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Medicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… payments to the providers. The audit covered the period April 1, 2015 through September 30, 2015. Background The … Department of Health: Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014 (2014-S-15) …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… with end stage renal disease who were entitled to Medicare coverage at the time of the claims; $1.1 million in …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016United HealthCare – Empire Plan Drug Rebate Revenue
… (Department) as required by the contract between United and the Department. The audit covered the period January 1, … health insurance coverage to about 1.2 million active and retired State, participating local government, and school district employees, and their dependents. The …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueOversight of Contract Expenditures of Bowery Residents’ Committee
… Program The New York City Department of Homeless Services (DHS), an administrative unit of the New York City Department … oversight of the homeless shelters. In February 2011, DHS contracted with BRC, a City-based not-for-profit … $23.6 million in reimbursable expenses for the contract. DHS is responsible for monitoring its contract with BRC to …
https://www.osc.ny.gov/state-agencies/audits/2021/12/30/oversight-contract-expenditures-bowery-residents-committeeMedicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … covered the period from October 2020 through March 2021 and certain claims going back to October 2014. About the … for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… in addition to Medicaid (e.g., employer-based coverage or Medicare Part D). Medicaid is considered the payer of last …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsMedicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
… payments to the providers. The audit covered the period April 1, 2020 through September 30, 2020 and certain claims going back to April 7, 2015. About the Program The Department administers …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-claims-processing-activity-april-1-2020-through-september-30-2020Medicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… encounter data to verify that SMCP claims are eligible for reimbursement. Instead, the Department relies on audits by …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… in our initial audit report, Vacancies at the Clinton Towers Mitchell-Lama Housing Development (Report 2017-N-1 … 2017, examined whether vacant housing units at the Clinton Towers Mitchell-Lama development were being rented in a … and cooperative housing to middle-income families. Clinton Towers, a federally subsidized Mitchell-Lama rental …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… Managed Care and Family Health Plus (Report 2015-S-47 ). About the Program Most Medicaid recipients are enrolled …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andAnthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for … of the members. Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program of the … To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareMedicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… payments to providers. The audit covered the period April 2022 through September 2022, and certain claims going back to January 2022. About … information, such as the diagnosis code or newborn’s birth weight. As a result of the audit, about $4.3 million of the …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022State Agencies Bulletin No. 2355
… and 09/10/2025 (Administration) to ensure the Payroll files can be successfully processed in SFS. If the chartfield … and 09/24/2025 (Administration) to ensure the Payroll files can be successfully processed in SFS. If no action is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2355-sfs-chartfield-strings-payserv-09152025-09302025-lapse-datesIgnition Interlock Program Monitoring (2015-MS-4)
… of Cortland , Erie , Montgomery , Otsego , Suffolk and Wayne . Purpose of Audit The purpose of our audit was to … after August 15, 2010, convicted individuals must install and maintain an ignition interlock device (IID) on any … of Criminal Justice Services has regulations for counties and others establishing standards for the usage and …
https://www.osc.ny.gov/local-government/audits/county/2016/04/25/ignition-interlock-program-monitoring-2015-ms-4Medicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… may have other sources of health care coverage, such as Medicare and group health plans (third-party insurers). … 45 are not. All claims submitted for Medicaid members with Medicare and/or other third-party insurance must accurately … other insurers to allow correct calculation of Medicaid reimbursement amounts. Key Findings We found that DOH lacked …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsSchuyler County – Treasurer’s Office (2014M-186)
… 1, 2011 through September 11, 2013. Background Schuyler County has a population of 18,340 and is governed by eight part-time Legislators. The County’s budgeted appropriations for 2013 were $45.2 million. The elected County Treasurer is the County’s chief fiscal officer. The …
https://www.osc.ny.gov/local-government/audits/county/2014/10/03/schuyler-county-treasurers-office-2014m-186County Inmates Receiving Inappropriate Benefits While Incarcerated (2013MS-1)
… County jails provide appropriate DSS officials with timely daily inmate admission reports and daily inmate master reports. Ensure that DSS officials retain …
https://www.osc.ny.gov/local-government/audits/county/2013/10/04/county-inmates-receiving-inappropriate-benefits-while-incarcerated-2013ms-1Town of Carroll – Internal Controls Over Selected Financial Activities (2013M-221)
… not submit to the Board the required detailed statement of all moneys received and disbursed during the month, accurate … monthly Supervisor’s report that includes an accounting of all cash receipts and disbursements. Also, the Supervisor … including cash balances and budget-to-actual updates for all funds. Perform monthly accountabilities and should …
https://www.osc.ny.gov/local-government/audits/town/2014/03/21/town-carroll-internal-controls-over-selected-financial-activities-2013m-221Comptroller DiNapoli Releases Municipal Audits
… New York State Comptroller Thomas P. DiNapoli today announced the following local government audits have … New York State Comptroller Thomas P DiNapoli today announced the following local government audits have …
https://www.osc.ny.gov/press/releases/2019/05/comptroller-dinapoli-releases-municipal-auditsState Agencies Bulletin No. 1931
… and 09/15/2021 (Institution) to ensure Payroll files can be successfully processed in SFS. If the chartfield … and 10/06/2021 (Administration) to ensure Payroll files can be successfully processed in SFS. If no action is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1931-updating-payserv-chartfield-strings-september-lapsing-events