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Madrid-Waddington Central School District - Claims Audit Process (2019M-1)
… and approved prior to payment. Key Findings We reviewed 100 claims totaling $886,642 and found the claims auditor did …
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
… Objective To determine whether Medicaid cost savings can be achieved by modifying the reimbursement … and Medicare. Medicare is the primary payer for medical services provided to these dual-eligible recipients. Medicaid … Advantage Plans) and processing and paying claims for services. The Centers for Medicare & Medicaid Services (CMS) …
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
… Purpose To determine if Medicaid reimbursement rates for group therapy services provided by … rates. With approval from the federal Centers for Medicare and Medicaid Services, the Department amended the … of Health: Overpayments for Services Also Covered by Medicare Part B (2012-S-27) Department of Health: Medicaid …
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
… Purpose To determine if Medicaid made excessive payments for Medicare Part C cost-sharing liabilities. The audit … Background Many Medicaid recipients are also enrolled in Medicare. Such recipients are commonly referred to as … of participating providers whom they reimburse directly for services provided to enrollees. For dual-eligible …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cState Agencies Bulletin No. 1513
… the 2016 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … in box 1 on the employee’s 2016 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early … tax ($7,347) for 2016 will only have a deduction for the Medicare tax deficiency in a 2017 paycheck. Agency Actions To …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1513-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1434
… the 2015 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … in box 1 on the employee’s 2015 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated for any … tax ($7,347) for 2015 will only have a deduction for the Medicare tax deficiency in a 2016 paycheck. Agency Actions To …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1434-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1356
… the 2014 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … in box 1 on the employee’s 2014 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated for any … tax ($7,254) for 2014 will only have a deduction for the Medicare tax deficiency in a 2015 paycheck. Agency Actions To …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1356-year-end-procedure-taxable-employee-expense-reimbursementsOverpayments of Certain Medicare Crossover Claims
… Medicaid made actual and potential overpayments (totaling about $26.4 million) on 865,987 crossover claims that were … during our audit period. The actual overpayments totaled about $10 million (from 414,081 crossover claims). The …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsOpinion 97-2
… that bear on the issues discussed in the opinion. INSURANCE -- Health Insurance (authority to cover former school board members); (municipal cooperative health benefit plans) -- Self-Insurance (municipal …
https://www.osc.ny.gov/legal-opinions/opinion-97-2State Agencies Bulletin No. 1674
… taxable income in box 1 on the employee’s 2018 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated … for Social Security and Medicare tax deficiencies in 2019, Payroll Officers should work with their employees to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1674-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1596
… taxable income in box 1 on the employee’s 2017 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated … for Social Security and Medicare tax deficiencies in 2018, Payroll Officers should work with their employees to …
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
… edits - automated controls within eMedNY designed to pay Medicaid claims in accordance with the Department's …
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)
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 2020S65
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 … We recommended that the Department: re-evaluate the reimbursement methodology for Medicare Part C cost-sharing; …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/medicaid-payments-made-pursuant-medicare-part-c-followState Agencies Bulletin No. 1031
… procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting … reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is the portion … Meal Allowances and One-Year Rule can be found in the Accounting Controls and Special Procedures Manual, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1031-year-end-procedure-taxable-travel-reimbursementState Agencies Bulletin No. 1093
… procedures relating to taxable travel reimbursements in order for the State to comply with IRS reporting … reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess amount” is the portion … Meal Allowances and One-Year Rule can be found in the Accounting Controls and Special Procedures Manual, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1093-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 933
… business expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. "Excess … per diems for the continental U.S. can be found under the NYS Travel Guidelines . Non-Overnight Meal Allowances IRS … early 2010, PayServ will initiate Social Security/Medicare tax deficiency deductions that apply to the 12/12/09 through …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/933-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 858
… fringe benefit of the Certification and Licensure Exam Fee Reimbursement (CLEFR) will be applied to employees’ … Time Entry using earn code FRB. Only Social Security, Medicare, State and Local taxes will be withheld. “Fringe …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/858-certification-and-licensure-exam-fee-reimbursement-clefr-2008State Agencies Bulletin No. 2170
… the 2023 calendar year-end procedures for taxable travel reimbursement. Background: Taxable travel reimbursements … in box 1 on the employee’s 2023 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early … ( $9,932.40 ) for 2023 will only have a deduction for the Medicare tax deficiency in a 2024 paycheck. Tax Information: …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
… business expense reimbursements require withholding and Form W-2 reporting on any excess amounts paid. “Excess … on the employee’s 2019 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early 2020 for … Employees who paid the maximum amount of Social Security tax ($8,239.80) for 2019 will only have a deduction for the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursements