Search
Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… with end stage renal disease who were entitled to Medicare coverage at the time of the claims; $1.1 million in …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016CUNY Bulletin No. CU-550
… Ed Repay State Loan 445 HC Flexible Spending 580 CUNY Medicare Deficiency Flat Rate 581 CUNY Social Security …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-550-cuny-rate-increase-maintenance-workerMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… number of rental payments allowed. By comparison, under Medicare, oxygen equipment rentals are subject to a 36-month … million if the Department had adopted a similar policy to Medicare’s 36-month cap on oxygen equipment rental payments. …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsState Agencies Bulletin No. 2198
… shows the components of the Federal, Social Security, and Medicare Taxable Gross amounts. W-2 Distribution: The agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2198-form-w-2-wage-and-tax-statement-tax-year-2023Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… in addition to Medicaid (e.g., employer-based coverage or Medicare Part D). Medicaid is considered the payer of last …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsState Agencies Bulletin No. 167
… Amount 432 Tax Deferred Annuity Copeland (Education) 500 Medicare Deficiency 501 Social Security Deficiency 582 CUNY …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/167-cancellation-general-deductions-certain-employees-who-are-inactive-orState Agencies Bulletin No. 1984
… shows the components of the Federal, Social Security, and Medicare Taxable Gross amounts. W-2 Distribution The agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1984-form-w-2-wage-and-tax-statement-calendar-year-2021Managed Care Organizations – Payments to Ineligible Providers (Follow-Up)
… or regulatory requirements related to the Medicaid or Medicare programs or who have engaged in other unacceptable …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… in addition to Medicaid (e.g., employer-based coverage or Medicare Part D). Medicaid is considered the payer of last …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthState Agencies Bulletin No. 2308
… shows the components of the Federal, Social Security, and Medicare Taxable Gross amounts. W-2 Distribution: The agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2308-form-w-2-wage-and-tax-statement-tax-year-2024Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… into a national rebate agreement with the Centers for Medicare & Medicaid Services in exchange for state Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37)
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37.pdfPrior Year Social Security and Medicare Tax Refund Certification (Form AC 3206)
Attachment from Payroll Bulletin No. CU-461
https://www.osc.ny.gov/files/state-agencies/payroll-bulletins/pdf/cuny-461-attachment-2.pdfCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up) (2022-F-14)
To assess the extent of implementation of the recommendation included in our initial audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f14.pdfOverpayments of Certain Medicare Crossover Claims (Follow-Up) (2014-F-17), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-14f17-response.pdfMedicaid Overpayments for Certain Medicare Part C Claims (2013-S-35), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine if Medicaid overpaid Medicare Part C claims on behalf of Medicaid recipients enrolle
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s35-response.pdfState Agencies Bulletin No. 1359
… Purpose To provide agency instructions for processing the 2014 CSEA ISU Uniform Maintenance … Relations (GOER) memorandum dated 11/25/14 provide for a Uniform Maintenance Allowance and Work-Related Clothing … a food service or direct care title (see GOER memorandum for a list of eligible titles) and is required to wear a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1359-2014-uniform-maintenance-allowance-and-2014-work-related-clothingXIII.4.A Employee Travel Card Reconciliation – XIII. Employee Expense Reimbursement
… and the reversal should be reconciled to the expense type “Travel Charge Dispute.” By reconciling both charges … other out. When an employee uses the appropriate expense type, the employee is indicating that the charge has been … for reconciling that charge to the appropriate expense type. Reconciling Charges Associated with an Individual that …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii4a-employee-travel-card-reconciliationState Comptroller DiNapoli Releases Audits
… Program: UnitedHealthcare: Reasonable and Customary Reimbursement Rates for Delayed Claims (2018-S-60) United's … system uses only the two most recent rate periods (i.e., reimbursement rates from the prior 12 months) to process all …
https://www.osc.ny.gov/press/releases/2019/12/state-comptroller-dinapoli-releases-audits-0