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Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to … Department of Health (Department) administers the State’s Medicaid program. The Department’s eMedNY computer system …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Sky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… audit report, Empire BlueCross BlueShield: Payments to John T. Mather Memorial Hospital (Report 2010-S-51), issued … (Health Network) is comprised of ten hospitals, including John T. Mather Memorial Hospital (Mather). Empire’s … Program: Empire BlueCross Blue Shield - Payments to John T. Mather Memorial Hospital (2010-S-51) New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followHate Crime Reporting
… agencies (agencies) to report crime data, including hate crimes, to the Division. Crimes are defined as hate based when the victims are … (FBI) for its collection and publication. Hate crimes are underreported because the crimes themselves are …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingEmpire BlueCross BlueShield Special Items Made to Englewood Hospital and Medical Center from January 1, 2011 through March 31, 2011
… BlueShield’s (Empire’s) payments to Englewood Hospital and Medical Center (Englewood) for special items were made … Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State Health Insurance … BlueShields Empires payments to Englewood Hospital and Medical Center Englewood for special items were made …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-special-items-made-englewood-hospital-and-medical-centerSelected Payments for Special Items Made to St. Luke's Cornwall Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to St. Luke's Cornwall Hospital (St. Luke's) for special items were made according to the provisions of the agreement between Empire and St. Luke's. Background The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-lukes-cornwall-hospital-january-1-2011-throughSelected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield’s (Empire’s) payments to Mary Imogene Bassett Hospital (Bassett) for special items … To determine if BlueCross BlueShields Empires payments to Mary Imogene Bassett Hospital Bassett for special items were …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-throughService Diversions for Maintenance and Capital Projects
… are underway, trains are diverted from their regular route so workers can safely access the tracks. Diversions … to determine whether work was completed within budget. Train tracks were not always turned over to work crews in a …
https://www.osc.ny.gov/state-agencies/audits/2014/03/18/service-diversions-maintenance-and-capital-projectsDisposal of Electronic Devices
… therefore requires that all electronic media (e.g., hard drives and other memory components) in these devices be … requiring that all surplus computers have the hard drives removed and shredded, this will no longer be an issue. …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/disposal-electronic-devicesMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… payments for lab services claims submitted well beyond the required time frame for submission; $488,837 in … drugs, hospital services, medical equipment, and dental services. By the end of the audit fieldwork, auditors …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Conservation Fund – Sources and Uses of Funds
… source of revenue is the sale of licenses to sportsmen for hunting, fishing, and trapping. Environmental Conservation …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/conservation-fund-sources-and-uses-fundsMedicaid 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 … 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-30-2012Selected Aspects of Subway Station Safety
… the Metropolitan Transportation Authority’s New York City Transit - Division of Station Environment and Operations has … and accessible to all. Background New York City Transit (Transit) is responsible for providing public transportation … the Metropolitan Transportation Authoritys New York City Transit Division of Station Environment and Operations has …
https://www.osc.ny.gov/state-agencies/audits/2017/06/15/selected-aspects-subway-station-safetyEmployee Incentive and Bonus Payments
… increase in the incentive rates applied for each doctor. However, because the amounts in question were …
https://www.osc.ny.gov/state-agencies/audits/2017/01/13/employee-incentive-and-bonus-paymentsOversight of Health and Safety Regulations at Public Pools, Beaches, and Spray Grounds
… and regulating public pools, beaches, and aquatic spray grounds ensure that these facilities are properly … public use. Our audit excluded public pools, beaches, and spray grounds located in New York City. The audit covers the … – and in some cases operating – public pools, beaches, and spray grounds available for use by residents and visitors of …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/oversight-health-and-safety-regulations-public-pools-beaches-and-spray-groundsPurchasing and Procurement Practices
… Objective To determine whether the New York Racing Association, Inc. (NYRA) procured goods and services competitively and in accordance with its policies and procedures. Our audit … To determine whether the New York Racing Association Inc NYRA procured goods and …
https://www.osc.ny.gov/state-agencies/audits/2022/03/16/purchasing-and-procurement-practicesDetermination of Residency for Tuition Purposes
… that campuses are making accurate residency determinations for students and thus charging the correct tuition rates. The … staff. Of the 64 institutions, 28 offer graduate programs. For fiscal year 2020-21, SUNY had an overall budget of $11.9 … As stated in SUNY Policy 7810: Residency, Establishment of for Tuition Purposes (Residency Policy), each campus is …
https://www.osc.ny.gov/state-agencies/audits/2022/05/26/determination-residency-tuition-purposesCourt Facilities Aid and Assistance Program
… To determine if the Office of Court Administration (OCA) is ensuring court facility aid and assistance programs … April 1, 2015 through March 31, 2018. About the Program OCA is responsible for directing and overseeing the … to towns and villages for court improvements, including security enhancements, renovations, and furnishings. Key …
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
… To determine if the Department of Corrections and Community Supervision (DOCCS) has developed targets and plans … New York State government buildings while advancing economic growth, environmental protection, and energy … 1, 2020 deadline. Key Recommendation Continue implementing capital projects that reduce energy usage, as resources allow. …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsSelected Aspects of Toll Collections
… DMV has a reciprocity agreement with the Massachusetts Registry of Motor Vehicles for collecting outstanding tolls …
https://www.osc.ny.gov/state-agencies/audits/2023/05/26/selected-aspects-toll-collections