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Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in … billings and hospital, clinic, transportation, and eye care services. By the end of the audit fieldwork, … 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/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Purpose To determine whether the Department of Health paid pharmacy providers for controlled substances in compliance with the New York … supply. During the audit period, the Medicaid program paid pharmacy providers through the fee-for-service method and the … To determine whether the Department of Health paid pharmacy providers for controlled substances in compliance …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limitsOverpayments to Cabrini Medical Center (Follow-Up)
… $1.9 million in Medicaid overpayments to Cabrini Medical Center. The overpayments occurred because a billing company … Interest Department of Health: Overpayments to Cabrini Medical Center (2011-S-8) …
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
… is a women’s liberal arts college. Located in Manhattan, near Columbia University, students at both schools can enroll …
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
… limits are designated “Persistently Dangerous” (PD) or “Potentially Persistently Dangerous” (PPD). Officials of PD schools are required to notify parents of their option to … another school within the district that is not designated PD. Key Findings Our review of 10 sampled schools found that …
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
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it … result in an annual savings to the Medicaid program of $2.4 million. The audit found: $31.4 million in potential … will result in an additional annual savings of about $2.4 million; $555,103 in improper payments for pharmacy …
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
… teams are complying with requirements and that program goals are achieved. The audit covers the period April 1, 2012 … capacity of communities across New York to achieve these goals. One way the Office accomplishes its mission is through … treatment plans are not completed on time, with required team leaders’ approvals. As a result, program recipients’ …
https://www.osc.ny.gov/state-agencies/audits/2015/05/06/assertive-community-treatment-program2014 Year End Report
… Fund, the Special Fund for Disability Benefits, the Second Injury Fund, and the Fund for Reopened Cases.The Board … (Triad) under contract C-140311. Claims from the Second Injury Fund are processed by the Special Funds Conservation … If either the Board or our Office rejects a Triad claim, the reimbursement is denied. Triad is then responsible …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-reportMedicaid Program – Eye Care Provider and Family Inappropriately Enroll as Recipients and Overcharge for Vision Services
… Purpose To determine if the owner of a Medicaid eye care provider and the owner’s associates inappropriately enrolled as Medicaid … violations and questionable practices connected to the owner of a Medicaid eye care provider (Provider) and … To determine if the owner of a Medicaid eye care provider and the owners …
https://www.osc.ny.gov/state-agencies/audits/2016/03/21/medicaid-program-eye-care-provider-and-family-inappropriately-enroll-recipients-andHate Crime Reporting
… Purpose To determine whether the Division of Criminal Justice Services (Division) adequately monitors hate crime reporting and takes … to report crime data, including hate crimes, to the Division. Crimes are defined as hate based when the victims … To determine whether the Division of Criminal Justice Services Division adequately …
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
… New York's Stony Brook University Hospital (Stony Brook) 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/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 are generally based on standard fee schedules. However, Saratoga is entitled to … as implants, drugs, and blood) that are not covered by the standard fee schedules. Per Empire's agreement with Saratoga, …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januarySelected Payments for Special Items Made to Mary Imogene Bassett Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if BlueCross BlueShield’s (Empire’s) payments to Mary Imogene Bassett Hospital (Bassett) for special items were made according to the provisions of the agreement between Empire and Bassett. Background The … To determine if BlueCross BlueShields Empires payments to …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mary-imogene-bassett-hospital-january-1-2011-throughCompliance With State Arts Education Requirements
… To determine whether New York City (NYC) Department of Education (DoE) students completed an Arts education curriculum that complied with State Education … To determine whether New York City NYC Department of Education DoE students completed an Arts education curriculum …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/compliance-state-arts-education-requirementsMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… drugs, hospital services, medical equipment, and dental services. By the end of the audit fieldwork, auditors …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… drugs, duplicate procedures, transportation services, eye care services, and nursing home and other services. At …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Real Estate Portfolio
… and determined the need to either hold or dispose of properties, and whether it has disposed of real property on … as promptly as possible. The Authority reports it owned 63 properties as of March 31, 2012. Key Findings The Authority … to better ensure it obtains fair market value when leasing properties. Key Recommendations Ensure annual property …
https://www.osc.ny.gov/state-agencies/audits/2014/03/27/real-estate-portfolioAccounts Payable Advisory No. 71
… Subject : New Form 1099-NEC and Updated Form 1099-MISC Reference : Guide to Financial Operation, … Guidance : The Internal Revenue Service (IRS) revised Form 1099-MISC effective for the 2020 tax year to accommodate … The Internal Revenue Service IRS revised Form 1099MISC effective for the 2020 tax year to accommodate …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/71-processing-payments-subject-federal-reportingAssessment Roll Verification (ARV) for School Districts
… Form Enrollment Instructions [pdf] Background The Office of the State Comptroller (OSC) provides taxable … presented for verification are obtained from the NYS Office of Real Property Tax Services (ORPTS) and represent … districts. Verification Log into the Online Services portal to view taxable assessed values. Confirm the taxable …
https://www.osc.ny.gov/local-government/required-reporting/assessment-roll-verification-arv-school-districtsAccess Controls Over Selected Critical Systems (Follow-Up)
… Objective To assess the implementation of the two recommendations included in our original audit … Systems (Report 2017-S-56 ). About the Program The Office of Children and Family Services (OCFS) is charged with promoting the safety, permanency, and well-being of children, youth, families, and vulnerable populations in …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-follow