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Medicaid Drug Rebate Program Under Managed Care (Follow-Up)
… audit report, Medicaid Drug Rebate Program Under Managed Care (Report 2014-S-41 ). Background The State’s Medicaid program provides a wide range of health care services to individuals who are economically disadvantaged and/or have special health care needs. Since January 1991, New York has been able to …
https://www.osc.ny.gov/state-agencies/audits/2017/06/30/medicaid-drug-rebate-program-under-managed-care-followThe Mitchell-Lama Program – Awarding Housing Units and Maintaining Waiting Lists (Follow-Up)
… lists. We found that applicants who were next in line for units in a specific development were not always offered …
https://www.osc.ny.gov/state-agencies/audits/2017/03/23/mitchell-lama-program-awarding-housing-units-and-maintaining-waiting-lists-followSecurity Over Electronic Protected Health Information (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Security Over Electronic … Portability and Accountability Act security requirements. In addition, the Institute had adequate protection policies in place and a plan to make mandatory notifications when ePHI …
https://www.osc.ny.gov/state-agencies/audits/2016/10/07/security-over-electronic-protected-health-information-followAssertive Community Treatment Program (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations and their sub-sections included in our initial audit report, Assertive Community Treatment … health and well-being of all New Yorkers. Its mission is to facilitate recovery for adults receiving treatment for …
https://www.osc.ny.gov/state-agencies/audits/2017/01/11/assertive-community-treatment-program-followAccountability for Traffic Ticket Surcharges (Follow-Up)
… at 200,000 or more – to adjudicate non-criminal traffic infractions through administrative tribunals instead of the …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/accountability-traffic-ticket-surcharges-followWage Subsidy and Transitional Employment Programs (Follow-Up)
… New York’s Wage Subsidy program and has contracted with eligible public or private not-for-profit organizations … Wage Subsidy program and the Office had active contracts with 13 organizations. Key Finding Department officials have …
https://www.osc.ny.gov/state-agencies/audits/2017/03/09/wage-subsidy-and-transitional-employment-programs-followPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… Department of Financial Services. On December 10, 2015, William Davis pleaded guilty to Grand Larceny in the Second … we did not test, and formally assess the conduct of William Davis. Key Finding Department officials made progress … initial audit report. At the time of our follow-up review, William Davis made full restitution of $231,919 to the State, …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug … of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s prescription … Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New York State Health Insurance Program: … To determine the extent of implementation of 3 recommendations made in our audit report NYS Health Insurance Program Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughInspecting Highway Bridges and Repairing Defects (Follow-Up)
… of implementation of the four recommendations included in our initial report, Inspecting Highway Bridges and Repairing Defects ( 2012-S-34 ). Background Our initial audit issued on May 19, 2014, found that the Port … of implementation of the 4 recommendations included in our initial report Inspecting Highway Bridges and Repairing …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followSelected Operating and Administrative Practices of the Bureau of Narcotic Enforcement (Follow-Up)
… (Bureau) was effectively and efficiently combating prescription drug diversion and abuse in New York State, in large part through its analysis and use of prescription data that it maintains electronically. We found … prevention and deterrence to detection and prosecution. For example, our analysis of prescription data identified …
https://www.osc.ny.gov/state-agencies/audits/2015/09/23/selected-operating-and-administrative-practices-bureau-narcotic-enforcement-followControls Over Cash Advance Accounts (Follow-Up)
… of implementation of the eight recommendations included in our original report, Controls Over Cash Advance Accounts (Report 2014-S-22). Background Our initial audit report, which was issued on December 22, … of implementation of the eight recommendations included in our original report Controls Over Cash Advance Accounts …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report 2014-S-5 ). Background Our initial audit … 27-month period October 1, 2011 through December 31, 2013, Medicaid inappropriately paid 29,289 fee-for-services … action to help ensure managed care enrollment information is entered and update timely and to determine why certain …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). … Medicaid made inappropriate payments to medical providers for services rendered to Medicaid recipients enrolled in a … participating providers that the plans reimburse directly for services provided to enrollees. Medicare Advantage Plan …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Rebates and Discounts on … are administered to patients by a medical professional in an office setting. To reduce Medicaid costs for … cost. Key Findings Department officials made progress in addressing the problems we identified in the initial …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). … audit report, issued on January 28, 2011, found Institute management had not always provided adequate control over … ensure it was receiving fair compensation for use of its facilities by Columbia personnel. In addition, the Institute …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, Medicaid Claims Processing … providers, were accurately processed, and resulted in correct provider payments. We identified five reportable … system. The remaining four reportable conditions resulted in overpayments of approximately $1.2 million. Key Finding …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Department of Transportation was not always notified of red flags within one week, as required. Furthermore, the … evaluations and plans of action were not documented for red-flagged bridges. Key Finding NYSTA implemented the three …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… of implementation of the eight recommendations included in our initial audit report, Travel Plaza Revenues and Capital Improvements (Report 2008-S-103). Background In our initial audit report, which was issued on January 15, … a fuel concessionaire underreported its fuel deliveries in one month tested, and as a result underpaid its rent for …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followRainbow Rhymes Learning Center (Follow-Up)
… Purpose To determine the implementation status of the three … State Education Department (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate … or claimed for a period for which Rainbow was not entitled to receive reimbursement. We recommended the Department …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-follow