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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...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s60.pdfUnion Fire Company #2 Inc. – Financial Operations (2012M-205)
… of our audit was to evaluate internal controls over the Company’s financial operations for the period April 1, 2011, to May 15, 2012. Background The Union Fire Company #2, Inc. is a volunteer organization located in the … The Board of Directors, which is responsible for the Company’s overall general and financial affairs, consists of …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/01/11/union-fire-company-2-inc-financial-operations-2012m-205State 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 … by agencies will continue to refund Social Security, Medicare, Federal, State and Local taxes, if applicable. For …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1743-late-reporting-workers-compensation-leaveState Agencies Bulletin No. 1375
… agencies of the updated IRS tax withholding requirements for 2015 and other related topics. Affected Employees … Administration paychecks dated January 14, 2015 Background For 2015, changes have been made to: Federal Income Tax … withholding allowance remains at $1,000. Social Security & Medicare Wage Base and Tax Rate Information The Social …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1375-summary-tax-related-changes-2015State Agencies Bulletin No. 1455
… agencies of the updated IRS tax withholding requirements for 2016 and other related topics. Affected Employees … Administration paychecks dated January 13, 2016 Background For 2016, changes have been made to: Withholding Allowance … withholding allowance remains at $1,000. Social Security & Medicare Wage Base and Tax Rate Information The Social …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1455-summary-tax-related-changes-2016Improper 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
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20f22-response.pdfMedicaid 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.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-18s24.pdfMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… made in our initial audit report, Medicaid Payments to Medicare Advantage Plan Providers (Report 2016-S-54 ). About … enrolled in Medicare, the federal health insurance program for people age 65 and older and people under 65 who have … plans) tailored to the specific needs of beneficiaries. For individuals enrolled in Medicaid and Medicare, providers …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followNYS Travel Information
… (See Chapter XIII, Section 4 - Employee Travel Expense Reimbursement ) For additional employee travel information, … read into evidence in court." AC 132-A: Travel Voucher - Form AC 132-A is now obsolete and has been replaced by form … Travel AC 1099-S : Request/Agreement for Moving Expense Reimbursement AC 3256-S :Statement of State Corporate Travel …
https://www.osc.ny.gov/state-agencies/travelVolunteer Firefighters – Travel and Conference Expense Management
… Volunteer firefighters are also eligible for reimbursement of certain expenses incurred while …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/volunteer-firefightersDiNapoli: Franklin School District Saves $826,000 in Health Care Costs
… count,” said DiNapoli. “I commend district officials for their proactive approach and implementing cost-saving … would have paid a total of $321,000 in health insurance premiums for these individuals. The district’s health insurance …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-franklin-school-district-saves-826000-health-care-costsOpinion 2007-3
… This opinion represents the views of the Office of the State Comptroller at the time it was rendered. The opinion … when the “other compensation” provided to the highest ranking subordinate in the village police department who is … or welfare benefits and employer contributions to pension or annuity funds”. For purposes of this opinion, we …
https://www.osc.ny.gov/legal-opinions/opinion-2007-3Medicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… disorder. New York State maintains a database to monitor prescription drug use, known as the Internet System for … to assist prescribers in determining the most appropriate prescription(s) for an individual. To maximize safety of … asked at least once during treatment to sign a consent form to coordinate care with the recipient’s opioid …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programGeddes Town Clerk Charged in $30K Swindle
… Carhart cost the town another $30,000 by failing to pay her actual health insurance premiums and leaving the town to pay the bill. “Ms. Carhart hoodwinked Geddes town officials and … Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by mailing a …
https://www.osc.ny.gov/press/releases/2019/04/geddes-town-clerk-charged-30k-swindleAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… of health insurance coverage: medical/surgical, hospital, prescription drugs, and mental health and substance abuse … service in the same or similar geographic region. United’s reimbursement rates for out-of-network services are generally … — often significantly higher — than United’s in-network reimbursement rates. Consequently, services provided by …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesGranville Central School District – Medicaid Reimbursements (2021M-90)
… (District) maximized Medicaid reimbursements by claiming for all eligible Medicaid services provided. Key Findings The … have realized revenues totaling $9,011, from 50 percent reimbursement of eligible costs. Key Recommendations … requirements are met to submit Medicaid claims for reimbursement for all eligible services provided. Review all …
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/27/granville-central-school-district-medicaid-reimbursements-2021m-90State Agencies Bulletin No. 1297
… Security Wage Base Qualified Parking Benefits Qualified Transit Pass Mileage Rates Tax Rates The Federal income tax … parking benefits will be $250 per month in 2014. Qualified Transit Pass The maximum amount allowed as exclusion from …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1297-summary-irs-tax-related-changes-tax-year-2014Failing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management
… Employees who travel must be aware of travel and conference policy requirements and they must understand the consequences of the failure to meet these requirements. Your policy should … other things: Denial of reimbursement to employees who do not submit required and appropriate documentation of …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/failing-adhere-policy-and-proper-proceduresQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal Reports (CFRs) … is non-allowable for SED preschool cost-based program reimbursement purposes. $87,262 in non-allowable other than … to the costs reported on QCP’s CFR and to QCP’s tuition reimbursement rates, as warranted. Remind QCP officials of …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualDiNapoli: Preschool Special Education Provider Received Nearly $6 Million for Ineligible Expenses
… preschool for children with disabilities charged the State Education Department (SED) nearly $6 million for … Thomas P. DiNapoli announced today. DiNapoli's audit of New York League for Early Learning Inc. (NYL) focused on … fiscal years ended June 30, 2014, NYL, using taxpayer funds, paid $13.8 million in fees to YAI for such services. …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expenses