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Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Medicaid Overpayments for … Many of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the … 2015. The audit objective was to identify Medicaid Part C claim overpayments made to medical providers for services …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… prescription costs. Since January 1991, the State of New York has been able to recover a portion of Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careDiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… Thomas P. DiNapoli, announced the arrest yesterday of Gina Bradshaw, an officer manager for numerous doctors’ … to defraud the New York State Insurance Plan (NYSHIP) out of over $12,000 by submitting fraudulent claims for … will be held accountable.” Gina Bradshaw, 50, of Maybrook, NY, worked as an office manager for multiple doctors in …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planPrivacy and Links Policy
… Comptroller is committed to protecting your privacy when you access our website and the online services we offer. … natural person. The Office of the State Comptroller does not collect any personal information about you unless you … is a necessary part of the record of the transaction. We do not resell this information. We do not disclose this …
https://www.osc.ny.gov/online-services/privacy-and-links-policyLake Placid Central School District – Claims Auditing (2016M-84)
… The Lake Placid Central School District is located in the Towns of North Elba and Wilmington in Essex County. The District, which operates two schools … audited and approved by the claims auditor. Ensure that no claim against the District, other than those allowed under …
https://www.osc.ny.gov/local-government/audits/school-district/2016/06/10/lake-placid-central-school-district-claims-auditing-2016m-84Village of Lindenhurst – Claims Processing (2016M-345)
… 31, 2016. Background The Village of Lindenhurst is located in the Town of Babylon, Suffolk County, and has approximately … to fulfill the claims audit function. Ensure that each claim contains sufficient supporting documentation. Obtain approved purchase orders in advance of any purchase. … Village of Lindenhurst Claims …
https://www.osc.ny.gov/local-government/audits/village/2016/12/16/village-lindenhurst-claims-processing-2016m-345Medicaid Program – Overpayments for Medicare Part C Claims
… for which Medicaid pays 100%. When Plans deny a claim or pay a different amount than what a provider billed (e.g., … risk-based approach, to identify and review hospitals that bill questionable Part C claims, including the hospitals …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsDiNapoli Urges New Yorkers to Fill Out 2020 Census Forms
… lose Congressional representation but critical funding for education, public transit, housing and more,” DiNapoli … in federal spending, ranking it last among the states. For every tax dollar paid, New York receives only 90 cents — … payments and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-urges-new-yorkers-fill-out-2020-census-formsEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… Health Network did not define the amount hospitals could bill for special items. As a result, Mather substantially … for special items, limiting the amount the hospitals can bill and requiring hospitals to provide supporting …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followState Agencies Bulletin No. 902
… the new procedure agencies may use to reissue a prior year Form W-2. Affected Employees All employees who are requesting … version of the four-part Form W-2 for 2005, 2006 and 2007 in the “Forms” section of the OSC website. (The link to this …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/902-new-procedure-reissue-prior-year-form-w-2-tax-years-2005-2006-and-2007XII.8 Overview – XII. Expenditures
… that provided goods or services to New York State, or (b) refund New York State vendors or citizens. A voucher that is … that provided goods or services to New York State or b refund New York State vendors or citizens …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii-overviewNew Yorkers in Need: A Look at Poverty Trends in New York State for the Last Decade
… had devastating health, economic and social consequences. In New York, the pandemic and ensuing economic shutdown … poverty line and 200 percent of it in New York, for a total of 28.1 percent. (For one person, twice the poverty … 2022, at https://robinhoodorg-wp-production.s3.amazonaws.com/uploads/2022/04/PT_Annual2021_final.pdf . 10 Annie …
https://www.osc.ny.gov/reports/new-yorkers-need-look-poverty-trends-new-york-state-last-decadeUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… modifier code 59 that were not distinct and independent from other services provided on the same day. The audit … members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate … billed with modifier 59 may involve a different anatomical site or separate injury. From September 1, 2012 to August 31, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59State Agencies Bulletin No. 2161
… identify employees who require a new Form W-4, Employee’s Withholding Certificate. Affected Employees: Employees who … Background: The IRS released the new Form W-4, Employee's Withholding Certificate , and Publication 15-T, Federal …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2161-locked-query-identify-employees-who-require-new-form-w-4-employeesOther Bulletin No. 49
… in the calculation of overtime compensation (refer to the Online Payroll Manual accessed from the PayServ Bulletin …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-49-april-2019-state-university-construction-fund-scfDivision of Housing and Community Renewal Bulletin No. DH-92
… undeliverable, the agency should forward the check to the NYS Department of Taxation and Finance, Division of Treasury, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-92-october-2016-april-2017-and-october-2017-districtMatter of Merton Simpson v. Department of Civil Service
… battery from 1996 to 2006. A similar test was utilized in 1996 for some open competitive titles. It was alleged that … impact on African-American and Hispanic test-takers in a class action federal lawsuit named Merton Simpson et al. … to learn if you’re entitled to an award and how to claim it. Search tips To display the search/find toolbar …
https://www.osc.ny.gov/unclaimed-funds/claimants/matter-merton-simpson-v-department-civil-serviceTown of Lewis – Highway Purchases (2014M-103)
… November 30, 2013. Background The Town of Lewis is located in Lewis County and has a population of approximately 850. It … supporting documentation, and the Board authorized a claim for prepayment of materials to be received in the following year. Key Recommendations Ensure that all …
https://www.osc.ny.gov/local-government/audits/town/2014/06/06/town-lewis-highway-purchases-2014m-103Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C … December 31, 2020. About the Program The Department of Health administers the New York State Medicaid program. … states already use this approach, and it is similar to how New York Medicaid currently pays Medicare Part B …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsState Agencies Bulletin No. 1096
… - applicable only to employees of SUNY, CUNY and the NYS Education Department. *IRS Publication 590 – Individual … not contribute to the plan. Nearly all State of New York government positions provide eligibility for retirement … uncheck the Retirement Plan checkbox for. SUNY, CUNY and NYS Education Department agencies must carefully review the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1096-retirement-plan-checkbox-form-w-2