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United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New York. With respect to the Empire Plan, … Plan members and, as such, ostensibly waived the amounts in question. Such a practice may constitute billing fraud, as … on January 6, 2011. United paid $5,228 on the related claim, and the member’s out-of-pocket portion of this claim …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… extent of implementation of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Report … retroactively disenrolled from a Plan. We provided the claim data to the Office of the Medicaid Inspector General …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andDiNapoli: Managed Care Companies Wasting Millions in State Medicaid Dollars
… the state’s Medicaid program, made at least $6.6 million in improper and questionable payments to ineligible providers … over a four-year period, including almost $60,000 in payments to pharmacies for medications that were … “These organizations are being entrusted to manage public health dollars and are costing taxpayers millions in …
https://www.osc.ny.gov/press/releases/2016/07/dinapoli-managed-care-companies-wasting-millions-state-medicaid-dollarsComptroller DiNapoli Releases Municipal Audits
… Company , City of Peekskill and the Town of Warrensburg . "In today’s fiscal climate, budget transparency and … payment was made. The clerk did not routinely indicate the form or date of payment on tax stubs/receipts and made … Roy – Purchasing (Genesee County) The board reviewed each claim presented for audit and approval, however, they did not …
https://www.osc.ny.gov/press/releases/2014/07/comptroller-dinapoli-releases-municipal-audits-3Medicaid Program – Managed Long Term Care Premium Rate Setting
… Purpose To determine whether managed care organizations (MCOs) provided the Department of Health … and whether the Department appropriately set Managed Long Term Care (MLTC) premium rates. The audit covered the MLTC …
https://www.osc.ny.gov/state-agencies/audits/2017/09/27/medicaid-program-managed-long-term-care-premium-rate-settingOpinion 89-7
… or statutory amendments that bear on the issues discussed in the opinion. PUBLIC OFFICERS AND EMPLOYEES -- Compensation (additional compensation for the board of assessment review for extra meeting) REAL … town's tentative assessment roll, pursuant to a consent order entered into by the town board. The Real Property Tax …
https://www.osc.ny.gov/legal-opinions/opinion-89-7CUNY Bulletin No. CU-329
… the procedures to process nonresident alien scholarships in PayServ. Affected Employees CUNY nonresident alien … travel, room and board. These payments are reportable on Form 1042-S and may be subject to nonresident alien tax … income tax treaty rate for nonresident aliens temporarily in the United States on “F,” “J,” “M” or “Q” visas. In order …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-329-payment-and-reporting-cuny-nonresident-alien-scholarshipsChange in Payroll Deductions for Service Credit Purchase (RS5526)
To change the service credit purchase amount that is being deducted from your earnings by your employer, members use form RS5526.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5526.pdfCUNY Bulletin No. CU-122
… Purpose To explain OSC processing for certain general deduction codes. Affected Employees … TDA 419 Copeland TDA Effective Date Payroll deductions for 2002 will begin with the paychecks dated January 10, 2002 … Central Office. … This bulletin explains OSC processing for certain general deduction codes …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-122-tax-deferred-annuity-tda-and-supplemental-retirementUnion Springs Central School District – Retiree Health Insurance Contributions (2016M-75)
… The Union Springs Central School District is located in the Towns Springport, Aurelius, Fleming, Scipio and Ledyard and Villages of Union Springs and Cayuga in Cayuga County. The District, which operates three schools … include regularly contacting all retirees by phone or mail to obtain updates of their contact and eligibility …
https://www.osc.ny.gov/local-government/audits/school-district/2016/06/10/union-springs-central-school-district-retiree-health-insuranceOpinion 92-3
… views of the Office of the State Comptroller at the time it was rendered. The opinion may no longer represent those … town planning board has a conflict of interest prohibited by General Municipal Law, article 18 under the following … certain business entities (General Municipal law, §800[3][b]-[d]). For this purpose, a "contract" includes any express …
https://www.osc.ny.gov/legal-opinions/opinion-92-3Overpayments to Cabrini Medical Center (Follow-Up)
… overpayments to the Department of Health (Department) for further review. Auditors determined the eMedNY system did …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Background Many Medicaid recipients are also enrolled in Medicare Part C, also known as Medicare Managed Care or … (typically deductibles and coinsurance). If Plans deny a claim or pay a different amount than what a provider billed, … Plan. We sampled 266 such claims (totaling $220,661 in Medicaid payments) to determine the appropriateness of the …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesCertification for Individuals Engaged in Certain Professions (RS2414)
To certify attorneys, physicians, engineers, architects, accountants or auditors hired on or after April 1, 2008, NYSLRS employers use form RS2414 for each one.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs2414.pdfDiNapoli Audit Finds Hundreds of Millions of Dollars in Medicaid Payments Went to Providers Not Enrolled in the Program
… managed care organizations made as much as $1.5 billion in improper and questionable payments to providers who did not appear to be enrolled in Medicaid. Generally, under federal and state law providers … audit recommended that DOH improve its oversight of MCO claim payments, ensure MCOs are following the requirements …
https://www.osc.ny.gov/press/releases/2024/06/dinapoli-audit-finds-hundreds-millions-dollars-medicaid-payments-went-providers-not-enrolled-programBorrowing Against Your Contributions – Career Plan
… eligibility requirements, you may take a loan from NYSLRS. Tier 1 and 2 Members The following rules apply when borrowing … The maximum loan is 75 percent of your annuity savings contribution balance, minus any outstanding loan balance, so … contributions are those you make voluntarily. Tier 5 and 6 Members The following rules apply when borrowing against …
https://www.osc.ny.gov/retirement/publications/1642/borrowing-against-your-contributionsBorrowing Against Your Contributions – Regional State Park Police Plan
… when borrowing against your contributions: You must be in active service and have one year of member service credit. … amount would be and if your loan will be taxable. By Mail: Print a loan application from our Forms page and mail your completed application to NYSLRS. Applying by mail …
https://www.osc.ny.gov/retirement/publications/1867/borrowing-against-your-contributionsBorrowing Against Your Contributions – Police and Fire Plan
… NYSLRS. Tier 1 and 2 Members The following rules apply when borrowing against your contributions: You must be in active service and have one year of member service credit. You repay each outstanding loan … could result in significant tax consequences for you. You do not make the required payments on your loan at least once …
https://www.osc.ny.gov/retirement/publications/1512/borrowing-against-your-contributionsBorrowing Against Your Contributions – En-Con Police Officers Plan
… NYSLRS. Tier 1 and 2 Members The following rules apply when borrowing against your contributions: You must be in active service and have one year of member service credit. You repay each outstanding loan … could result in significant tax consequences for you. You do not make the required payments on your loan at least once …
https://www.osc.ny.gov/retirement/publications/1822/borrowing-against-your-contributionsBorrowing Against Your Contributions – New Career Plan
… when borrowing against your contributions: You must be in active service and have one year of member service credit. … amount would be and if your loan will be taxable. By Mail: Print a loan application from our Forms page and mail your completed application to NYSLRS. Applying by mail …
https://www.osc.ny.gov/retirement/publications/1515/borrowing-against-your-contributions