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Cost-Saving Ideas: Containing Employee Health Insurance Costs
… you should always look for ways to contain health insurance costs without cutting current benefit levels. … of health benefits for retirees. Self-Fund Your Health Insurance Instead of continually paying premiums to an insurance company, consider self-funding a health insurance …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-containing-employee-health-insurance-costsNYS Travel Information
Resources for agencies supervisors and employees related to travel expenses
https://www.osc.ny.gov/state-agencies/travelVolunteer 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 …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/volunteer-firefightersSouth 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-insuranceCambridge Central School District - Medicaid Reimbursements (2019M-109)
… all Medicaid reimbursements to which it was entitled for services provided to eligible students. Key Findings The … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and rejected claims were not resubmitted for 1,280 eligible services totaling $25,004. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2019/08/23/cambridge-central-school-district-medicaid-reimbursements-2019m-109Improper 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.pdfOpinion 2007-3
… that bear on the issues discussed in the opinion. POLICE AND POLICE PROTECTION -- Police Chief (entitlement to “other compensation” when no … Whether the police chief is also entitled to reimbursement for criminal …
https://www.osc.ny.gov/legal-opinions/opinion-2007-3Granville Central School District – Medicaid Reimbursements (2021M-90)
Determine whether the Granville Central School District District maximized Medicaid reimbursements by claiming for all eligible Medicaid services provided
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/27/granville-central-school-district-medicaid-reimbursements-2021m-90UnitedHealthcare - 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.pdfEagle 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-213An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… by the State Department of Civil Service (Civil Service), is one of the nation’s largest public sector health insurance … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 … the reasonable and customary (R&C) rate. MultiPlan, Inc. is the provider network leased by United to supplement its …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesFailing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management
… state what will occur in the case of improper claims for travel and conference expenses, including among other … sufficient to enable the proper audit of the claim for reimbursement. Denial of reimbursement for expenses incurred that are not actual and necessary and …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/failing-adhere-policy-and-proper-proceduresState Agencies Bulletin No. 1542
… agencies of the updated IRS tax withholding requirements for 2017 and other related topics. Affected Employees … Administration paychecks dated January 11, 2017 Background For 2017, changes have been made to: Withholding – Additional Amount for nonresident aliens Social Security Wage Base Limit …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1542-summary-tax-related-changes-2017State Agencies Bulletin No. 952
… of the automatic processing of Social Security and Medicare tax withholding refunds related to Military Stipend … Military Stipend earnings exempt from Social Security and Medicare taxes. OSC will automatically issue refunds for … for whom wages were not exempted from Social Security and Medicare tax withholdings for the paychecks issued January 7, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/952-refund-social-security-and-medicare-tax-withholdings-related-militaryQueens 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) … audit focused primarily on expenses claimed on QCP’s CFR for the fiscal year ended June 30, 2019 and certain expenses claimed on its CFRs for the 2 fiscal years ended June 30, 2018. About the Program …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualBenefits
… 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/benefitsDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… continues its efforts to ensure everyone gets the health coverage they’re entitled to, it has a chance to save … health care plan, such as the Essential Plan or Medicare, should have paid. These shortcomings are … calculated that Medicaid could have saved $37.3 million (part of the $294.4 million) if they had been enrolled in …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-state-medicaid-needs-stop-paying-bills-federally-funded-plans-should-coverSt. Regis Falls Central School District – Medicaid Reimbursements (2021M-106)
… report - pdf ] Audit Objective Determine whether the St. Regis Falls Central School District (District) maximized … Determine whether the St Regis Falls Central School District District maximized …
https://www.osc.ny.gov/local-government/audits/school-district/2021/09/17/st-regis-falls-central-school-district-medicaid-reimbursements-2021m-106Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… The State’s Medicaid program is administered by the Department of Health (Department). The Medicaid program reimburses hospitals for … Medicaid recipients were discharged within 24 hours of admission. There is a high risk that a portion of these …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claims