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Tidal Basin Government Consulting, LLC
… (Division) made to Tidal Basin Government Consulting, LLC (Tidal Basin) were appropriate pursuant to the terms of … Services made to Tidal Basin Government Consulting LLC were appropriate pursuant to the terms of the contract …
https://www.osc.ny.gov/state-agencies/audits/2026/02/12/tidal-basin-government-consulting-llcUnited HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… made in our audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebates … New York State Health Insurance Program: United HealthCare Insurance Company of New York - Empire Plan Drug Rebates ( … recommendations made in our audit report United HealthCare Insurance Company of New York Empire Plan Drug Rebates …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits (Follow-Up)
… duplicate claims (such as when a clinic and individual practitioner both bill Medicaid for the same service), …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… for each newborn enrolled in the MCO. The MCO, in turn, is responsible for the provision of covered health care …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followMid Island Therapy Associates, LLC – Compliance With the Reimbursable Cost Manual
… Island Therapy Associates LLC (Mid Island), aka All About Kids, on its Consolidated Fiscal Reports (CFRs) were properly … Mid Island Therapy Associates LLC Mid Island aka All About Kids on its Consolidated Fiscal Reports CFRs were pr …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/mid-island-therapy-associates-llc-compliance-reimbursable-cost-manualExecutive Order 111 – Requirements to Purchase Renewable Energy Summary of Implementation of Recommendations at 15 Audited Entities (Follow-Up)
… and public authorities to purchase increasing amounts of energy from renewable sources. Background Executive Order 111 (Order) was … each covered agency seek to purchase enough energy from renewable technologies to meet 10 percent of its electrical …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/executive-order-111-requirements-purchase-renewable-energy-summary-implementationCost Reporting of Programs Operated by Gateway-Longview, Inc.
… 1, 2008 through June 30, 2011. Background Gateway, located in Buffalo, New York, is a not-for-profit organization that … ended June 30, 2011, Gateway received about $68.6 million in revenue from government sources. Key Findings For our … details of the charges. Gateway routinely entered into business transactions with companies affiliated with members …
https://www.osc.ny.gov/state-agencies/audits/2014/12/30/cost-reporting-programs-operated-gateway-longview-incOversight of Homeless Shelters
… oversees homeless shelters to ensure they are operating in compliance with applicable laws, rules, and regulations. … to county Departments of Social Services (Local Districts) in the operation of these programs. Through its Bureau of … and ensuring they meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersMedicaid Program – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… Purpose To determine whether Davis Ethical Pharmacy (Davis Ethical) inappropriately billed Medicaid for … Program provides prescription drug coverage for enrollees. Davis Ethical is an independently owned pharmacy located in … To determine whether Davis Ethical Pharmacy Davis Ethical inappropriately billed …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/medicaid-program-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyQuality of Internal Control Certification
… (Division) submitted timely a quality Internal Control Certification to the Division of Budget (DOB) by April 30, … Control Act by April 30 of each year by submitting a certification and internal control summary detailing the … 2012, the Division submitted its annual Internal Control Certification and reported full compliance with all but one …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/quality-internal-control-certificationUpstate Medical University's Billing Practices
… Purpose To determine whether the Upstate Medical University’s (Upstate) billing practices are adequate to ensure that insurance carriers are billed timely and that services being provided meet carrier’s “medical necessity” requirements. Our audit scope covers the …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesLead Contamination of State Armories (Follow-Up)
… (Division) is the State’s executive agency responsible for managing New York’s military forces, including the New … and access to family members, the general public and pregnant women no longer permitted. Once the armory was remediated and …
https://www.osc.ny.gov/state-agencies/audits/2021/12/16/lead-contamination-state-armories-followCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B provides medical … cost-sharing liability, the state’s standard Medicaid fee, or a rate between those two amounts approved by CMS. In … a provider (Medicare’s payment plus Medicaid’s payment of what was billed for the copayment or coinsurance) was no more …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followMama Program, LLC – Compliance With the Reimbursable Cost Manual
… students to Mama Program and pays for its services using rates established by SED. The rates are based on the financial information Mama Program … that did not comply with the RCM’s requirements; $6,336 in ineligible OTPS costs that pertained to future …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/mama-program-llc-compliance-reimbursable-cost-manualMarie Pense Center, LLC – Compliance With the Reimbursable Cost Manual
… Education Itinerant Teacher (SEIT) services to children with disabilities who are between the ages of three and five … of Education (DOE). DOE refers students to Marie Pense and pays for its services using rates established by SED. The … not eligible for reimbursement; $8,816 in non-allowable rent expenses; $7,822 in unsupported compensation expenses; …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/marie-pense-center-llc-compliance-reimbursable-cost-manualResponsiveness to Noise Complaints Related to Construction Projects (Follow-Up)
… locations with multiple construction noise complaints or to identify and analyze the major sources of noise … allowing contractors to obtain extensions of existing AHVs or multiple AHVs for the same construction sites without …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/responsiveness-noise-complaints-related-construction-projects-followLow-Income Housing Trust Fund Program (Follow-Up)
… Community Renewal (HCR) implemented the recommendations in our initial audit report, Low-Income Housing Trust Fund … Program (Program) funds were being awarded and disbursed in an efficient manner to help meet the State’s critical … 11, 2013. Established as a public benefit corporation in 1985 under Section 45-a of the Private Housing Finance …
https://www.osc.ny.gov/state-agencies/audits/2020/04/02/low-income-housing-trust-fund-program-followProcessing of Sexual Offense Evidence Collection Kits
… during the physical exam of an alleged victim of sexual assault. Once a victim consents to release a kit for testing, …
https://www.osc.ny.gov/state-agencies/audits/2020/05/27/processing-sexual-offense-evidence-collection-kitsOversight of Passenger Safety (Follow-Up)
… of the four recommendations made in our initial audit report, Oversight of Passenger Safety (Report 2017-S-50 ). About the Program The Office for People … of the four recommendations made in our initial audit report Oversight of Passenger Safety Report 2017S50 …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/oversight-passenger-safety-followExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit … To assess the extent of implementation of the four recommendations included in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-and