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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)
… Purpose of Audit The purpose 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. … include authorization for the compensation currently paid to the Financial Secretary, Recording Secretary, Treasurer …
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
… processes employee income tax withholding using the percentage method on the annual basis (refer to IRS … are entered timely by agencies will continue to refund Social Security, Medicare, Federal, State and Local taxes, if …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1743-late-reporting-workers-compensation-leaveState Agencies Bulletin No. 1375
… in this bulletin Effective Date(s) New tax withholding rates will be reflected in Institution paychecks dated … changes have been made to: Federal Income Tax Withholding Rates Withholding Allowance Amount Social Security Wage Base … subject to Medicare tax. The Social Security tax rate of 6.2% and Medicare tax rate of 1.45% remain the same. …
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 … of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for people age … under 65 who have certain disabilities. Under Medicare Part C, private managed care companies administer Medicare …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followNYS Travel Information
… Only the Official Compilation may be read into evidence in court." AC 132-A: Travel Voucher - Form AC 132-A is now …
https://www.osc.ny.gov/state-agencies/travelDiNapoli: Franklin School District Saves $826,000 in Health Care Costs
… compared the district’s former health insurance carrier’s rates to the new carrier, Franklin CSD saved a total of …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-franklin-school-district-saves-826000-health-care-costsVolunteer 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-firefightersOpinion 2007-3
… 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
… Medicaid recipients who are receiving opioids while also in a Treatment Program for opioid use disorder. This audit … 25 recipients were asked at least once during treatment to sign a consent form to coordinate care with the recipient’s … prescriber. However, 3 of the 13 recipients declined to sign a consent form. We found care coordination with regard …
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
… the arrest today of Geddes Account Clerk Shannon Carhart for allegedly pocketing $30,000 in a health care coverage … order to fraudulently receive $6,000 from the town meant for employees who opted out of health insurance coverage. In … $30,000 by failing to pay her actual health insurance premiums and leaving the town to pay the bill. “Ms. Carhart …
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
… The New York State Health Insurance Program (NYSHIP), administered by … services. Civil Service contracts with UnitedHealthcare (United) to administer the medical/ surgical portion of the … in-network, $72 for MultiPlan, and $147 for R&C. … The New York State Health Insurance Program NYSHIP administered 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
… in this bulletin Effective Date(s) New tax withholding rates will be reflected in Institution paychecks dated … changes have been made to: Federal Income Tax Withholding Rates Withholding Allowance Amount Social Security Wage Base … subject to Medicare tax. The Social Security tax rate of 6.2% and Medicare tax rate of 1.45% remain the same. …
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
… state what will occur in the case of improper claims for travel and conference expenses, including among other things: Denial of reimbursement to employees who do not submit required and … sufficient to enable the proper audit of the claim for reimbursement. Denial of reimbursement for expenses incurred …
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
… the recovery of this money. Department officials are in agreement with our recommendation." NYL is a not-for-profit … on March 1, 2010, NYL entered into a five-year management agreement with YAI. This agreement, which was automatically … .osc.state.ny.us/sites/default/files/state-audits/documents/pdf/2019-01/sga-2017-15s43_0.pdf DiNapoli's Special Education …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-preschool-special-education-provider-received-nearly-6-million-ineligible-expenses