Monday, September 9, 2013
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ALBANY - State Comptroller Thomas DiNapoli announced the following audits have been issued:
Department of Health, Medicaid Program: Overpayments of Ambulatory Patient Group Claims (2011-S-43)
Providers used five prohibited combinations of ambulatory patient group (APG) reimbursement codes on 6,615 claims which resulted in improper Medicaid payments totaling $1,204,186. The payments occurred because the Department of Health (DOH) did not properly design its automated system to deny claims with the prohibited rate code combinations. Auditors also identified $933,399 of duplicate payments made to providers for the same services. Furthermore, DOH must reprocess $4,286,603 of payments made under the pre-APG methodology.
New York State Energy Research and Development Authority, Executive Order 111: Requirements to Purchase Renewable Energy Summary of Implementation of Recommendations at 15 Audited Entities (Follow-Up) (2012-F-1)
Executive Order 111 directed state agencies and certain public authorities to become more energy efficient. The New York State Energy Research and Development Authority (NYSERDA) was designated as the lead agency responsible for coordinating implementation of the order and assisting other state agencies to fulfill their responsibilities. The order required each covered agency to purchase enough energy from renewable technologies to meet 10 percent of its electrical needs by 2005. DiNapoli’s office conducted 15 audits in 2008 to assess compliance with the order. In a follow-up report, auditors found each of the 15 state entities made progress in correcting the problems originally identified, but more improvements could have occurred.
Office of Children and Family Services, Adoption Subsidy Program (Follow-Up) (2012-F-15)
An initial audit report issued in August 2010, examined whether adoption subsidy payments to adoptive parents were supported and in compliance with governing regulations. The Office of Children and Family Services (OCFS) established the Adoption Subsidy Program to locate and maintain stable and permanent alternative homes for hard-to-place and handicapped foster children. Auditors found that payments were supported and were in compliance with governing regulations when children were placed in the program. However, auditors also found $214,593 in payments that appeared to be inappropriate and may be recoverable. In a follow-up, auditors found OCFS was successful in seeking restitution from the responsible localities for the overpayments identified in the prior report. However, OCFS has only been partially successful in setting up methods to avoid future overpayments.
State Education Department and the Office of Children and Family Services, Educators for Children, Youth and Families, Inc. Use of Contract Funds (Follow-Up) (2012-F-16)
An initial audit issued in August 2010, examined whether Educators for Children, Youth and Families Inc. appropriately used state funds received from the State Education Department (SED) and the Office of Children and Family Services (OCFS) under contracts from July 1, 2002 through June 4, 2008. Auditors found that Educators could not support or justify $883,530 of expenditures claimed. Auditors attributed the unsupported, inappropriate and potentially fraudulent transactions to an inactive board of directors. In addition, auditors found no evidence that there were any policies, procedures or controls in place to monitor Educator's financial activities. In a follow-up report, auditors determined that SED and OCFS officials have made some progress in addressing the matters in the initial report, but no funds have yet been recovered.
Metropolitan Transportation Authority, Selected Aspects of Railcar Fleet Maintenance (Follow-Up) (2013-F-9)
An initial audit issued in September 2011 determined that Metropolitan Transportation Authority (MTA)-New York City Transit (Transit) and the MTA-Staten Island Railway (Railway) have established systems of regularly scheduled inspections and maintenance. While inspections were usually performed on time, there was still an opportunity for improvement. In a follow-up, auditors found NYC Transit and Railway officials have made some progress in correcting the problems identified. However, improvements are still needed. Of the nine prior audit recommendations four were implemented, three were partially implemented, and two were not implemented.