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Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (2010-S-30). Background … have special health care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s … occurred primarily because hospitals billed Medicaid for higher (and more costly) levels of care when, in fact, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followDairy Inspections
… Unit include farm, plant, bulk tank, pasteurization, and Certified Milk Inspector (CMI) inspections. CMIs are private contractors who are certified by the Department to inspect dairy farms and obtain … complaints, conducts and supervises the licensing of certified industry inspectors, and performs economic industry …
https://www.osc.ny.gov/state-agencies/audits/2014/10/06/dairy-inspectionsFunctional MDS – Compliance With the Reimbursable Cost Manual
… all expenses claimed for the fiscal year ended June 30, 2011. Background Functional MDS (MDS) provided special … requirements. For the fiscal year ended June 30, 2011, MDS claimed approximately $3.5 million in reimbursable … 2014. Key Findings For the fiscal year ended June 30, 2011, we identified $794,219 in reported costs that do not …
https://www.osc.ny.gov/state-agencies/audits/2014/12/31/functional-mds-compliance-reimbursable-cost-manualSamaritan Village, Inc. – Chemical Dependency Services Program
… $337,458. We question Samaritan's allocation of $1,063,810 in costs among OASAS and non-OASAS programs. Samaritan … it received by $94,008 and therefore received $94,008 more in reimbursement from OASAS than it was entitled to. Key … repayment for unreported revenues and expenses identified in this report as inappropriate, unallowable or undocumented. …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/samaritan-village-inc-chemical-dependency-services-programNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesDiNapoli: Former Treasurer Charged in $11,000 Theft of Bolivar Volunteer Fire Department Funds
… Comptroller Thomas P. DiNapoli’s office and the Bolivar Police Department which was prompted by a complaint to the … that such behavior will not be tolerated. I thank Bolivar Police Chief Steven McPherson and Allegany County District … Mrs. Olmstead to justice." "The village of Bolivar’s Police Department, along with assistance from New York State …
https://www.osc.ny.gov/press/releases/2017/10/dinapoli-former-treasurer-charged-11000-theft-bolivar-volunteer-fire-department-fundsKids Unlimited, PT, OT & SLP, PLLC – Compliance With the Reimbursable Cost Manual
… of three and five years. Kids Unlimited serves children in New York City’s five boroughs. For the fiscal year ended … 2015, Kids Unlimited reported approximately $8.8 million in reimbursable costs for the SEIT preschool cost-based … fiscal years ended June 30, 2015, we identified $446,835 in reported costs that did not comply with the requirements …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/kids-unlimited-pt-ot-slp-pllc-compliance-reimbursable-cost-manualAccuracy of Medicaid Eligibility Determined by NY State of Health (Follow-Up)
… some who were deceased, remaining eligible beyond their actual eligibility period. As a result, the Department made …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/accuracy-medicaid-eligibility-determined-ny-state-health-followImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program covers medically necessary … ensure terminated drugs will not be dispensed or paid for, CMS requires state Medicaid programs to reject these claims … was recalled for health and safety reasons). Pursuant to CMS guidelines, the Department maintains drug termination …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followComptroller DiNapoli Releases School Audits
… Free School District , Penfield Central School District . “In an era of limited resources and increased accountability, … a formal plan stating how much will be set aside in each reserve, how each reserve will be funded or when … to its students and cafeteria staff produce the meals in a productive manner. However, meals cost more to prepare …
https://www.osc.ny.gov/press/releases/2015/11/comptroller-dinapoli-releases-school-auditsNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… Health Insurance Program: Empire Plan Members With Dual Family Coverage (Report 2019-S-23 ). About the Program The … offers several coverage options, including Individual and Family coverage. The State does not permit two Family coverages for its employees; if a member and their …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followTown of Wawayanda – Financial Management and Information Technology (2013M-260)
Town of Wawayanda Financial Management and Information Technology 2013M260
https://www.osc.ny.gov/local-government/audits/town/2013/11/29/town-wawayanda-financial-management-and-information-technology-2013m-260DiNapoli: Fomer Rosendale Court Clerk Pocketed Cash
… The former clerk of the town of Rosendale justice court was able to make off with … collections without detection, according to an audit by New York State Comptroller Thomas P. DiNapoli. The clerk, … The former clerk of the town of Rosendale justice court was …
https://www.osc.ny.gov/press/releases/2014/11/dinapoli-fomer-rosendale-court-clerk-pocketed-cashImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… of the three recommendations included in our initial audit report, Improper Fee-for-Service Payments for Services Covered by Managed … of the three recommendations included in our initial audit report Improper FeeforService Payments for Services Covered by Managed LongTerm Care Plans Report …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… extent of implementation of the three recommendations made in our initial audit report, Medicaid Overpayments for … provides the force needed to deliver air to the lungs in a patient whose ability to breathe is diminished or lost. … 1, 2014 through December 31, 2018. We identified $975,795 in overpayments on 32 inpatient claims that reported 96 …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances (Follow-Up)
… Objective To determine the extent of implementation of the five … report, Facility Oversight and Timeliness of Response to Complaints and Inmate Grievances ( 2017-S-2 ). About the … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2019/06/18/facility-oversight-and-timeliness-response-complaints-and-inmate-grievances-followSelected Aspects of Parking Violations Operations to Collect Fines and Fees
… issuing agencies on ways to reduce the number of errors in summonses, such as additional training on writing … for employees to follow to collect parking summonses in judgment. Monitor the contracts with outside collection … Office for International Affairs for their assistance in collecting the amounts due from each country. …
https://www.osc.ny.gov/state-agencies/audits/2019/12/04/selected-aspects-parking-violations-operations-collect-fines-and-feesMedicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… Objective To determine whether NY State of Health (NYSOH, New York’s online health plan marketplace) properly sent accurate, complete, … To determine whether NY State of Health NYSOH New Yorks online health plan marketplace …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthOversight of Industrial Hemp
… responsible for conducting pre-growing inspections and for sampling plants to test THC levels before harvested … when reviewing applications, conducting inspections, and sampling plants. The Department inspected only 57 percent of … Program applications, conducting inspections, and sampling plants. …
https://www.osc.ny.gov/state-agencies/audits/2019/12/09/oversight-industrial-hempAccounts Payable Advisory No. 34
… Agreements 60311 Interest - Grants to Others Grants and Public Assistance 60740 Interest on Late Payments Capital …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/34-payment-and-reporting-interest