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Medicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… million was paid for inpatient claims that were billed at a higher level of care than what was actually provided; $892,790 was … pharmacy, inpatient, managed care capitation, and episodic home health care claims that did not comply with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Overpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… (Report 2016-S-73 ). About the Program The New York State Medicaid program provides a wide range of medical services to … Medicare, which is generally the primary payer, before billing Medicaid. We issued our initial report on October 30, … to provide information on any actions that are planned to address the unresolved issues discussed in the report. …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-followOversight of Homeless Shelters
… adequately oversees homeless shelters to ensure they are operating in compliance with applicable laws, rules, and … adequately oversees homeless shelters to ensure they are operating in compliance …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersParsons Child and Family Center – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Parsons Child and … Parsons provides preschool special education services to children with disabilities who are between three and five … information, including costs, that Parsons reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/parsons-child-and-family-center-compliance-reimbursable-cost-manualMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… that did not enter into a national drug rebate agreement (NDRA). The audit covered the period from January … that did not enter into a national drug rebate agreement NDRA …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementMedicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … reasonably ensured that Medicaid claims were submitted by approved providers were processed in accordance with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022Selected Wage Investigation Procedures (Follow-Up)
… and any other labor violations that arise during the course of an investigation. DOL can require employers found … for 23 of 150 investigations we reviewed, there was no final report in WPM, although it was required. Our audit …
https://www.osc.ny.gov/state-agencies/audits/2024/02/16/selected-wage-investigation-procedures-followMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… for the cost of the vaccines. Instead, they are paid a fee for administering the vaccines. For children enrolled in … the Medicaid program pays the vaccine administration fee. Key Findings Auditors identified $32.7 million in … payments were made for free vaccines, and payments of the fee to administer the vaccines were not always accurate. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesErrors in Identification of 340B Providers in the Medicaid Drug Rebate Program (Follow-Up)
… excluded 340B drugs from the Medicaid Drug Rebate Program and sought appropriate rebates. Congress created the Medicaid … manufacturers to pay rebates to state Medicaid programs for prescription drugs dispensed to Medicaid recipients. … and thereafter are appropriately claimed and collected for the providers we identified; and monitor providers’ use …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/errors-identification-340b-providers-medicaid-drug-rebate-program-followMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance (Follow-Up)
… included in our initial audit report, Monitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance ( … maintenance, and preservation of burial grounds for all not-for-profit cemetery corporations (cemeteries) in … initial audit report Monitoring of NotforProfit Cemeteries for Fiscal Stability and Adequate Facility Maintenance 2016S79 …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenance-followMedicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
To determine the extent of implementation of the four recommendations made in our initial audit report Medicaid Payments for Pharmacy Claims Joia Pharmacy and a Related Prescriber Report 2013S4
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/medicaid-payments-pharmacy-claims-joia-pharmacy-and-related-prescriber-followImplementation of the Dignity for All Students Act (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations included in our initial audit … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followPinnacle Organization – Compliance With the Reimbursable Cost Manual
… with disabilities who are between three and five years of age. Pinnacle is managed by an eight-member Board of …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/pinnacle-organization-compliance-reimbursable-cost-manualParking Structures (2017-MS-3)
… Cities of Buffalo [pdf] , Ithaca [pdf] , Rochester [pdf] , Syracuse [pdf] and White Plains [pdf] . Purpose of Audit The … within the last 10 years. Buffalo, Ithaca, Rochester, Syracuse and White Plains also have elevators with … All units had long-term capital plans, but Ithaca’s, Syracuse’s and White Plains’ plans were not based on …
https://www.osc.ny.gov/local-government/audits/city/2017/12/29/parking-structures-2017-ms-3Fire District Information
… fire district is required to file an annual financial report (AFR) with the New York State Comptroller's Office, … Process for Fire Districts [pdf] What to Expect During a CPA Audit [pdf] Recent OSC Fire District Audit Reports Length …
https://www.osc.ny.gov/local-government/resources/fire-district-informationCUNY Bulletin No. CU-712
… to the new Fiscal Year Budget Reference: CUNY Pools not rolled to 21-22 Budget Reference Questions Questions may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-712-new-york-state-payroll-system-payserv-cuny-fiscal-year-endOpinion 2006-11
… board member has an interest in town purchases from an auto parts store solely because the board member is an … or performance of any portion of town orders from the auto parts store, he or she is paid a salary by the store and … a prohibited interest if the town makes purchases from an auto parts store that employs the board member as its …
https://www.osc.ny.gov/legal-opinions/opinion-2006-11Opinion 90-22
… To ensure adequate safeguards when investing such third party moneys, we have also stated that municipalities should … cost of services performed in investing moneys of a third party. Although we previously have concluded in the case of …
https://www.osc.ny.gov/legal-opinions/opinion-90-22Opinion 89-52
… No. 87-55, p 83 is clarified. This is in reply to your letter concerning the establishment of the position of … authorized by County Law, §225-a and that a county's home rule powers relative to the regulation of emergency … the role of the EMS coordinator described in your letter appears to be quite different from that discussed in …
https://www.osc.ny.gov/legal-opinions/opinion-89-52Opinion 88-61
… is dated by postmark with a date on or before the last day for the payment of taxes without penalty. You ask whether a … Postal Service postmarked with the date of the last day for the payment of school taxes without interest may be … in an envelope postmarked with a date after the last day for the payment of taxes without interest and that you …
https://www.osc.ny.gov/legal-opinions/opinion-88-61