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DiNapoli: State Medicaid Program Made More Than $100 Million in Duplicate Payments

… state paid more than $100 million in duplicate payments to managed care organizations (MCOs) for premiums over a more than four year period, according to an audit released today by State Comptroller Thomas P. … long time,“ DiNapoli said. “The Department of Health needs to do a better job coordinating with all stakeholders in the …

The Network for Children’s Speech, Occupational & Physical Therapy, LLC – Compliance With the Reimbursable Cost Manual

… special education services through rates set by SED. The reimbursement rates are based on financial information, … CTN reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM … to the costs reported on CTN’s CFRs and to CTN’s tuition reimbursement rates. Remind CTN officials of the pertinent …

XIII. Employee Expense Reimbursement – XIII. Employee Expense Reimbursement

Benefits

… A Full-Range of Insurance Options Comprehensive health, dental and vision insurance packages (including prescription … 13 paid holidays annually Flex spending accounts Health Care Spending Account – provides employees the opportunity to … health-related expenses with tax-free dollars. Dependent Care Advantage Account – provides employees the opportunity …

Bedford Central School District – Medicaid Reimbursement (2025M-43)

… providers to log session notes. Using the District’s IEP software subscription.  The report includes four … posted on the District’s website for public review. 1 The IEP is the cornerstone of the special education process for … a disability. Each student with a disability must have an IEP in effect by the beginning of each school year. An IEP …

Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals

… To determine whether Empire BlueCross properly paid hospital claims for intraocular procedures. The audit covered … million members. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with …

Lifeline Center for Child Development, Inc. – Compliance With the Reimbursable Cost Manual

… to children with disabilities who are between the ages of three and five years. During the 2014-15 school year, … served about 52 students. The New York City Department of Education (DoE) refers students to Lifeline and pays for … in ineligible expenses, including $21,083 in taxi fares to transport parents and their children to Lifeline for …

Medicaid Program – Improper Payments to a Physical Therapist

… Purpose To determine whether Mark Amir, a physical therapist participating in New York’s Medicaid program, … September 30, 2013. Background Mark Amir is a physical therapist who owns and operates Madison Physical Therapy … To determine whether Mark Amir a physical therapist participating in New Yorks Medicaid program billed …

Overpayments of Certain Medicare Crossover Claims (Follow-Up)

… much Medicaid owed, which often led to incorrect Medicaid payments. Our initial audit report, which was issued on … the Department to review and recover the improper Medicaid payments and design and implement controls within eMedNY to …

State Agencies Bulletin No. 1743

… with information regarding OSC’s revised tax refund policy for employees who were/are on a paid Workers’ Compensation … method on the annual basis (refer to IRS Publication 15 for additional information). Due to late reporting of … taxable gross adjustment. This adjustment, when annualized for income tax purposes, can generate excessive refunds of …

UnitedHealthcare - 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...

Union Fire Company #2 Inc. – Financial Operations (2012M-205)

… the Foreman, 1st Assistant Foreman, 2nd Assistant Foreman, Recording Secretary, Financial Secretary, and Treasurer. For the fiscal year ended March 31, 2012, the Company received approximately $74,000 in … Key Findings The Company’s Constitution and by-laws have not been updated since 1978 and do not include authorization …

Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up) 90-Day Response

To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers

Medicaid Program - Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers (2018-S-24)

To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate Client Identification Numbers.

NYS Travel Information

… Travel Guidelines OGS Net Card Memo : Memo issued by OGS discussing necessary … regulations on this web site are an unofficial version of the Official Compilation of Rules and Regulations of the … read into evidence in court." AC 132-A: Travel Voucher - Form AC 132-A is now obsolete and has been replaced by form …

Reimbursement of Social Services Costs (2013MS-3)

… to social services. Maintain a record of staff time spent on prosecution activities related to those social services …

Volunteer Firefighters – Travel and Conference Expense Management

… reimbursement of certain expenses incurred while attending training schools and courses of instruction for firefighters. … approvals that vary depending on the location of the training school or course of instruction. See Appendix A for … reimbursement of certain expenses incurred while attending training schools and courses of instruction for firefighters …

Medicaid Payments to Medicare Advantage Plan Providers (Follow-Up)

… Objective To determine the extent of implementation of the three recommendations made in our initial audit report, Medicaid Payments to Medicare … To determine the extent of implementation of the three recommendations made in our initial audit report Medicaid Payments to Medicare …

Granville Central School District – Medicaid Reimbursements (2021M-90)

… the District would have realized revenues totaling $9,011, from 50 percent reimbursement of eligible costs. Key …

Failing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management

… policy should specifically state what will occur in the case of improper claims for travel and conference expenses, … policy should specifically state what will occur in the case of improper claims for travel and conference expenses …