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Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65)
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65.pdfState Agencies Bulletin No. 1043
… taxes were withheld: NY -- New York IL -- Illinois DC -- District of Columbia VA -- Virginia CA -- California FL -- …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1043-form-w-2-wage-and-tax-statement-calendar-year-2010State Agencies Bulletin No. 950
… taxes were withheld: NY -- New York IL -- Illinois DC -- District of Columbia VA -- Virginia CA -- California FL -- …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/950-form-w-2-wage-and-tax-statement-calendar-year-2009Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65) 180-Day Response
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65-response.pdfXII.6.I Paying a Non-State Employee – XII. Expenditures
… provides guidance about: Determining employee status when making a payment to an individual who provided services … https://www.osc.state.ny.us/files/state-agencies/pdf/xii-6-I-a-att.pdf Attachment B – Employee/Independent Contractor … The provisions regarding individuals who provide services do not govern payments to employees who provide a product or …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6i-paying-non-state-employeeCUNY Bulletin No. CU-547
… repayment plans, using Deduction Code 582 CUNY (SS/Medicare Deficiency), will have a deduction rate of ten … plans currently using Deduction Code 582 CUNY (SS/Medicare Deficiency) with an effective date prior to 9/1/16 … the State consistently makes reasonable efforts to obtain reimbursement of the employee's share of the corrected FICA …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-547-new-repayment-rate-deduction-code-582-cuny-ssmedicareState Agencies Bulletin No. 1493
… repayment plans using Deduction Code 502 NYS (SS/Medicare Deficiency) will have a deduction rate of ten … repayment plans currently using Deduction Code 502 NYS (SS/Medicare Deficiency) with an effective date prior to 9/1/16 … the State consistently makes reasonable efforts to obtain reimbursement of the employee's share of the corrected FICA …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1493-new-repayment-rate-deduction-code-502-nys-ssmedicare-deficiencyIV.4.C General State Charges – IV. Accounting Codes - Uses and Descriptions
… of this Guide. Note: The effective date for use of new SFS Account Codes 60172, 60173, 60174, 60175, 60176, 60177, 60178, and 60179 is June 17, 2013. The new codes are retroactive to April 1, 2013 for purposes of …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv4c-general-state-chargesNew York’s Economy and Finances in the COVID-19 Era (June 24, 2021)
… York has required health insurers, including Medicaid, to pay for the delivery of covered services through telehealth …
https://www.osc.ny.gov/reports/new-yorks-economy-and-finances-covid-19-era-june-24-2021Comptroller DiNapoli Releases State Audits
Auditors found the Research Foundations current methodology for charging SUNY campuses for the costs of central office operations and statewide initiatives the campuses is fair and equitable
https://www.osc.ny.gov/press/releases/2014/01/comptroller-dinapoli-releases-state-auditsMedicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease
… diagnosed with end stage renal disease who were eligible for, but not enrolled in, Medicare. The audit covered the … requires dialysis or a kidney transplant to stay alive. For the six-year period ended December 31, 2015, Medicaid … amount of time under Social Security, the Railroad Retirement Board, or as a government employee; (2) are …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/medicaid-program-reducing-medicaid-costs-recipients-end-stage-renal-diseaseState Comptroller DiNapoli Releases Audits
… in costs that did not comply with SED’s requirements for reimbursement. State Education Department (Preschool Special … for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued … payments for services provided to recipients enrolled in Medicare-covered hospice care. The follow-up found that the …
https://www.osc.ny.gov/press/releases/2023/02/state-comptroller-dinapoli-releases-auditsMedicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare
… the Medicaid costs of recipients who were eligible for Medicare based on age but were not enrolled in Medicare. The audit covered the period July 2016 through June …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-reducing-medicaid-costs-recipients-who-are-eligible-medicareDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, according to an … with day-to-day life should be informed of their Medicare eligibility, which could reduce their out-of-pocket …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in … of participating providers they reimburse directly for services provided to enrollees. For dual-eligibles, plan providers bill Medicaid directly for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsMedicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities. The audit covered … Background Many Medicaid recipients are also enrolled in Medicare. Such recipients are commonly referred to as …
https://www.osc.ny.gov/state-agencies/audits/2018/09/10/medicaid-program-medicaid-payments-medicare-advantage-plan-providersMedicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). … enrolled in Medicare, the federal health insurance program for the elderly and disabled. Under Medicare Part C, also … administer Medicare benefits. Medicare pays a fixed amount for each Medicare Part C beneficiary every month to companies …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… made in our initial audit report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 … with end stage renal disease (ESRD) who were eligible for, but not enrolled in Medicare. Medicaid recipients with ESRD may be eligible for Medicare coverage if they meet certain conditions. When …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare … that is not covered by Medicare and would otherwise be the financial obligation of the recipient. As a result, …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followAudit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018
… in a post-secondary private school licensed by the State Education Department (Department), or in a business … 887 of the Laws of 1990 created the Tuition Reimbursement Fund, now titled the Tuition Reimbursement Account (TRA), to …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/audit-tuition-reimbursement-account-five-fiscal-years-ended-march-31-2018