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Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of controlled substances exceeded the … 3,323 managed care claims for controlled substances in which the quantities dispensed exceeded the limits set by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… 30, 2013, Milestone reported approximately $3.8 million in reimbursable costs for its SED Programs. Our audit scope … fiscal years ended June 30, 2013, we identified $801,859 in reported costs that did not comply with Manual … be disallowed. These ineligible costs included $285,455 in personal services costs and $516,404 in other than …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualSUNY Bulletin No. SU-206
… Purpose To provide agency instructions for processing the 2014 Discretionary Award. Affected … Background Chapter 340 of the Laws of 2013 provides for a one-time lump sum bonus payment distributed at the … Data page. Payroll Register and Employee’s Paycheck/Advice For those employees receiving a lump sum payment, the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-206-2014-discretionary-award-managementconfidential-employeesSUNY Bulletin No. SU-221
… Purpose To provide agency instructions for processing the 2015 Discretionary Award. Affected … Background Chapter 340 of the Laws of 2013 provides for a one-time lump sum bonus payment distributed at the … in the employee’s taxable gross and are subject to all employment taxes and income taxes. Income taxes will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-221-2015-discretionary-award-managementconfidential-employeesCUNY Bulletin No. CU-443
… accordance with the 2007-2010 agreement with the New York State Nurses Association (Bargaining Unit TE) and The City …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-443-cuny-nurses-health-specialty-differentialSelected Wage Investigation Procedures (Follow-Up)
… implementation status of the four recommendations included in our initial audit report, Selected Wage Investigation … of an investigation. DOL can require employers found to be in violation of the Laws to pay restitution of wages and can … liquidated damages, which are additional amounts assessed in an effort to compensate workers for the delay in receiving …
https://www.osc.ny.gov/state-agencies/audits/2024/02/16/selected-wage-investigation-procedures-followReview of the American Academy of Pediatrics
… February 2014 to Offering a False Instrument in the First Degree (a class E Felony) and paid $111,044 in restitution. …
https://www.osc.ny.gov/state-agencies/audits/2015/09/29/review-american-academy-pediatricsMedicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to January 2022. About the Program The Department of Health (Department) administers the State’s Medicaid … 224 million claims, resulting in payments to providers of nearly $38 billion. The claims are processed and paid in …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022Rolling Stock Programs Department – Selected Aspects of the M9 Rail Car Project Management
… Key Recommendations Account for the MTA Capital Program funds as originally budgeted. Create a formal procedure to …
https://www.osc.ny.gov/state-agencies/audits/2022/03/25/rolling-stock-programs-department-selected-aspects-m9-rail-car-project-managementMedicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… Objective To determine whether the Department of Health’s (Department) … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period from October …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Pinnacle Organization – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Oswego County. Pinnacle provides preschool special … 30, 2015, Pinnacle reported approximately $2.8 million in reimbursable costs on its CFRs for the two rate-based … fiscal years ended June 30, 2015, we identified $103,220 in ineligible costs that Pinnacle reported on its CFRs for …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/pinnacle-organization-compliance-reimbursable-cost-manualImplementation 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 … the Dignity for All Students Act (Report 2016-S-28 ). About the Program New York State’s Dignity for All Students …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followCUNY Bulletin No. CU-712
… employee records will be affected. Background To correctly calculate the charges for the split payroll for fiscal year …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-712-new-york-state-payroll-system-payserv-cuny-fiscal-year-endParsons Child and Family Center – Compliance With the Reimbursable Cost Manual
… is an SED-approved special education provider located in Albany County. Among other programs, Parsons provides … June 30, 2015, Parsons reported approximately $1.2 million in reimbursable costs on its CFR for the Preschool Special … fiscal year ended June 30, 2015, we identified $247,699 in ineligible costs that Parsons reported on its CFR for the …
https://www.osc.ny.gov/state-agencies/audits/2020/04/24/parsons-child-and-family-center-compliance-reimbursable-cost-manualOversight of Homeless Shelters
… Annual Homeless Assessment Report to Congress , New York State has the second largest population of homeless in the … 2007 and 2018. The Office administers programs for the State’s low-income residents and provides support to local … seeks to meet critical transitional housing needs of the State’s homeless population while guiding them to …
https://www.osc.ny.gov/state-agencies/audits/2020/03/10/oversight-homeless-sheltersOverpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… Objective To assess the extent of implementation of the three recommendations included in our initial audit … Drugs Covered by Medicare (Report 2016-S-73 ). About the Program The New York State Medicaid program …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-followMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… 7, 2015. About the Program The Department administers the State’s Medicaid program. The Department’s eMedNY computer … prior to, but billed during, the Coronavirus Disease state of emergency that would have been denied had certain …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Medicaid Program – Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists
… dentists. Key Findings We identified about $2.3 million in highly suspicious and possibly fraudulent claims that were … defrauded the Medicaid program by creating false entries in medical records to support claims. It was not possible to perform all of the procedures the dentists billed in relation to the hours their offices were open. For …
https://www.osc.ny.gov/state-agencies/audits/2013/04/04/medicaid-program-suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentistsKids Quality Care, Inc. – Compliance With the Reimbursable Cost Manual
… under the Reimbursable Cost Manual (Manual) issued by the State Education Department (SED). The audit covers the two … 2009. Background KQC, a privately-owned company located in New York City, provides special education itinerant teacher …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-quality-care-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… an NDRA with the Department of Health and Human Services in exchange for state Medicaid coverage of most of the … capitation payment for each Medicaid recipient enrolled in their plans. MCOs then arrange for the provision of health … for those services. MCOs are required to submit encounter claim data to the Department detailing each service or drug …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreement