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Compliance With the Enough is Enough Act
… Purpose To determine if the State Education Department (SED) and Division of State Police (DSP) are complying with the requirements under the Enough is Enough Act (Act). The audit covers the period July 7, 2015 … To determine if the State Education Department and Division of State Police …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/compliance-enough-enough-actSafety at Stations
… which runs the length of the Island (14 miles) from St. George Terminal to the southern terminal at Tottenville. … as the initial phases of the rehabilitation of the St. George Interlocking. Key Findings Generally, SIR documented …
https://www.osc.ny.gov/state-agencies/audits/2017/06/15/safety-stationsMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… for recipients whose services were covered by managed care; $1,342,307 in overpayments for claims billed with … clinic, durable medical equipment, transportation, and eye care services; $333,504 in improper payments identified by …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… identified about $4.1 million in overpayments resulting from: Incorrect retroactive rate changes that caused … totaling $2.4 million; Claims billed with information from other health insurance plans that was inaccurate, which …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … from: Claims billed with information from other health insurance plans that was inaccurate. About $6.4 million in … Inpatient claims billed with incorrect patient status codes and with high (intensive) levels of care that should …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Children’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… five years of age. Pursuant to New York State Education Law, special education providers, such as the Center, are … (2011-S-13) State Education Department: Special Education Associates, Inc. - Compliance With the Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… on the Consolidated Fiscal Reports (CFRs) of Metro Therapy, Inc. (Metro Therapy) were calculated properly, documented adequately, and … three fiscal years ended June 30, 2011. Background Metro Therapy is based in Hauppauge, New York and provides Special … reported on the Consolidated Fiscal Reports CFRs of Metro Therapy Inc Metro Therapy were calculated properly documented …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Auditors identified over $5.6 million in inappropriate or questionable Medicaid payments, including: $1,822,467 in … for pharmacy claims that posed patient safety concerns or were not in compliance with regulations and policies … providers in the Medicaid program who were charged with or found guilty of crimes that violate health care programs’ …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … payments, including: $1,335,151 in overpayments for hospital claims for which eMedNY did not properly factor … Claims with improper payments for duplicate billings and hospital, clinic, transportation, and eye care services. By …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… processing system does not contain edits to deny claims from pharmacies for controlled substances that exceed supply …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsSocial Adult Day Services
… of Health (DOH), are effectively overseeing Social Adult Day Services (SADS) programs to ensure that providers comply … of Health are effectively overseeing Social Adult Day Services prog …
https://www.osc.ny.gov/state-agencies/audits/2015/12/02/social-adult-day-servicesOverpayments to Cabrini Medical Center (Follow-Up)
… overpayments to the Department of Health (Department) for further review. Auditors determined the eMedNY system did …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followTuition Assistance Program – State Financial Aid Program at Barnard College
… Barnard College complied with the Education Law and the Commissioner of Education’s Rules and Regulations when … Barnard College complied with the Education Law and the Commissioner of Educations Rules and Regulations when …
https://www.osc.ny.gov/state-agencies/audits/2015/08/03/tuition-assistance-program-state-financial-aid-program-barnard-collegePublic School Safety – Incident Reporting and Unauthorized Student Departures
… physical injury; weapons possession; sexual offenses; and reckless endangerment. As a result of the misreporting, …
https://www.osc.ny.gov/state-agencies/audits/2015/04/29/public-school-safety-incident-reporting-and-unauthorized-student-departuresMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… cycles, which averaged about 6.3 million claims and $946 million in payments to providers. Key Findings Auditors …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Assertive Community Treatment Program
… Purpose To determine whether the Office of Mental Health (Office) is effectively overseeing the Assertive Community Treatment (ACT) program to ensure … with requirements and that program goals are achieved. The audit covers the period April 1, 2012 through October 31, …
https://www.osc.ny.gov/state-agencies/audits/2015/05/06/assertive-community-treatment-programMedicaid Program – Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services
… To determine if the owner of a Medicaid eye care provider and the owner’s associates inappropriately enrolled as Medicaid recipients and to determine if the provider inappropriately billed … care, to individuals who are economically disadvantaged and/or have special health care needs. For the fiscal year …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andHate Crime Reporting
… only reports a single bias even when an agency reports multiple biases involved in a crime. The Divisions system has … staff to only record one bias per incident. Although multiple bias incidents appear to be relatively rare, only by … the database program code to allow for reporting of multiple biases. Other Related Audit/Report of Interest New …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingSelected Payments for Special Items Made to Stony Brook University Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if Empire BlueCross BlueShield's (Empire's) payments to State University of New York's Stony … made according to the provisions of the agreement between Empire and Stony Brook. Background The New York State Health … To determine if Empire BlueCross BlueShields Empires payments to State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-stony-brook-university-hospital-january-1-2011-throughEmpire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… (Empire's) payments to Saratoga Hospital (Saratoga) for special items were made according to the provisions of … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-january