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Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as … – inpatient versus outpatient – affects Medicaid’s reimbursement for services provided. Inpatient care generally … of illness, which provides the basis for calculating the reimbursement. Outpatient services are typically reimbursed …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMedicaid Program: Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
To determine whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s37-response.pdfState Agencies Bulletin No. 1121
… Purpose To inform agencies of the tax related withholding requirements for 2012. … Employees Employees receiving paychecks in 2012 Effective Date(s) January 1, 2012 Social Security The Social Security … for 2012. The Temporary Payroll Tax Cut Continuation Act of 2011 temporarily extends the current employee social …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1121-summary-tax-related-withholding-requirements-2012St. Regis Falls Central School District – Medicaid Reimbursements (2021M-106)
… would have realized revenues totaling $11,530, 50 percent of the reimbursement. Key Recommendations Establish …
https://www.osc.ny.gov/local-government/audits/school-district/2021/09/17/st-regis-falls-central-school-district-medicaid-reimbursements-2021m-106West Ghent Volunteer Fire Company – Treasurer’s Activities (2016M-48)
… was to evaluate controls over the Treasurer’s activities for the period January 1, 2013 through August 12, 2014. … received approximately $19,700 in foreign fire insurance premiums in 2014. Key Findings The Company did not require … policy to describe proper credit card usage, dollar limits for purchases or documentation required to be maintained to …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2017/11/03/west-ghent-volunteer-fire-company-treasurers-activities-2016mMedicaid Program - Medicaid Payments to Medicare Advantage Plan Providers (2016-S-54) 90-Day Response
To determine whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s54-response.pdfMedicaid Program - Medicaid Payments to Medicare Advantage Plan Providers (2016-S-54)
To determine whether Medicaid inappropriately paid for recipients’ Medicare Part C cost-sharing liabilities.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s54.pdfOpinion 92-51
… irrespective of whether the proposed source of moneys to be used for the reimbursement is public or private. You … no compensation for their services but shall be entitled to the necessary expenses, including travel expenses, … because of the lack of specific statutory authority to pay for the travel expenses of a spouse ( cf . General …
https://www.osc.ny.gov/legal-opinions/opinion-92-51DiNapoli: Audit Cites East Clinton Fire District For Improper Gifts
… improperly paid nearly $35,000 in personal expenses for members, including rent, cable television and college … totaling $8,500. District officials have not sought reimbursement for the gifts or loans. During the 16-month … district to improve financial oversight, including: Seek reimbursement of gifts and loans made with public money; …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-audit-cites-east-clinton-fire-district-improper-giftsState Agencies Bulletin No. 690
… Purpose To advise agencies of tax-related changes for 2007. Affected Employees Employees meeting the criteria … Administration paychecks dated January 10, 2007 Background For 2007, changes have been made to: Federal Income Tax Withholding Rates Social Security/Medicare Taxes Federal Earned Income Tax Credits Qualified …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/690-summary-tax-related-changes-2007Mill Neck Manor School for the Deaf – Compliance With the Reimbursable Cost Manual
… whether the costs reported by the Mill Neck Manor School for the Deaf (Mill Neck School) on its Consolidated Fiscal … detailing program related expenses. To be eligible for reimbursement, the provider's reported expenses must comply … Manual requirements to staff involved in the CFR and cost reimbursement processes. Other Related Audits/Reports of …
https://www.osc.ny.gov/state-agencies/audits/2013/03/14/mill-neck-manor-school-deaf-compliance-reimbursable-cost-manualState Agencies Bulletin No. 1784
… of the processing of the taxable fringe benefit CLEFR for 2019. Legal Reference Pursuant to Internal Revenue Code … benefits such as the Certification, Licensure and Exam Fee Reimbursement are considered taxable income. Affected … in the PEF or CSEA Certification, Licensure and Exam Fee Reimbursement Program or received reimbursement from the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1784-certification-licensure-and-exam-fee-reimbursement-clefr-2019DiNapoli: State Pays Drug Treatment Center Nearly $4 Million for Ineligible Expenses
… of invalid claims and inadequate oversight by the state Office of Alcoholism and Substance Abuse Services … in the final report. The audit can be found online at https://www.osc.state.ny.us/audits/allaudits/093019/17s21.htm … A …
https://www.osc.ny.gov/press/releases/2019/01/dinapoli-state-pays-drug-treatment-center-nearly-4-million-ineligible-expensesExamination of Pitts Management Associates, Inc. Travel Expenses
… was to determine whether the travel expenses claimed for reimbursement by Pitts Management Associates, Inc. (PMA) …
https://www.osc.ny.gov/state-agencies/audits/2016/08/08/examination-pitts-management-associates-inc-travel-expensesMinisink Valley Central School District – Medicaid Reimbursements (2022M-80)
… maximized Medicaid reimbursements by submitting claims for all eligible Medicaid services provided. Key Findings The … Medicaid services provided. Claims were not submitted for reimbursement for at least 3,083 eligible services totaling … 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/2022/08/19/minisink-valley-central-school-district-medicaid-reimbursements-2022m-80Richland Fire District – Board Oversight (2016M-374)
… internal controls over District financial operations for the period January 1, 2015 through July 31, 2016. … receives on behalf of the Department a tax on the premiums of fire insurance policies written on property by … insurers. General fund budgeted appropriations for 2016 totaled $72,920. Key Findings The out-of-state …
https://www.osc.ny.gov/local-government/audits/fire-district/2017/01/27/richland-fire-district-board-oversight-2016m-374Annual Report on Revenues and Expenditures of Foreign Fire Insurance Premiums
Annual Report on Revenues and Expenditures of Foreign Fire Insurance Premiums
https://www.osc.ny.gov/files/local-government/required-reporting/pdf/foreign-fire-insurance-premiums-annual-report.pdfOpinion 97-16
… of compensation) -- Powers and Duties (audit of claim for compensation submitted by assigned counsel) CLAIMS -- … a plan authorized by County Law, §722(3), is entitled to reimbursement from the county pursuant to County Law, §722-b … contains provisions relating to the compensation and reimbursement for representation. That section establishes …
https://www.osc.ny.gov/legal-opinions/opinion-97-16Lakeview Public Library – Tuition Reimbursement and Procurement (2014M-104)
… our audit was to assess the Board’s control over tuition reimbursement and procurement for the period January 1, 2012 through October 31, 2013. … professional services. … Lakeview Public Library Tuition Reimbursement and Procurement 2014M104 …
https://www.osc.ny.gov/local-government/audits/library/2014/07/18/lakeview-public-library-tuition-reimbursement-and-procurement-2014m-104Town of Delhi - Highway Department Leave Records (2020M-53)
… maintain Department employee leave records. Leave balances for the former Deputy Highway Superintendent (Deputy) from … was attributed to the Deputy’s failure to use sick leave for lost time due to an occupational injury, which resulted in an overpayment of his health and dental premiums of $6,411. The 2018 and 2019 leave balances of six …
https://www.osc.ny.gov/local-government/audits/town/2022/04/01/town-delhi-highway-department-leave-records-2020m-53