Search
Madrid-Waddington Central School District - Claims Audit Process (2019M-1)
… Determine whether claims were adequately documented, were for appropriate purposes and were properly audited and … claims auditor did not audit two claims totaling $251,601 for health insurance and Medicare reimbursement. In addition, … $5,700. Key Recommendations Ensure that all claims for health insurance, Medicare reimbursements and scholarship …
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with … Medicaid recipients are enrolled in both Medicaid and Medicare. Medicare is the primary payer for medical services provided … be achieved by modifying the reimbursement methodology for Medicare Part C costsharing claims in accordance with federal …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsMedicaid Program – Excessive Medicaid Payments to Federally Qualified Health Centers for Group Therapy Services
… To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health … Qualified Health Centers (FQHCs) to provide group therapy services, including group therapy provided by clinical social workers, to Medicaid … To determine if Medicaid reimbursement rates for group therapy services provided by Federally Qualified Health …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/medicaid-program-excessive-medicaid-payments-federally-qualified-health-centers-groupMedicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… To determine if Medicaid made excessive payments for Medicare Part C cost-sharing liabilities. The audit covered … Background Many Medicaid recipients are also enrolled in Medicare. Such recipients are commonly referred to as "dual-eligibles." In 1997, Congress established Medicare Part C, also known as Medicare managed care or …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cOverpayments of Certain Medicare Crossover Claims
… are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … individual's Medicare deductibles and coinsurance for the medical services rendered. On December 3, 2009, the … claim crossover system. Under the system, providers submit medical claims for dual eligible individuals to Medicare. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsState Agencies Bulletin No. 1513
… agencies with the 2016 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel … by receipts. The 2016 maximum rate allowed by IRS for PCM is 54 cents per mile effective from January 1, 2016 … December 31, 2016. Current maximum Federal per diems for the continental U.S. can be found in the Guide to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1513-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1434
… agencies with the 2015 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel … by receipts. The 2015 maximum rate allowed by IRS for PCM is 57.5 cents per mile effective from January 1, 2015 … December 31, 2015. Current maximum Federal per diems for the continental U.S. can be found in the Guide to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1434-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1356
… agencies with the 2014 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel … by receipts. The 2014 maximum rate allowed by IRS for PCM is 56 cents per mile effective from January 1, 2014 … December 31, 2014. Current maximum Federal per diems for the continental U.S. can be found in the Guide to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1356-year-end-procedure-taxable-employee-expense-reimbursementsOpinion 97-2
… that bear on the issues discussed in the opinion. INSURANCE -- Health Insurance (authority to cover former … and Duties (authority to provide health insurance coverage for former school board members) INSURANCE LAW, ARTICLE 47; … in a municipal cooperative health benefit plan for Part B Medicare premiums paid by the former school board …
https://www.osc.ny.gov/legal-opinions/opinion-97-2State Agencies Bulletin No. 1674
… Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments … effective from January 1, 2018 through December 31, 2018. Current maximum Federal per diems for the continental U.S. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1674-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1596
… Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments … effective from January 1, 2017 through December 31, 2017. Current maximum Federal per diems for the continental U.S. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1596-year-end-procedure-taxable-employee-expense-reimbursementsMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… whether the Department of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid reimbursement policies. The audit covers the period … and home health care are typical ancillary services. Medicaid claims for ancillary services are processed by …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). About the Program … of the State’s Medicaid recipients are also enrolled in Medicare and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followMedicaid Payments Made Pursuant to Medicare Part C (Follow-Up)
… in our audit report, Medicaid Payments Made Pursuant to Medicare Part C (Report 2012-S-133). Background Medicaid … of the State’s Medicaid recipients are also enrolled in Medicare. Under Medicare Part C, also known as Medicare managed care or … in our audit report Medicaid Payments Made Pursuant to Medicare Part C Report 2012S133 …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/medicaid-payments-made-pursuant-medicare-part-c-followDiNapoli: NYC Health + Hospitals Confront Tough Fiscal Outlook as Washington Moves to Cut Health Care Spending
… see pressure on key sources of revenue as Medicaid and lowincome patients that rely on federal support lose health …
https://www.osc.ny.gov/press/releases/2025/12/dinapoli-nyc-health-hospitals-confront-tough-fiscal-outlook-washington-moves-cut-health-care-spendingState Agencies Bulletin No. 2170
… allowed by IRS for PCM is 65.5 cents per mile effective from January 1, 2023, through December 31, 2023. See Guide to … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
… rate allowed by IRS for PCM is 58 cents per mile effective from January 1, 2019 through December 31, 2019. Current … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2079
… allowed by IRS for PCM is 58.5 cents per mile effective from January 1, 2022 through June 30, 2022 and 62.5 cents per mile effective from July 1, 2022 through December 31, 2022 Chapter XIII … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… allowed by IRS for PCM is 67.0 cents per mile effective from January 1, 2024, through December 31, 2024. Chapter … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2384
… allowed by IRS for PCM is 70.0 cents per mile effective from January 1, 2025, through December 31, 2025. Chapter … to report and withhold income and employment taxes from meal allowances for non-overnight travel (day trips). … and withhold income and employment taxes if employment away from home at a single location is realistically expected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2384-year-end-procedure-taxable-employee-expense-reimbursements