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Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… two recommendations made in our audit report, Overpayments for Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations made in our initial audit … Plan Providers (Report 2016-S-54 ). About the Program Many of the State’s Medicaid recipients are also enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our … made overpayments for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… Many of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age 65 or older and people under 65 with certain …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program. The … to November 30, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid … eligibility requirements. The State’s Local Departments of Social Services (Local Districts) determine eligibility …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsMedicaid Program – Overpayments for Medicare Part C Claims
… services occurred in part because hospitals misinterpreted State regulations and billing guidelines, did not properly …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsState Agencies Bulletin No. 2204.1
… PEF 2023 Dental Stipend and to provide agency instructions for payments not processed automatically. Affected Employees: … or Deceased in PayServ. Employees whose NYS Position Number in Position Data has a Reg/Temp field status of … Ins Owed 442 Pre-Tax Adoption 500 Medicare Deficiency 501 Social Security Deficiency 502 NYS SS/Medicare Deficiency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/22041-public-employees-federation-pef-2023-dental-stipendImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Objective 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 …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations included in our initial audit report, Medicaid Overpayments for Medicare Advantage Plan Services … the State’s Medicaid program. Many Medicaid recipients are also enrolled in Medicare Part C, commonly referred to as …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followDiNapoli Finds Over $100 Million in Inappropriate Medicaid Payments
… released three reports that found more than $100 million in improper payments made by the Department of Health (DOH) for the Medicare buy-in program, maternity care, and drug and therapy claims. … MCOs are not eligible to receive SMCPs for maternity cases that end in termination or a miscarriage. Auditors …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-finds-over-100-million-inappropriate-medicaid-paymentsState Agencies Bulletin No. 468
… Purpose To notify Agencies of two new Earnings Codes, TF8 - SS Refund Wage Adjustment … to the Payroll Deductions mailbox. … To notify Agencies of two new Earnings Codes TF8 SS Refund Wage Adjustment and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/468-new-earnings-codes-current-year-social-security-and-medicare-adjustmentsExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… in our initial audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial … whether the Department was correctly paying claims for services to Medicaid recipients who also have health …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followState Comptroller DiNapoli Releases Audits
… Units (ERUs) (Follow-Up) (2021-F-14) ERUs or “black boxes” are a valuable safety feature that allow for the monitoring of the train equipment and … that persons who are required to register as sales tax vendors, including those with no physical presence in the …
https://www.osc.ny.gov/press/releases/2021/11/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 982
… Stipend earnings that were subject to Social Security and Medicare tax withholdings beginning in 2006 through 2009 … Military Stipend earnings exempt from Social Security and Medicare taxes. OSC Actions OSC will identify and mail … forms will reduce the reported Social Security and Medicare wages by the value of the Military stipend amount …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/982-social-security-and-medicare-tax-refunds-and-corresponding-correctedDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… New York state's Medicaid system could have saved up to $13.6 … services already provided. Therefore, DOH can obtain claim recoveries by tracking when Medicaid recipients … auditors identified three providers who were involved in civil settlements that involved health care-related matters. …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 914
… Purpose To inform agencies of new procedures regarding withholding of … Social Security and Medicare taxes for employees receiving a military stipend. Affected Employees Employees paid a … Security and Medicare taxes and must be reported on a Form 1099. The regulation was silent regarding the tax treatment …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/914-change-taxation-military-stipendsUnited HealthCare – Overpayments for Services Provided by Dr. John Gomes
… Purpose To determine whether the practice of Dr. John Gomes routinely waived Empire Plan members’ … City, an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, … billing fraud, as the Empire Plan typically reimbursed 80 percent of what it understood to be Dr. Gomes’ actual …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… Purpose To determine whether Orthopedic Associates of Long Island, LLP waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made … primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital care to outpatient …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandState Agencies Bulletin No. 952
… Purpose To inform agencies of the automatic processing of Social Security and Medicare tax withholding refunds … will be processed in a separate check beginning the week of December 21, 2009 Background The Internal Revenue Service …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/952-refund-social-security-and-medicare-tax-withholdings-related-militaryDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… audit , which covered the period from July 2016 to June 2021, found that DOH gave guidance to local departments of … Essential Plan, became available in January 2016. As of March 31, 2022, the state’s Essential Plan had enrolled …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-state-medicaid-needs-stop-paying-bills-federally-funded-plans-should-cover