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Medicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… 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, … $4.1 million in overpayments resulting from: Incorrect retroactive rate changes that caused overpayments totaling …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Rebates and Discounts on Physician-Administered Drugs (Follow-Up)
… in an office setting. To reduce Medicaid costs for prescription drugs, the federal government established … to pass on the savings to Medicaid when they submit claims for 340B drugs. Our initial audit report, which was issued on … drugs nor ensured the proper billing for 340B drugs. These problems cost the Medicaid program an …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followAmerican Academy of Pediatrics, District II
… paid AAP approximately $1.5 million under these contracts for expenses related to various immunization initiatives. Key … to the Department 16 Standard Vouchers and 1 Claim for Payment (together referenced as “vouchers”) as “just, … to contain material false information related to charges for Continuing Medical Education (CME) credits, program …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiTheraCare Preschool Services, Inc. – Compliance With the Reimbursable Cost Manual
… which detail program-related expenses. To be eligible for reimbursement, the provider's reported expenses must comply with Manual guidelines. For the three fiscal years ended June 30, 2011, TheraCare … approximately $50.1 million in reimbursable expenses for the programs we audited. Key Findings We disallowed …
https://www.osc.ny.gov/state-agencies/audits/2014/04/02/theracare-preschool-services-inc-compliance-reimbursable-cost-manualCompliance With Payment Card Industry Standards
… The Authority accepts credit cards as a method of payment for bus fares and parking. All organizations that accept … to improve the Authority’s information security program for cardholder data and to help ensure it meets PCI … that clearly defines information security responsibilities for all personnel. Also, it has not inventoried all devices …
https://www.osc.ny.gov/state-agencies/audits/2017/02/06/compliance-payment-card-industry-standardsAccounts Payable Advisory No. 70
… delivery. When multiple checks are overnighted to the same address, Key Bank will mail them in one envelope. Special … Handling checks can only be delivered to the address on the check and cannot be delivered to a P.O. Box. … possible, agencies should send checks directly to the payee and work with vendors to meet other needs, such as …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/70-producing-checks-emergency-eventOversight of Critical Foster Care Program Requirements (Follow-Up)
To determine the extent of implementation of the three recommendations included in our initial audit report Oversight of Critical Foster Care Program Requireme
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followSummit Security Services, Inc. (Summit)
… Purpose The objective of our examination was to determine whether individuals who performed security guard and fire safety director … Background Our office examined payments the Office of General Services (OGS) made to Summit Security Inc. … The objective of our examination was to determine whether individuals who …
https://www.osc.ny.gov/state-agencies/audits/2020/08/03/summit-security-services-inc-summitInappropriate Payments Related to Procedure Modifiers (Follow-Up)
… and reimbursed, by adding the appropriate modifier code to the E/M service. We issued our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2019/07/31/inappropriate-payments-related-procedure-modifiers-followCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… Purpose To determine if CVS Health invoiced and remitted commercial rebate revenue related to Empire Plan drug … period, Civil Service received more than $600 million in commercial drug rebates. Key Findings We reviewed the rebate … To determine if CVS Health invoiced and remitted commercial rebate revenue related to Empire Plan drug …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceGreene County Industrial Development Agency – Management Practices (2013M-95)
… Development Agency’s (GCIDA) management practices for the period January 1, 2011, to September 4, 2012. … reported 10 active projects and processed 29 applications for assistance during our audit period. Key Findings GCIDA … issuance of bonds with a bank. GCIDA had formal criteria for selecting which firms and businesses received sponsorship …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2014/03/04/greene-county-industrial-development-agency-managementGenesee County Industrial Development Agency – Project Approval and Monitoring (2014M-66)
… in the project evaluation processes. The job report form used to obtain the information did not include all the … GCIDA officials to properly evaluate job performance. The form also does not require the businesses to separately …
https://www.osc.ny.gov/local-government/audits/industrial-development-agency/2014/05/14/genesee-county-industrial-development-agency-projectWarsaw Fire Department – Internal Controls Over Financial Operations (2013M-347)
… and reported and that Company moneys are safeguarded for the period June 1, 2011 through October 21, 2013. … Corporation (Company). The Company provides services for the Village of Warsaw in Wyoming County and fire … checks being issued. Not all Company funds were accounted for or in the custody of the Treasurer as required by the …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2014/01/31/warsaw-fire-department-internal-controls-over-financialLe Roy Fire Department Inc. – Oversight of Fire Department Finances (2014M-025)
… 1, 2012 through December 10, 2013. Background The Le Roy Fire Department, Inc. provides fire protection services to the Village and Town of Le Roy in Genesee County. The Board of Directors generally … Le Roy Fire Department Inc Oversight of Fire Department Finances …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/10/06/le-roy-fire-department-inc-oversight-fire-department-finances-2014m-025Town of Hamlin – Financial Oversight and Information Technology (2012M-197)
… Purpose of Audit The purpose of our audit was to determine if the Board and Supervisor provided adequate … accounting functions and information technology to properly account for and safeguard Town assets for the … Findings The Board did not provide the necessary guidance to the Supervisor and employees, and did not establish …
https://www.osc.ny.gov/local-government/audits/town/2013/03/08/town-hamlin-financial-oversight-and-information-technology-2012m-197Village of Delanson – Internal Controls Over Selected Financial Operations (2012M-232)
… examine disbursements and the real property tax and water rent billings and collections for the period June 1, 2010, to … and accurate records to detail real property tax and water rent billings and collections. Deposits were not made timely … by the Board. Segregate duties within the tax and water rent collection process so that one individual is not …
https://www.osc.ny.gov/local-government/audits/village/2013/03/29/village-delanson-internal-controls-over-selected-financial-operations-2012m-232Elmont Public Library – Board Oversight and Professional Services (2014M-060)
… appropriations totaled $3,240,092. Key Findings The Board does not audit and approve claims before they are paid from … (ACA). The Board authorized the Library Director and an administrative assistant to manage this account, sign … Board for audit and approval. The Treasurer does not have access to or custody of the funds maintained in the ACA. The …
https://www.osc.ny.gov/local-government/audits/library/2014/07/11/elmont-public-library-board-oversight-and-professional-services-2014m-060Town of Otto – Town Clerk and Tax Collector (2012M-214)
… The Town Board consists of an elected Supervisor and four elected Council members and is the legislative body responsible for overall Town … The Clerk reported cash receipts totaling $20,789 for 2011 and $4,600 from January to May 2012. Key Findings Internal … Town of Otto Town Clerk and Tax Collector 2012M214 …
https://www.osc.ny.gov/local-government/audits/town/2013/01/18/town-otto-town-clerk-and-tax-collector-2012m-214Rockland County – Budget Review (B22-6-9)
… New York Office of the State Comptroller Rockland County Budget Review …
https://www.osc.ny.gov/local-government/audits/county/2022/11/18/rockland-county-budget-review-b22-6-9Argyle Central School District – Internal Controls Over Payroll (2014M-051)
… paychecks. Additionally, the Superintendent did not always sign payrolls to indicate that she had reviewed them. … source documents when certifying payrolls and should sign and date the certifications to indicate that they have …
https://www.osc.ny.gov/local-government/audits/school-district/2014/07/25/argyle-central-school-district-internal-controls-over-payroll-2014m-051