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Waverly Central School District - Financial Operations (2019M-136)
… internal controls over disbursements and payroll duties. In our audit sample, 30 claims (11 percent) totaling $73,865 … claims for payment and requires adequate support for each claim. District officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2019/09/13/waverly-central-school-district-financial-operations-2019m-136Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Medicaid Overpayments for … Many of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the … 2015. The audit objective was to identify Medicaid Part C claim overpayments made to medical providers for services …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… Purpose To determine whether the Department of Health (Department) has taken appropriate steps to maximize rebate collections on drugs dispensed to …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-carePrivacy and Links Policy
… to protecting your privacy when you access our website and the online services we offer. Consistent with New York State’s Internet Security and Privacy Act, Freedom of Information Law and Personal Privacy Protection Law, this policy explains the …
https://www.osc.ny.gov/online-services/privacy-and-links-policyDiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… took advantage of her position to fund her lifestyle at the expense of the taxpayers,” DiNapoli said. “Thanks to … The providers had no knowledge of Bradshaw’s scheme at the time she submitted the claims. Through this scheme, … taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planLake Placid Central School District – Claims Auditing (2016M-84)
… The Lake Placid Central School District is located in the Towns of North Elba and Wilmington in Essex County. The District, which operates two schools … audited and approved by the claims auditor. Ensure that no claim against the District, other than those allowed under …
https://www.osc.ny.gov/local-government/audits/school-district/2016/06/10/lake-placid-central-school-district-claims-auditing-2016m-84Village of Lindenhurst – Claims Processing (2016M-345)
… 31, 2016. Background The Village of Lindenhurst is located in the Town of Babylon, Suffolk County, and has approximately … to fulfill the claims audit function. Ensure that each claim contains sufficient supporting documentation. Obtain approved purchase orders in advance of any purchase. … Village of Lindenhurst Claims …
https://www.osc.ny.gov/local-government/audits/village/2016/12/16/village-lindenhurst-claims-processing-2016m-345Medicaid Program – Overpayments for Medicare Part C Claims
… and identified $121.4 million in claims that fell into at least one of the following three high-risk categories for … overpaid because all inpatient cost-sharing is reimbursed at 100%].) The improper Medicaid payments for Part C services …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsDiNapoli Urges New Yorkers to Fill Out 2020 Census Forms
… in the Federal Budget – Federal Fiscal Year 2018 Find out how your government money is spent at Open Book New York . …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-urges-new-yorkers-fill-out-2020-census-formsEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… health benefits plan for NYSHIP. The Department of Civil Service (Department) contracts with Empire BlueCross … Health Network did not define the amount hospitals could bill for special items. As a result, Mather substantially … for special items, limiting the amount the hospitals can bill and requiring hospitals to provide supporting …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followXII.8 Overview – XII. Expenditures
… Treasury Department generates payment to the vendor in the form of a check, Automated Clearing House payment, or wire …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii-overviewNew Yorkers in Need: A Look at Poverty Trends in New York State for the Last Decade
… shutdown produced almost 2 million job losses in 2020. Yet for many, economic hardships existed long before this time; … and those with less than a high school education. This report is the first of a series examining poverty in New … and recipients have been on a downward trend, with the number of recipients peaking at over 578,000 per month in …
https://www.osc.ny.gov/reports/new-yorkers-need-look-poverty-trends-new-york-state-last-decadeState Agencies Bulletin No. 902
… a reissue of their original NYS issued Form W‑2 for tax years 2005, 2006 and/or 2007 Effective Date(s) … accessible. Replacements of Form W-2 for the most recent tax year (2008) are obtained using the reprint feature … on the NPAY731 (W-2 Audit Report) Control-D report for the tax year which the employee is requesting a reissued Form W-2 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/902-new-procedure-reissue-prior-year-form-w-2-tax-years-2005-2006-and-2007Other Bulletin No. 49
… listing should be submitted on the Correction Sheet. The form may be duplicated if additional copies are needed. Add … returned and is undeliverable, the agency must complete form AC3340 , Request for Payroll Check Stop Payment, and … be returned with a completed Next of Kin Affidavit ( Form AC 934-P ), original death certificate, and a Report of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-49-april-2019-state-university-construction-fund-scfUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… 1, 2012 to August 31, 2013. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … the NYSHIP program and contracts with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Division of Housing and Community Renewal Bulletin No. DH-92
… year amount. The ratified 2016-2021 Agreement between the State of New York and DC37 provides for these employees to be … subject to employment taxes and income taxes. Federal, State and New York City income tax withholding will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-92-october-2016-april-2017-and-october-2017-districtState Agencies Bulletin No. 2161
… to help them identify employees who require a new Form W-4, Employee’s Withholding Certificate. Affected … than six months. Background: The IRS released the new Form W-4, Employee's Withholding Certificate , and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2161-locked-query-identify-employees-who-require-new-form-w-4-employeesMatter of Merton Simpson v. Department of Civil Service
… from 1996 to 2006. A similar test was utilized in 1996 for some open competitive titles. It was alleged that the …
https://www.osc.ny.gov/unclaimed-funds/claimants/matter-merton-simpson-v-department-civil-serviceTown of Lewis – Highway Purchases (2014M-103)
… November 30, 2013. Background The Town of Lewis is located in Lewis County and has a population of approximately 850. It … supporting documentation, and the Board authorized a claim for prepayment of materials to be received in the following year. Key Recommendations Ensure that all …
https://www.osc.ny.gov/local-government/audits/town/2014/06/06/town-lewis-highway-purchases-2014m-103Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claims