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Village of Cobleskill - Misappropriated Funds and Board Oversight (2018M-47)
… but did not inform the Board. Key Recommendations Seek reimbursement from the former Clerk-Treasurer as appropriate. …
https://www.osc.ny.gov/local-government/audits/village/2020/01/03/village-cobleskill-misappropriated-funds-and-board-oversight-2018m-47School for Language and Communication Development – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the School for Language and Communication Development (SLCD) on its … special education services through rates set by SED. The reimbursement rates are based on financial information, … SLCD reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2018/04/16/school-language-and-communication-development-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases Audits
… City Transit – Management and Maintenance of Non-Revenue Service Vehicles (2020-S-31) New York City Transit (Transit) … a fleet of 1,950 non-revenue service vehicles used to support transit operations. Despite an estimated value of … State Education Department to provide Preschool Special Class (over 2.5 hours per day) and Preschool Integrated …
https://www.osc.ny.gov/press/releases/2023/02/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1223
… and employers will each pay in 2013 is $7,049.40. Medicare Tax The Medicare tax rate for employees and employers is 1.45%. There is no wage base limit for this tax. New Additional Medicare Tax Beginning January 2013, employees receiving …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1223-summary-tax-related-withholding-requirements-2013Tips to Help You Keep Your Money
… savings accounts — accounts that have had no activity for three years. Make a small deposit or withdrawal every year. Cash all checks promptly for utility deposits, dividends, insurance premiums, wages and any other refunds you received. Keep …
https://www.osc.ny.gov/unclaimed-funds/claimants/tips-help-you-keep-your-moneyImproper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… in our initial audit report, Improper Medicaid Payments for Misclassified Patient Discharges (Report 2020-S-8 ). … of illness, which provides the basis for calculating the reimbursement. When a hospital bills Medicaid for an … the patient was transferred or discharged because DRG reimbursement methodologies for transfers and discharges are …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followMedicaid Program – Claims Processing Activity October 1, 2023 Through March 31, 2024
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. During the 6-month period ended March 31, … as follows: $11.8 million was paid for managed care premiums on behalf of Medicaid recipients who should not have …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/medicaid-program-claims-processing-activity-october-1-2023-through-march-31-2024DiNapoli: New York's Medicaid System Improperly Paid Over $16 Million in Claims
… pays close attention to Medicaid because it’s critical for so many New Yorkers and a big driver of state spending," … $11.8 million, went to pay 27,480 Medicaid managed care premiums for recipients who were ineligible for managed care coverage …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-new-yorks-medicaid-system-improperly-paid-over-16-million-claimsIX.5.B Billing for Onboarding Agencies – IX. Federal Grants
… agency PCBU Use the Commitment Control in SFS to budget for Federal Grant Projects Utilize funds distribution … to approve bills in a timely manner to facilitate proper reimbursement of state resources. Agencies access the Manage … screen to select the bills they want to approve for reimbursement. Approval can be done using “Approve Now” or …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix5b-billing-onboarding-agenciesCUNY Bulletin No. CU-531
… new flat rate deduction codes that will be used to recover Medicare and Social Security tax deficiencies for City … (CUNY) employees. Affected Employees CUNY employees with Medicare and/or Social Security deficiency Effective Date(s) …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareImproper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
… Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Report 2018-S-24 ). About the Program … The Department of Health (Department) administers the State’s Medicaid program. Each individual who applies for Medicaid benefits is assigned a Client Identification Number (CIN), a unique identifier. Medicaid recipients may …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/improper-managed-care-premium-payments-recipients-duplicate-client-identification-numbersAnthem Blue Cross – Coordination of Benefits With Medicare
… Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with Medicare coverage. The audit covered the period from January …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Northside Center for Child Development (Northside) on its Consolidated Fiscal … education services through rates established by SED. The reimbursement rates are based on the financial information … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the Manual’s …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualCosts to Administer the Insurance Division Operations for the Three Fiscal Years Ended March 31, 2012
… costs among insurers based on the dollar value of premiums written in New York State. Key Findings We found … expenses accurately. The funds spent by the Department for the Healthy New York program, postage, and equipment … the Insurance Division incorrectly applied the percentages for these costs, resulting in $229,662 assessed to the …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/costs-administer-insurance-division-operations-three-fiscal-years-ended-march-31-2012Medicaid Program: Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare (2021-S-16)
To determine whether the Department of Health (Department) took sufficient steps to control the Medicaid costs of recipients who were eligible for Medicare based on age but were not enrolled in Medicare.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s16.pdfMedicaid Program – Improper Payments to a Physical Therapist
… “dual-eligible” beneficiaries who are enrolled in both Medicare and Medicaid. Under this arrangement, Medicare is … Medicare deductibles and coinsurance. Medicaid claims for Medicare deductibles or coinsurance are called … system improved the accuracy of Medicaid payments for dualeligible recipients. Prior to the implementation, …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistClaims for Businesses and Organizations
… You can submit claims for a business or organization by mail. Enter the name of your business or organization in the "Search for Organization" box on our Search for Lost Money page. … without a claim form. Reporting Organization Error or Reimbursement Application (used by the reporting …
https://www.osc.ny.gov/unclaimed-funds/claimants/claims-businesses-and-organizationsIX.6.F Agency Draw Procedures – IX. Federal Grants
… the cognizant state agency maintains the responsibility for requesting federal reimbursement for program spending. In those instances, the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix6f-agency-draw-proceduresOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… made in our audit report, Overpayments of Certain Medicare Crossover Claims (2011-S-28). Background Many … also enrolled in Medicare, the federal health care program for people 65 years of age and older and people under 65 …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… four recommendations included in our initial audit report, Medicaid Program: Oversight of Managed Long-Term Care Member … (Report 2020-S-52 ). About the Program The Department of Health (Department) administers New York’s Medicaid program. … plans, which provide long-term care services, such as home health care and nursing home care, for people who are …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-follow