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Medicaid 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 … through September 30, 2014. Background The Department of Health (Department) administers the State’s Medicaid program. … audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Comptroller DiNapoli Statement on the Passing of Assemblywoman Barbara Clark
… Clark and I were “classmates,” who were elected to the Assembly together in 1986. She stood out from the start, for her devotion to her constituents in Queens County and for her tireless efforts to improve the lives and education for all of New York’s …
https://www.osc.ny.gov/press/releases/2016/02/comptroller-dinapoli-statement-passing-assemblywoman-barbara-clarkOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… Purpose To determine the extent of implementation of the five … claim crossover system. Under this system, providers submit medical claims for dual-eligible individuals to … to self-report accurate information to eMedNY regarding how much Medicare paid and how much Medicaid owed, which …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followInappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… made in our audit report, Inappropriate Medicaid Payments for Recipients with Multiple Identification Numbers and No … assigned identification numbers to individuals eligible for Medicaid, and whether inappropriate Medicaid payments … The Department oversees and establishes guidelines for local districts regarding Medicaid eligibility. Local …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments to Cabrini Medical Center (Follow-Up)
… Purpose To determine whether the Department of Health's eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2012 …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… in hospitals, post-hospital nursing home care, hospice, and home health services. If an individual is enrolled in both Medicaid and Medicare (commonly referred to as "dual-eligible"), Medicare is the primary payer and generally covers most of the eligible costs for health …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). … made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare health insurance coverage, known as "dual eligibles." For the three-year audit period ended May 31, 2010, we …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followContract with EBSCO Subscription Services, Inc. (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Contract with EBSCO Subscription … Subscription Services Inc. (EBSCO) is the largest provider in this contract group. Its current five-year contract is valued at $140 million and expires December 31, 2015. In accordance with the contract in force at the time of our …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our initial audit … through August 31, 2009. Our audit identified $40 million of excessive dental services that exceeded certain frequency …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followManagement of General School Funds (Follow-Up)
… nine recommendations included in our initial audit report, John F. Kennedy Educational Campus: Management of General … York City Department of Education (DoE) did not provide John F. Kennedy Educational Campus staff with adequate … management control over GSF accounts. Key Finding DoE and John F. Kennedy officials have made progress in addressing …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/management-general-school-funds-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in … for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are … After Medicare adjudicates a claim, Medicaid pays the balance that is not covered by Medicare and would otherwise …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followState Agencies Bulletin No. 1379
… requirements for employees who claim exempt from Federal, State and/or Local tax withholding in Tax Year 2015. … from Federal withholding for tax year 2014, must file a new Form W-4 by February 17, 2015 to claim exempt for tax … Service (IRS) website as soon as it is available. The New York State Department of Taxation and Finance requires a new …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1379-claiming-exempt-federal-state-andor-local-tax-withholding-tax-year-2015State Agencies Bulletin No. 1530
… Purpose To inform the Senate and Assembly payroll offices of OSC’s automatic processing and to provide instructions for reporting transactions in Pay … for Members who meet the following criteria and who do not appear on any of the exception listings. Members who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1530-2016-year-end-adjustment-members-nys-legislatureState Agencies Bulletin No. 1538
… Compensation Plan for calendar year 2017. The regular yearly contribution amount for Deferred Compensation will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1538-deferred-compensation-maximum-contribution-limits-calendar-year-2017State Agencies Bulletin No. 1300
… exempt from Federal, State and/or Local tax withholding in tax year 2014. Affected Employees Employees who claimed … exempt from Federal, State and/or Local tax withholdings in 2013 and employees who submit withholding allowance certificates claiming exempt in 2014 Effective Date(s) Institution paycheck dated March 6, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1300-claiming-exempt-federal-state-andor-local-tax-withholding-tax-year-2014State Agencies Bulletin No. 1247
… Purpose To notify agencies (with the exception of the City University of New York) of increases in maintenance rates for employee housing and meals. Affected … be the first day of the pay period for the check date in which the deduction will be effective. Questions The Division …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1247-change-maintenance-rates-employee-housing-and-mealsState Agencies Bulletin No. 1089
… and Police Benevolent Association Inc., the guaranteed yearly minimum for pre-shift briefing was increased from $1,248 to $2,080 (biweekly guaranteed minimum was increased from $48 to $80) effective 3/25/10. Time Entry Earnings Code …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1089-new-vacation-lump-sum-payment-earnings-code-employees-bargaining-unitState Agencies Bulletin No. 1212
… of OSC’s automatic processing and to provide instructions for reporting transactions in Pay Period 19C. Affected … the appropriate prorated statutory salary, based on the number of calendar days actually served in the calendar year. … whichever is applicable Exception Listings and Control-D Report Available Prior to Processing The following exception …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1212-2012-year-end-adjustment-members-nys-legislatureState Agencies Bulletin No. 1072
… University of New York) of increases in maintenance rates for employee housing and meals. Affected Employees Employees with deductions for employee housing and/or meals using Deduction Code 401 … Note : Item B-300 and B-300A present information for specific unions/bargaining units. The Determining …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1072-change-maintenance-rates-employee-housing-and-meals