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UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)

… The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracted with UnitedHealthcare … level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually provided … monitored out-of-network providers who routinely billed for higher-level E/M services, and if out-of-network …

https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-services

License Fee Revenues (Follow-Up)

… five recommendations included in our initial audit report, License Fee Revenues (Report 2010-N-1). Background The New … June 30, 2013 the Department collected $8.1 million in license fees, $10 million in franchise fees, and fines … to identify businesses that operate without a required license. The objective of our follow-up was to assess the …

https://www.osc.ny.gov/state-agencies/audits/2013/09/05/license-fee-revenues-follow

Real Property Portfolio (Follow-Up)

… of the three recommendations included in our initial audit report, Real Property Portfolio (Report 2022-S-14 ). About the Program Empire State … of the three recommendations included in our initial audit report Real Property Portfolio Report 2022S14 …

https://www.osc.ny.gov/state-agencies/audits/2026/06/03/real-property-portfolio-follow

Opinion 88-37

… 21.00(a), 28.00(a): The purchase of a passenger vehicle to be used as a police car may be financed by the issuance of capital notes only when the vehicle is purchased to replace a similar vehicle which was in service for a year or more. Prior …

https://www.osc.ny.gov/legal-opinions/opinion-88-37

Early Childhood Learning Center of Greene County – Compliance With the Reimbursable Cost Manual

… the costs reported by Early Childhood Learning Center of Greene County (ECLC) on its Consolidated Fiscal Report (CFR) were … ECLC’s tuition reimbursement rates. Remind ECLC officials of the pertinent SED guidelines that relate to the … the costs reported by Early Childhood Learning Center of Greene County on its Consolidated Fiscal Report were …

https://www.osc.ny.gov/state-agencies/audits/2019/07/29/early-childhood-learning-center-greene-county-compliance-reimbursable-cost-manual

Tuition Assistance Program – LIM College

… through an integrated approach utilizing the classroom, internships, and the fashion industry at large. LIM offers …

https://www.osc.ny.gov/state-agencies/audits/2015/10/01/tuition-assistance-program-lim-college

Medicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018

… 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 September … third-party health insurance (TPHI); $6.1 million was paid for an inpatient claim that contained an inaccurate …

https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018

Newmeadow, Inc. – Compliance With the Reimbursable Cost Manual

… whether the costs reported by Newmeadow Inc. (Newmeadow) on its Consolidated Fiscal Report (CFR) were properly … rates set by SED. These reimbursement rates are based on financial information, including costs, that Newmeadow reports to SED on its annual CFR. To be eligible for reimbursement, reported …

https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manual

Tuition Assistance Program – College of Westchester

… Purpose To determine whether College of Westchester complied with the Education Law and the … students. TAP is an entitlement program designed to provide funds for paying tuition costs to eligible … To determine whether College of Westchester complied with the Education Law and the …

https://www.osc.ny.gov/state-agencies/audits/2016/06/30/tuition-assistance-program-college-westchester

DiNapoli: Executive Budget Reduces Out-Year Gaps, Diminishes Independent Oversight

… of the Affordable Care Act and other policy changes and is projected to rise another $3.3 billion over the next four … Washington threatens much of that funding. Total revenue is projected at $160.4 billion, an increase of 4.4 percent. … than 50,000 state contracts, visit www.openbooknewyork.com. The easy-to-use website was created by DiNapoli to …

https://www.osc.ny.gov/press/releases/2017/02/dinapoli-executive-budget-reduces-out-year-gaps-diminishes-independent-oversight

NY-Sun Incentive Program (Follow-Up)

… 2015-S-91 ). Background The New York State Energy Research and Development Authority (Authority) is charged with … to fight climate change, reduce harmful air pollution, and ensure a diverse and reliable low carbon energy supply. To help achieve these …

https://www.osc.ny.gov/state-agencies/audits/2018/06/20/ny-sun-incentive-program-follow

Homeless Outreach Services in the New York City Subway System

… for entering Daily Report data into DHS’ homeless Client Assistance and Rehousing Enterprise System (CARES) or … other databases identified by DHS such as StreetSmart, a client tracking and reporting system. Key Findings BRC's … in CARES – the data is unreliable: From a sample of 50 client placements reported in CARES, 20 clients (40 percent) …

https://www.osc.ny.gov/state-agencies/audits/2020/01/16/homeless-outreach-services-new-york-city-subway-system

Amusement Park and Fair Ride Safety

… and enforcing safety conditions of amusement park and fair rides. The audit covered the period January 1, 2011 through … its Industry Inspection Unit is responsible for inspecting rides at all amusement parks, fairs, and other venues located … made over 4,800 site visits to conduct inspections of rides across the State. In 2013 alone, Department staff …

https://www.osc.ny.gov/state-agencies/audits/2014/08/12/amusement-park-and-fair-ride-safety

Safety of Infrastructure (Follow-Up)

… cases where potentially dangerous infrastructure problems are likely to remain unaddressed for an extended period of … and one was not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in …

https://www.osc.ny.gov/state-agencies/audits/2015/01/06/safety-infrastructure-follow

Amusement Park and Fair Ride Safety

… and enforcing safety conditions of amusement park and fair rides. In conjunction with audit 2013-S-73 , the audit covers … Inspection Unit (Unit) is responsible for inspecting rides at amusement parks, fairs, and other venues operating … Department’s procedures were adequate to assure that the rides offered at fixed-based amusement parks, the New York …

https://www.osc.ny.gov/state-agencies/audits/2014/10/06/amusement-park-and-fair-ride-safety

North Country Kids, Inc. – Compliance With the Reimbursable Cost Manual

… The audit covered expenses reported on North Country’s CFR for the fiscal year ended June 30, 2014, and certain expenses reported on North Country’s CFR for the fiscal year ended June 30, 2013. Background North Country is an SED-approved, for-profit special education provider located in Clinton …

https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manual

Vacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)

… occur, applicants should generally be offered and awarded apartments in the order their names appear on the lists – … of Housing Preservation and Development’s (HPD) approval. Apartments in Mitchell-Lama developments tend to be very … affordability; consequently, the waiting lists for these apartments can be quite lengthy. As of August 2, 2019, …

https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-follow

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