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Madrid-Waddington Central School District - Claims Audit Process (2019M-1)
… to audit. The claims auditor did not audit and approve any of the District’s health insurance claims and Medicare …
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with … both Medicaid and Medicare. Medicare is the primary payer for medical services provided to these dual-eligible recipients. Medicaid typically pays for cost-sharing liabilities, which include Medicare …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health Centers were correctly applied
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupMedicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… Purpose To determine if Medicaid made excessive payments for Medicare Part C cost-sharing liabilities. The audit … of participating providers whom they reimburse directly for services provided to enrollees. For dual-eligible persons, plan providers bill Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cOverpayments of Certain Medicare Crossover Claims
… recipients are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … services rendered. On December 3, 2009, the Department of Health (Department) implemented the Medicare/ Medicaid claim …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsState Agencies Bulletin No. 1513
… Purpose To provide agencies with the 2016 calendar year-end … business expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1513-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1434
… Purpose To provide agencies with the 2015 calendar year-end … business expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1434-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1356
… Purpose To provide agencies with the 2014 calendar year-end … business expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1356-year-end-procedure-taxable-employee-expense-reimbursementsOpinion 97-2
… in a municipal cooperative health benefit plan for Part B Medicare premiums paid by the former school board member. … 1 . Although section 92-a does not expressly authorize reimbursement to officers, employees or retirees for the cost …
https://www.osc.ny.gov/legal-opinions/opinion-97-2Cost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B provides medical insurance for doctors’ … companies administer Medicare benefits through different health care plans, known as Medicare Advantage plans, that … recommendation was not implemented because Department of Health officials declined to take any actions to address the …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 1596
… be initiated in early 2018 for any “Taxable Expense” that did not have taxes withheld in 2017. Employees who paid the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1596-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1674
… the 2018 calendar year-end procedures for taxable travel reimbursement Background Taxable travel reimbursements … in box 1 on the employee’s 2018 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early … ($7,960.80) for 2018 will only have a deduction for the Medicare tax deficiency in a 2018 paycheck. Tax Information …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1674-year-end-procedure-taxable-employee-expense-reimbursementsMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientMedicaid Payments Made Pursuant to Medicare Part C (Follow-Up)
… administer Medicare benefits. Medicare pays a fixed amount for each Medicare Part C beneficiary every month to companies … plans, and plans reimburse health care providers directly for services provided to enrollees. For individuals enrolled in both Medicaid and Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/medicaid-payments-made-pursuant-medicare-part-c-followUnified Court System Bulletin No. UCS-57
… Effective Date Checks dated October 23, 2002 Background A new program has been established by the City of New York Management Benefit Fund (MBF) retroactive to January 1, … but is added to the biweekly gross for the purpose of the tax calculation and tax payment. The amount is subject to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-57-member-health-club-taxable-reimbursement-reportingState Agencies Bulletin No. 1031
… travel reimbursements in order for the State to comply with IRS reporting requirements. This bulletin replaces … and withhold income and employment taxes if employment away from home at a single location is realistically expected … Direct other questions to the Help Desk at Helpdesk@osc.ny.gov or (518) 408-4672 / (866) 370-4672. … To update …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1031-year-end-procedure-taxable-travel-reimbursementState Agencies Bulletin No. 1093
… travel reimbursements in order for the State to comply with IRS reporting requirements. This bulletin replaces … and withhold income and employment taxes if employment away from home at a single location is realistically expected … other questions to the SFS Help Desk at helpdesk@sfs.ny.gov or (518) 457-7737 / (877) 737-4185. … To update …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1093-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 933
… XI, Section 8. CAS/PayServ Processing Taxable travel reimbursement data is transferred from the Central Accounting … In early 2010, PayServ will initiate Social Security/Medicare tax deficiency deductions that apply to the 12/12/09 … the maximum 2009 Social Security amount will have only a Medicare tax deficiency deducted from a 2010 paycheck. To …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/933-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 765
… taxation and reporting of Certification and Licensure Exam Fee Reimbursement (CLERF) Program recipients who received … Management Confidential Certification and Licensure Exam Fee Reimbursement Program administered by the Governor's …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/765-processing-certification-and-licensure-exam-fee-reimbursement-clefr-2007State Agencies Bulletin No. 858
… fringe benefit of the Certification and Licensure Exam Fee Reimbursement (CLEFR) will be applied to employees’ … Time Entry using earn code FRB. Only Social Security, Medicare, State and Local taxes will be withheld. “Fringe …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/858-certification-and-licensure-exam-fee-reimbursement-clefr-2008