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Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… with incorrect information pertaining to other health insurance coverage that recipients had; $937,424 in … clinic, durable medical equipment, transportation, and eye care services; $333,504 in improper payments identified …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Facility Structure, Safety, and Health Code Waivers (Follow-Up)
… 4,000 health care facilities operating across New York State, including hospitals, nursing homes, intermediate care …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/facility-structure-safety-and-health-code-waivers-followTrash Can Free Stations Pilot Program (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial report, … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2017/02/14/trash-can-free-stations-pilot-program-followAdministration of the Article 8-A Loan Program (Follow-Up)
… the extent of implementation of the recommendations in our initial audit report, Administration of the Article … will cost the Program several millions of dollars in revenue. We also found that many significant building … to receive favorable treatment from HPD which could result in less Program monies available for other Program-eligible …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/administration-article-8-loan-program-followOversight of Homeless Shelters (Follow-Up)
… ensuring they meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, it has … visited 20 shelters throughout the State: 11 in New York City; and the remaining 9 located throughout the rest of the …
https://www.osc.ny.gov/state-agencies/audits/2017/06/27/oversight-homeless-shelters-followMaximus, Inc.
… Maximus, Inc. (Maximus) to purchase approximately $170,000 in printing and copying equipment. Background DOH added $435 million in contract amendments for services outside the scope of the … of the contract to August 19, 2017. This is the fourth in a series of letters related to this contract. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2015/08/21/maximus-incExamination of Unemployment Insurance Willful Overpayments
… penalties in accordance with Federal and State law for unemployment insurance (UI) overpayments that resulted from … penalties in accordance with Federal and State law for unemployment insurance …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/examination-unemployment-insurance-willful-overpaymentsMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … for services rendered to Medicaid eligible recipients, and it generates payments to reimburse the providers for … providers of about $25 billion. The claims are processed and paid in weekly cycles which averaged about 9 million …
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
… The Department of Health (Department) administers the State's Medicaid program. The Department's eMedNY computer … levels of care; Claims for a recipient who did not live in New York State; and Improper claims for certain clinic services, …
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
… reported on the Consolidated Fiscal Reports CFRs of the Childrens Center for Early Learning Center were calculated …
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 financial information reported on the providers’ CFRs. For the three fiscal years ended June 30, 2011, Metro Therapy … in non-reimbursable costs. Among the costs we recommend for disallowance are: $357,063 in excessive allocations of … Metro Therapy’s CFRs, and revise Metro Therapy’s tuition reimbursement rates, as appropriate. Work with Metro Therapy …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualSunshine Developmental School – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Sunshine Developmental School on its Consolidated Fiscal … the three fiscal years ended June 30, 2011. Background The Sunshine Developmental School (Sunshine Developmental) provides special education and … To determine whether the costs reported by the Sunshine Developmental School on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/sunshine-developmental-school-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2013, eMedNY processed about 188 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013MTA-NYC Transit Medical Assessment Centers
… performed medical examinations for NYC Transit and MTA Bus employees in an economical manner. The audit covered the … has six operating constituent agencies; two of them, MTA Bus Company (MTA Bus) and New York City Transit (Transit), provide bus … performed medical examinations for NYC Transit and MTA Bus employees in an economical manner …
https://www.osc.ny.gov/state-agencies/audits/2014/11/10/mta-nyc-transit-medical-assessment-centersNew York City School-Based Health Centers – Security and Controls Over Medications and Related Supplies
… Ten of the 11 SBHCs sampled had shortages in various medication categories (907 out of 2,298.25 units expected). … student-supplied medications. They do not record student medication transactions (e.g., medications received from or … as appropriate; Document all student-supplied medication transactions, including the type and quantity of …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/new-york-city-school-based-health-centers-security-and-controls-over-medications-andDual Employment
… resulting in payroll payments of at least $17,336 for time not worked during the audit period. Another UCS … of salary payments and adjustment of service credits for pension purposes. Provide pertinent time and attendance … Court Administration: Controls Over Overtime Costs (2011-S-2) …
https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employmentInstitutes of Applied Human Dynamics – Compliance With the Reimbursable Cost Manual
… program costs; and $57,146 in rent, utility, repair, and tax expenses that were improperly allocated to the SED …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/institutes-applied-human-dynamics-compliance-reimbursable-cost-manualCollection and Use of Oil Spill Funds
… the Department of Environmental Conservation (Department) is collecting all fees due the New York Environmental Protection and Spill Compensation Fund (Oil Spill Fund or Fund) in … all cleanup bills submitted for payment. The Department is responsible for providing technical assistance and …
https://www.osc.ny.gov/state-agencies/audits/2015/08/13/collection-and-use-oil-spill-fundsMedicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… billings and hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Housing Preferences for Disabled Veterans (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations included in our initial audit … housing company compliance and to increase monitoring of housing company compliance. Key Finding Division … To determine the extent of implementation of the two recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/housing-preferences-disabled-veterans-follow