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State Agencies Bulletin No. 1353
… fringe benefits such as the Certification, Licensure and Exam Fee Reimbursement are considered taxable income. … in the PEF or CSEA Certification, Licensure and Exam Fee Reimbursement Program Effective Date(s) Institution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1353-certification-licensure-and-exam-fee-reimbursement-clefr-2014Comptroller DiNapoli Releases State Audits
… Medicare claims using the National Provider Identifier (NPI) for his group practice and the related Medicaid claims using his NPI as an individual provider. The provider also did not …
https://www.osc.ny.gov/press/releases/2015/01/comptroller-dinapoli-releases-state-auditsImproper Payments to a Physical Therapist (Follow-Up)
… deductibles and coinsurance, not paid by Medicare. We issued our initial audit report on December 15, 2014. The … for Madison Physical Therapy. In our initial audit report, we made two recommendations to the Department of Health to review and recover the improper Medicaid payments we identified and to determine if sanctions were warranted. …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followSummit Educational Resources – Compliance With the Reimbursable Cost Manual
… three counties in western New York. Summit is reimbursed for preschool special education services through rates set by … Summit reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM requirements. For the fiscal year ended June 30, 2013, Summit reported …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/summit-educational-resources-compliance-reimbursable-cost-manualDiNapoli: Pre-K Special Education Schools Took $1.4 Million in Unallowed Expenses
… or show that the payments were reasonable. In one example, a collaborative school official provided evidence that her … school was using the Port Authority’s space at no cost. It is egregious that the collaborative school (a private entity) … $8,745 but could not provide itemized invoices to show what services were provided, or when, or the number of hours …
https://www.osc.ny.gov/press/releases/2016/11/dinapoli-pre-k-special-education-schools-took-14-million-unallowed-expensesOverpayments for Services Also Covered By Medicare Part B (Follow-Up) (2015-F-4)
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, O
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-15f4.pdfDiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… Bradshaw, an officer manager for numerous doctors’ offices in Manhattan, for her alleged role in a long-term scheme to defraud the New York State Insurance … NY, worked as an office manager for multiple doctors in Manhattan. Her husband was a New York State employee, and …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planMedicare Part D – Federal Prescription Drug Benefits Program
This bulletin highlights the Medicare Part D Federal prescription drug benefits program and provides appropriate accounting guidance for Federal subsidies recei
https://www.osc.ny.gov/files/local-government/publications/pdf/medicared.pdfState Agencies Bulletin No. 919
… Security and Medicare taxes. Payroll Bulletin No. 914 (Change in Taxation of Military Stipend) explained the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/919-taxation-retroactive-raise-payments-employees-receiving-military-stipendCity of Amsterdam – Budget Review (B24-5-5)
… exceed $8.3 million to liquidate the cumulative deficits in the City’s general, transportation, sewer and recreation … The significant revenue and expenditure projections in the 2024-25 proposed budget are reasonable. However, we … City officials did not implement all recommendations in our previous budget review letter when preparing the …
https://www.osc.ny.gov/local-government/audits/city/2024/05/13/city-amsterdam-budget-review-b24-5-5Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… billed as inpatient services for recipients enrolled in managed care. The audit covered the period from July 2019 … & Medicaid Services (CMS) defines outpatient care provided in a hospital as care that a patient receives, typically in the emergency department or observation room, without …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesWillsboro Central School District – Student State Aid (2023M-119)
… aid for special education students who received services in summer placements. Key Findings District officials did … aid for special education students who received services in summer placements. As a result, as of June 30, 2023, the District had not claimed $55,771 in State aid to which it was entitled, of which $52,640 would …
https://www.osc.ny.gov/local-government/audits/school-district/2024/02/02/willsboro-central-school-district-student-state-aid-2023m-119State Agencies Bulletin No. 1280
… fringe benefits such as the Certification, Licensure and Exam Fee Reimbursement are considered taxable income. … in the PEF or CSEA Certification, Licensure and Exam Fee Reimbursement Program Effective Date(s) Institution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1280-certification-licensure-and-exam-fee-reimbursement-clefr-2013DiNapoli: New York State Gets 91 Cents for Every Dollar Sent to Washington
… sends to Washington D.C., it receives about 91 cents back in federal spending – compared to a national average of … Comptroller Thomas P. DiNapoli. New York ranked 46th in the nation in its balance of payments between the amount it generated in … sends to Washington DC it receives about 91 cents back in federal spending compared to a national average of nearly …
https://www.osc.ny.gov/press/releases/2015/10/dinapoli-new-york-state-gets-91-cents-every-dollar-sent-washingtonEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… paid over $31 million for 19,032 claims for special items. We determined Empire did not have adequate controls to ensure … considerable progress in implementing the recommendations we made in our initial audit report. Of the three prior …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughReimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Reimbursement of Homeless … Westhab is the single largest provider of these services in Westchester County. In order to effectively evaluate whether costs are eligible … of implementation of the six recommendations included in our initial audit report Reimbursement of Homeless Shelter …
https://www.osc.ny.gov/state-agencies/audits/2024/08/08/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-center-followMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… individuals who, generally, don’t otherwise qualify for Medicaid. As income, household makeup, and other factors … Plan coverage because the Department did not account for the Essential Plan as a liable third-party health … both programs and having enrollment information for both in its systems, the Department never applied payment …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andMedicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… To determine whether the Department of Healths Departments eMedNY system reasonably ensured that Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022Medicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed … the period October 2022 through March 2023, and certain claims going back to June 2022. About the Program The … program. The Department’s eMedNY computer system processes claims submitted by providers for services rendered to …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023Benchmark Family Services, Inc. – Compliance With the Reimbursable Cost Manual
… the fiscal year ended June 30, 2013. Background BFS, a for-profit organization located in Watertown, New York, is an … provider of preschool special education services. For the fiscal year ended June 30, 2013, BFS provided … and St. Lawrence counties. The counties pay tuition to BFS for its preschool special education services using …
https://www.osc.ny.gov/state-agencies/audits/2016/12/29/benchmark-family-services-inc-compliance-reimbursable-cost-manual