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Northside Center for Child Development – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Northside Center for Child Development (Northside) on its Consolidated Fiscal … to the SC and SCIS programs. We also disallowed the Child Care Allowance because it was not proportionately … whether the costs reported by Northside Center for Child Development Northside on its Consolidated Fiscal Report …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualState Comptroller DiNapoli Releases Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued. State Education … – Step Up Therapy Services, PLLC – Compliance With the Reimbursable Cost Manual (2021-S-31) Step Up, a New York … City-based not-for-profit organization, is approved by the State Education Department to provide preschool special …
https://www.osc.ny.gov/press/releases/2023/07/state-comptroller-dinapoli-releases-audits-0South Kortright Central School District – Retiree Health Insurance Contributions (2016M-148)
… Purpose of Audit The purpose of our audit was to determine the adequacy of District controls over the … or implement compensating controls. The Business Manager told us he has not prepared a reconciliation of the estimated …
https://www.osc.ny.gov/local-government/audits/school-district/2016/07/08/south-kortright-central-school-district-retiree-health-insuranceIX.6.F Agency Draw Procedures – IX. Federal Grants
… SFS. Once the funds are received by the State, OSC BSAO posts the deposit. OSC BSAO will monitor agency drawdown …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix6f-agency-draw-proceduresFour Individuals Charged in Widespread Scheme to Defraud Medicare and Other Health Insurance Providers Through Fraudulent Medical Corporations and False Billing Resulting in Tens of Millions of Dollars in Losses
… of Inspector General ("HHS-OIG"), announced the unsealing today of an indictment charging JAMES SPINA, JEFFREY SPINA, ANDREA GROSSMAN, and KIMBERLY SPINA with … in Middletown, New York. The defendants were all arrested today and presented in federal district court in White …
https://www.osc.ny.gov/press/releases/2018/08/four-individuals-charged-widespread-scheme-defraud-medicare-and-other-health-insurance-providersState Agencies Bulletin No. 1698
… beginning after December 31, 2017 through December 31, 2025. As a result, the reimbursement of moving expenses must … employee, the following documentation must be completed, scanned and emailed to Payroll Earnings. Agencies MUST put …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1698-new-payroll-process-and-new-time-entry-codes-payment-moving-expenseAnthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for … of the members. Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program of the … To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareCUNY Bulletin No. CU-531
… rate deduction codes that will be used to recover Medicare and Social Security tax deficiencies for City University of … employees. Affected Employees CUNY employees with Medicare and/or Social Security deficiency Effective Date(s) … Payroll Deductions mailbox. Questions regarding Medicare and/or Social Security tax deficiencies may be directed to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareEagle Matt Lee Fire Company Number One Inc. – Financial Operations (2012M-213)
… audited and approved the bills for payment, as the warrant listing the bills to be paid was unsigned. Adequate … statements. After auditing the bills, generate a signed warrant addressed to the Treasurer that specifies the bills …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/01/11/eagle-matt-lee-fire-company-number-one-inc-financial-operations-2012m-213DiNapoli: State Medicaid Program Made More Than $100 Million in Duplicate Payments
… New York state paid more than $100 million in duplicate payments to managed care organizations (MCOs) … to do a better job coordinating with all stakeholders in the Medicaid system to eliminate this waste, improve … MCOs a monthly premium for each enrolled recipient and, in turn, the MCOs pay providers for services required by …
https://www.osc.ny.gov/press/releases/2019/08/dinapoli-state-medicaid-program-made-more-100-million-duplicate-paymentsBenefits
… while maintaining work-life balance. A Full-Range of Insurance Options Comprehensive health, dental and vision insurance packages (including prescription drug coverage) … for a credit to be applied toward their health insurance premiums on a bi-weekly basis. Paid time off (for …
https://www.osc.ny.gov/jobs/benefitsMedicaid Program – Improper Payments to a Physical Therapist
… Amir, a physical therapist participating in New York’s Medicaid program, billed Medicaid in accordance with its policies and guidelines and whether Medicaid made improper payments. The audit covers the period … Mark Amir a physical therapist participating in New Yorks Medicaid program billed Medicaid in accordance with its …
https://www.osc.ny.gov/state-agencies/audits/2014/12/15/medicaid-program-improper-payments-physical-therapistReimbursement of Social Services Costs (2013MS-3)
… the following Counties: Franklin [pdf] , Genesee [pdf] , Greene [pdf] , Montgomery [pdf] , Ontario [pdf] , Sullivan … interdepartmental service costs (costs incurred by other county departments for the benefit of the DSS) that are … monitor claims submitted against the Plan to ensure the county’s reimbursement is maximized and submit supplemental …
https://www.osc.ny.gov/local-government/audits/county/2013/12/13/reimbursement-social-services-costs-2013ms-3The Network for Children’s Speech, Occupational & Physical Therapy, LLC – Compliance With the Reimbursable Cost Manual
… by The Network for Children’s Speech, Occupational & Physical Therapy, LLC (CTN) on its Consolidated Fiscal … reported by The Network for Childrens Speech Occupational Physical Therapy LLC on its Consolidated Fiscal Reports were …
https://www.osc.ny.gov/state-agencies/audits/2018/07/03/network-childrens-speech-occupational-physical-therapy-llc-compliance-reimbursable-costOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… June 30, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … additional implant fee should not be paid. When hospitals send claims for reimbursement, in addition to general service …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsLifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Lifeline Center for Child Development, … (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2017/10/12/lifeline-center-child-development-inc-compliance-reimbursable-cost-manualUnified Court System Bulletin No. UCS-165
… Purpose To explain procedures for processing Judicial Supplemental … Fund provides judges with payments for services and goods to support them in the performance of their judicial responsibilities of up to $10,000 (to be paid in two installments, of up to $5,000 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-165-2011-judicial-supplemental-support-allowanceUnified Court System Bulletin No. UCS-157
… Purpose To explain procedures for processing Judicial Supplemental … Fund provides judges with payments for services and goods to support them in the performance of their judicial responsibilities of up to $10,000 (to be paid in two installments, of up to $5,000 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-157-2010-judicial-supplemental-support-allowanceUnitedHealthcare - Reasonable and Customary Reimbursement Rates for Delayed Claims (2018-S-60)
To determine whether UnitedHealthcare (United) paid claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s60.pdf