Health (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who … To determine the extent of implementation of the six …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our … made overpayments for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary medical insurance for … made in our audit report Medicaid Payments for Medicare Part A Beneficiaries 2009S36 …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followManagement of General School Funds (Follow-Up)
… John F. Kennedy Educational Campus: Management of General School Funds (Report 2009-N-11). Background Our initial report, issued on May 25, 2010, found that New York City Department of Education (DoE) did not provide John …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… recommendations included in our initial audit report, Vehicle and Heavy Equipment Purchase Program ( Report … In addition, the Port Authority included funds for vehicle and equipment rentals in its annual Purchase Program. … Audit/Report of Interest Long Island Power Authority: Vehicle Acquisition, Use, and Disposition (2006-S-114) …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followManagement and Control of Employee Overtime Costs (Follow-Up)
… report, issued on August 17, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not effectively manage and … proper prior approvals and justification. In addition, the Port Authority did not meet the 20 percent overtime reduction …
https://www.osc.ny.gov/state-agencies/audits/2014/12/19/management-and-control-employee-overtime-costs-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in our audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background Our … place to ensure proper Medicaid payments for foster care children placed in voluntary agencies. The Department … the New York State Medicaid program. Many foster care children who are placed in private welfare agencies (known as …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-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-collegeImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… Our initial audit report, which was issued on July 24, 2012, determined that, for the five years ended June 30, 2010, Medicaid made $15.6 million in improper …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followMedicaid 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-30-2014American Academy of Pediatrics, District II
… C018189 and C022937. We sought to determine whether the expenses were bona fide and made in accordance with the … AAP approximately $1.5 million under these contracts for expenses related to various immunization initiatives. Key … Medical Education (CME) credits, program materials, hotel expenses, fringe benefits allegedly paid to the Executive …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiContract with Daytop Village, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three … OASAS paid Daytop $11.5 million more than it was entitled to. The objective of our follow-up was to assess the extent of implementation, as of October 2012, … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followTravel Card Transactions
… transactions at the Department of Economic Development (DED). Background The New York State Travel Manual requires … appropriately. This is a particular risk in an agency like DED, which has a relatively high volume of transactions per … including international travel. Key Findings We found many DED travelers did not reconcile their credit card …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/travel-card-transactionsExamination of Unemployment Insurance Benefits
… UI benefits from claimants who made false statements or representations to obtain benefits they were not eligible to …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/examination-unemployment-insurance-benefitsHourly Based Information Technology Services
… for consultants with the required months of experience; and (iii) exclusively for hours worked. Background In November 2012, the Division of the Budget and OGS jointly implemented the HBITS contracts to create a … that defines the hourly bill rate for standard and specialty job titles. The hourly bill rates for standard …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-servicesFood Safety Monitoring
… of Food Safety and Inspection (Division) is responsible for enforcing State laws and Department regulations related … As of June 4, 2013, the Division was responsible for inspecting 31,401 establishments. From April 1, 2011 … June 4, 2013, it received 5,724 consumer complaints for investigation, and inspectors obtained 3,894 food samples …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringChild and Dependent Care Credit
… claimed were not paid by the taxpayer, but were paid, in whole or in part, through subsidies from the New York State Office of … from OCFS and ACS. Use the data to identify taxpayers who claim inappropriate credits. …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-creditAudit of the Tuition Assistance Program at Plaza College
… Audit of the Tuition Assistance Program at SUNY ‐ Fashion Institute of Technology (2010-T-4) Higher Education …
https://www.osc.ny.gov/state-agencies/audits/2013/11/05/audit-tuition-assistance-program-plaza-collegeAudit of the Tuition Assistance Program at CUNY Medgar Evers College
… Department: Audit of the Tuition Assistance Program at Dowling College (2012-T-2) Higher Education Services … Department: Audit of the Tuition Assistance Program at Plaza College (2011-T-2) …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … payments, including: $6,329,458 in questionable payments for claims that were not subjected to the appropriate edits …
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
… Claims with incorrect billings for alternate levels of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed care plan, which caused $336,780 in overpayments; and Claims …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012