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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
… our audit report, UnitedHealthcare: Improper Payments for Medical Services Designated By Modifier Code 59 (Report … with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on procedure codes …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-followMedicaid Managed Care Organization Fraud and Abuse Detection (Follow-Up)
… Purpose To determine the implementation status of the 11 … are responsible for ensuring they do not make payments to ineligible health care providers who have been excluded or … from the Medicaid program. In addition, MCOs are required to have effective compliance programs, including full-time …
https://www.osc.ny.gov/state-agencies/audits/2018/08/22/medicaid-managed-care-organization-fraud-and-abuse-detection-followNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… not eligible. The audit covered the period from January 1, 2014 through December 31, 2019. About the Program The New … plan for NYSHIP, serving about 1.1 million members. Since 2014, the Department of Civil Service (Civil Service) has … administer the prescription drug program. From January 1, 2014 through December 31, 2019, CVS Health processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleMental Health Education, Supports, and Services in Schools (Follow-Up)
… students. We issued our initial audit report on August 18, 2022. The audit objective was to determine whether DOE was … The audit covered the period from July 2018 through May 2022 and included general education students only. We found …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/mental-health-education-supports-and-services-schools-followOversight of Adult Protective Services Programs (Follow-Up)
… the Adult Protective Services (APS) – a program of State-mandated services for adults (over age 18) who, because of a … obtaining benefits such as informal money management and court petitions to appoint a guardian or other legal …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/oversight-adult-protective-services-programs-followAusable Valley Central School District – Internal Controls Over Selected Financial Activities (2013M-299)
Ausable Valley Central School District Internal Controls Over Selected Financial Activities 2013M299
https://www.osc.ny.gov/local-government/audits/school-district/2014/02/28/ausable-valley-central-school-district-internal-controls-over-selectedTown of New Berlin – Ambulance Company Loan (2013M-22)
… for 2013 are $1.86 million, financed primarily by real property taxes and sales tax. Key Finding The Board … informed by the United States Department of Housing and Urban Development (HUD) that program income held in certain …
https://www.osc.ny.gov/local-government/audits/town/2013/06/07/town-new-berlin-ambulance-company-loan-2013m-22Minimum Qualifications - Auditors
… The Comptroller’s Office is dedicated to attracting bright, capable individuals who will bring energy and commitment to its auditing programs. To begin a career with the New York State Comptroller’s … The Comptrollers Office is dedicated to attracting bright capable individuals who will bring …
https://www.osc.ny.gov/jobs/qualifications-auditorsAccountability for Traffic Ticket Surcharges (Follow-Up)
… included in our initial audit report, Accountability for Traffic Ticket Surcharges (2014-S-26). Background New … on an overall basis, the Department consistently accounted for and reported all traffic ticket surcharge revenue … Interest Department of Motor Vehicles: Accountability for Traffic Ticket Surcharges (2014-S-26) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/accountability-traffic-ticket-surcharges-followAssessment and Collection of Selected Fees and Penalties (Follow-Up)
… had not collected about $3.8 million in fees and penalties for the Public Work Enforcement Fund (Fund), the boiler … in addressing the issues identified in our initial report. For example, the Department has: Improved its methods used to … supported, opposed nor recommended a bill submitted for a legislative change in the asbestos abatement fee …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/assessment-and-collection-selected-fees-and-penalties-followBright Start Pediatric Services, LLC – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Bright Start Pediatric Services, LLC (Bright Start) on its Consolidated … To determine whether the costs reported by Bright Start Pediatric Services LLC Bright Start on its Consolidated …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/bright-start-pediatric-services-llc-compliance-reimbursable-cost-manualExamination of Outstanding Premiums
… New York State. SWOP, administered by the Department of Tax and Finance (DTF), is a way for State agencies to offset …
https://www.osc.ny.gov/state-agencies/audits/2016/08/19/examination-outstanding-premiumsSelected Payments for Special Items Made to Stony Brook University Hospital from January 1, 2011 through March 31, 2011
… Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member … from Stony Brook for the overpayments we identified in this audit. Develop and implement the controls necessary …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-stony-brook-university-hospital-january-1-2011-throughSelected Payments for Special Items Made to Arden Hill Hospital From January 1, 2011 Through March 31, 2011
… Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with member … from Stony Brook for the overpayments we identified in this audit. Develop and implement the controls necessary …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-arden-hill-hospital-january-1-2011-through-march-31Empire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Controls Over Payments for … Key Findings Empire officials made significant progress in addressing the problems we identified in the initial audit. In particular, Empire recovered $11.5 …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followControls Over Selected Expenditures (Follow-Up)
… extent of implementation of the recommendation included in our initial audit report, Controls Over Selected … to innocent victims of crime and their families in a timely, efficient, and compassionate manner; to fund … services. However, we identified minor discrepancies in OVS’ verification of FRE provider licenses and recommended …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/controls-over-selected-expenditures-followUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… Objective To determine the extent of implementation of the four recommendations included in our initial audit report, UnitedHealthcare Insurance Company … To determine the extent of implementation of the four recommendations included in our initial audit report UnitedHealthcare Insurance Company …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Report 2017-S-35 … of implementation of the two recommendations included in our initial audit report Overpayments for OutofNetwork …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryProtest Procedures
… Legislative Program Legislative Session 2023-2024: Protest Procedures – A.7405/S.6942 (McDonald/Cooney) – Provides for bid protest procedures for state agencies and public authorities. … Provides for bid protest procedures for state agencies and public authorities …
https://www.osc.ny.gov/legislation/protest-proceduresDirect Deposit for New State Employees
Requires the payment of salaries by direct deposit for state employees hired after January 1 2021
https://www.osc.ny.gov/legislation/direct-deposit-new-state-employees-1