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Long Island Association for AIDS Care
… for employee health insurance (i.e., medical and dental expenses). As a result, we continued our examination of medical and dental expenses claimed for reimbursement by LIAAC under … for payment totaling $120,293 for employee medical and dental expenses for the period February 2014 through May …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… Objective The objective of this audit was to determine whether the Department of Health (Department) made improper fee-for-service (FFS) payments for certain services covered by … plans. MLTC plans provide long-term care services, such as home health care, nursing home care, and durable medical …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Crossroads Center for Children, (Crossroads) on its Consolidated Fiscal Report … for non-audit services that were performed by the same CPA firm that Crossroads contracted with for their annual …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… members are paying excessively for dual Empire Plan Family coverage. The audit covered the period January 1, 2014 … 696 employees and retirees of participating organizations with dual Family coverage during the audit period. The total … if a member is a dependent on another NYSHIP policy with the State or a different participating organization. As …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… special education services through rates set by SED. These reimbursement rates are based on financial information, … Astor reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the guidelines … Special Class and the Preschool Integrated Special Class (Programs) we audited. Key Findings We identified $39,050 in …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… as needed. … To determine whether the costs reported by Childrens Unit for Treatment and Evaluation on its …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the date of the … claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. From January 1, 2017 … a sample of 100 claims, we calculated a potential cost savings of $214,008 for 84 claims that were paid using an R&C …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsAssociation for the Advancement of the Blind and Retarded – Options for People Through Services Program
… To determine whether payments made by the Office for People With Developmental Disabilities (OPWDD) to the … of Blind and Retarded (AABR) for the Options for People Through Services (OPTS) Program (Program) were …
https://www.osc.ny.gov/state-agencies/audits/2013/07/26/association-advancement-blind-and-retarded-options-people-through-services-programRockland County – Budget Review (B6-13-22)
… deficit obligations are outstanding. Key Findings Based on the results of our review, except for the matters … tax revenue. Reduce the revenue estimate for premiums on obligations. Place any excess proceeds from its proposed …
https://www.osc.ny.gov/local-government/audits/county/2013/11/25/rockland-county-budget-review-b6-13-22New York’s Economy and Finances in the COVID-19 Era (June 24, 2021)
… York and across the country. The pandemic also spurred a change in how people sought and received medical care; rather … a small share of overall utilization. The U.S. Centers for Medicare & Medicaid Services (CMS) defines telehealth … Source: U.S. Centers for Medicare & Medicaid Services Policy Implications Growth of telehealth utilization in New …
https://www.osc.ny.gov/reports/new-yorks-economy-and-finances-covid-19-era-june-24-2021IV.5.B Bond and Debt Proceeds – IV. Accounting Codes - Uses and Descriptions
… Anticipation Notes (TRAN) Proceeds from the sale of TRANs by New York State. 36205 Bond Anticipation Notes …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv5b-bond-and-debt-proceedsState Agencies Bulletin No. 1682
… Purpose To inform agency payroll officers of the new procedure for how OSC will handle … a new procedure to ensure the tax deficiencies are paid by the former employee. Former employees who incur a current … Manager, INACTIVEEMPLID_TAXDEFICIENCY, that Agencies can run as the year-end approaches. Agencies must provide written …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1682-current-year-social-security-andor-medicare-tax-deficiencies-and-impactMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… payments, as follows: $9.3 million was paid for managed care premiums on behalf of Medicaid recipients who had other … inpatient claims that should have been paid by managed care; $985,786 was paid for newborn birth and maternity … claims where Medicaid was incorrectly designated as the primary payer instead of another insurer; and $77,703 was …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023Allocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act
… of motor vehicles registered in New York possess adequate insurance coverage, or are financially secure, to compensate … Bridge and Highway Safety Program, the Compulsory Insurance Services Program, and the Accident Prevention … related programs and assess these expenses on insurance carriers in proportion to their reported premiums. Certain …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityDiNapoli: Former Non-Profit Executive Pleads Guilty to Falsifying Business Records
… $5,500. Thurber altered the payroll system to increase her paid time off and lower her health insurance premiums, giving herself …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-former-non-profit-executive-pleads-guilty-falsifying-business-recordsDiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… of Transportation and the Federal Railroad Administration to strengthen safety measures to prevent oil spills and other … railways and require oil transporters to carry sufficient insurance to cover cleanup costs and other liabilities … demands that we take every measure to avoid loss of life and financial loss,” DiNapoli said. “A major accident …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersWest Seneca Fire District #2 – Purchasing and Capital Project Management (2018M-241)
… than $115,000. District officials did not obtain quotes for 16 of 21 purchases totaling approximately $56,000. The … may have improperly charged the District more than $14,000 for administrative fees and sales tax. Key Recommendations … legal counsel and, if appropriate, seek reimbursement for the improper charges. District officials generally agreed …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/30/west-seneca-fire-district-2-purchasing-and-capital-project-management-2018mAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (Follow-Up)
… of motor vehicles registered in New York possess adequate insurance coverage, or are financially secure, to compensate … Bridge and Highway Safety Program, the Compulsory Insurance Services Program, and the Accident Prevention … related programs and assess these expenses on insurance carriers in proportion to their reported premiums. The …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityAudit of the Tuition Reimbursement Account for the Three Fiscal Years Ended March 31, 2013
… Purpose To express an opinion on the fair presentation of the Financial … by the State Education Department (Department), or in a business school registered with the Department, that closes … Bureau monitors licensed private schools and registered business schools to ensure compliance with applicable …
https://www.osc.ny.gov/state-agencies/audits/2014/07/24/audit-tuition-reimbursement-account-three-fiscal-years-ended-march-31-2013Center for Disability Services – Compliance With the Reimbursable Cost Manual
… special education provider located in Albany, New York. CFDS provides preschool special education services …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manual