New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued.
The office has developed and implemented controls to adequately monitor and enforce requirements for safety and quality of life on state waters in accordance with Navigation Law. However, auditors identified several aspects of the office’s oversight that could be strengthened to maximize the efficiency of state marine law enforcement resources and improve its ability to assess boating safety risks and mitigate them.
Department of Health (DOH): Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up) (2020-F-4)
An audit issued in December 2018 identified up to $8.7 million in improper payments for Part B deductibles and coinsurance. Auditors determined many of the overpayments occurred because controls were not in place to prevent the payment of coinsurance for non-covered services as well as excessive annual deductibles. In a follow-up, auditors found DOH made some progress in addressing the problems identified in the initial audit. However, the Office of the Medicaid Inspector General only recovered about $325,000 of the overpayments identified.
Department of Health: Medicaid Program: Medicaid Overpayments for Medicare Advantage Plan Services (Follow-Up) (2020-F-2)
An audit issued in December 2018 identified almost $12.8 million that was paid for services typically covered by recipients’ plans. Many overpayments occurred because adequate controls were not in place to detect the improper claims. In a follow-up, auditors found DOH made some progress in addressing the problems identified in the initial audit report; however, additional action is needed. In particular, the Office of the Medicaid Inspector General had yet to take action on approximately $11 million of the identified claims.
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