Search
Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers were processed in accordance with
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016State Agencies Bulletin No. 2407
… Benefit CUNY Transit Benefit Transportation Spending Account Program Tax Deductible Union Dues For CUNY employees … deductions for Dependent Care, Health Care Flex Spending Account, and Nontaxable Health Insurance are reported in Box …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2407-form-w-2-wage-and-tax-statement-tax-year-2025Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… employer-based coverage or Medicare Part D). Medicaid is considered the payer of last resort and, as such, MCOs are …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthState Agencies Bulletin No. 2198
… Purpose: The purpose of this bulletin is to inform agencies of the content information for the 2023 Form W-2. Affected … in the same company during the year, for example, State of New York (NYS) or City University of New York (CUNY), will … The purpose of this bulletin is to inform agencies of the content …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2198-form-w-2-wage-and-tax-statement-tax-year-2023Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… (or caps). A special category of DME – oxygen equipment – is only available for rental and generally has no limit on …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsState Agencies Bulletin No. 1984
… Purpose The purpose of this bulletin is to inform agencies of the content information for the 2021 Form W-2. Affected … information is excluded from Boxes 1, 3, and 5 and do not appear on Form W-2: Nontaxable Health Insurance …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1984-form-w-2-wage-and-tax-statement-calendar-year-2021Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… to determine whether the Department of Health (Department) and MCOs had adequate processes in place to prevent payments to ineligible providers, and whether improper payments were made to ineligible … claims that lacked this information, assess those claims, and ensure recoveries are made; and improve monitoring …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37)
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37.pdfCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up) (2022-F-14)
To assess the extent of implementation of the recommendation included in our initial audit report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-22f14.pdfPrior Year Social Security and Medicare Tax Refund Certification (Form AC 3206)
Attachment from Payroll Bulletin No. CU-461
https://www.osc.ny.gov/files/state-agencies/payroll-bulletins/pdf/cuny-461-attachment-2.pdfOverpayments of Certain Medicare Crossover Claims (Follow-Up) (2014-F-17), 30-Day Response
We have followed up on the actions taken by officials of the Department of Health (Department) to implement the recommendations contained in our audit report,
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-14f17-response.pdfMedicaid Overpayments for Certain Medicare Part C Claims (2013-S-35), 90-Day Response
We conducted an audit of the Department of Health (Department) to determine if Medicaid overpaid Medicare Part C claims on behalf of Medicaid recipients enrolle
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-13s35-response.pdfState Comptroller DiNapoli Releases Audits
… In a follow-up, auditors found CVS Health addressed most of the problems identified in the initial audit. Niagara …
https://www.osc.ny.gov/press/releases/2021/03/state-comptroller-dinapoli-releases-auditsSUNY Bulletin No. SU-231
… Schedule Job Aid for each payroll period’s exact date of agency On-Line Transactions Cutoff. NOTE: Please share …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-231-suspension-403b-tax-sheltered-annuity-plans-employeesImproper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care. The audit covered … from hospitals, MCOs reimburse the hospitals. The Centers for Medicare & Medicaid Services (CMS) defines outpatient …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesImproper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… where a TPHI carrier may have been liable for the cost of services provided to a Medicaid recipient. The Office of the Medicaid Inspector General (OMIG) contracted with Gainwell …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followState Agencies Bulletin No. 1105
… educational assistance benefits that exceed the $5,250 exclusion limit for calendar year 2011 Legal Reference Per …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1105-educational-assistance-benefitsUpstate Medical University's Billing Practices
… medical center, specializes in research and treatment of the most prevalent human diseases, such as cancer, … disease. Its overarching mission is to improve the health of the communities it serves through education, biomedical … Insurance carriers may deny payment for a variety of reasons (e.g., service deemed not a medical necessity …
https://www.osc.ny.gov/state-agencies/audits/2017/02/17/upstate-medical-universitys-billing-practicesMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid claims were … audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing … to eMedNY processing of claims involving Medicare Part A information will result in an additional annual savings of …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014