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Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65)
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65.pdfState Agencies Bulletin No. 1043
… are required to furnish each employee with a Form W-2 by January 31, 2011. 2010 Form W-2 Content 2010 Form W-2s will … The amount in this box is the Medicare tax withheld. Box 9 Advance EIC Payments The amount in this box is the total … SC -- South Carolina TX -- Texas PR – Puerto Rico Box 16 State Wages The State wages reported are the same as the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1043-form-w-2-wage-and-tax-statement-calendar-year-2010State Agencies Bulletin No. 950
… E for 2009, and the Instructions for Form W-2 (Wage and Tax Statement), employers are required to furnish each … Tips and Other Compensation The amount in this box is the Federal taxable gross wages Box 2 Federal Income Tax Withheld … Spending Account Program. The Pre-Tax Transit Benefit deduction is excluded from Boxes 1, 3 and 5 to calculate the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/950-form-w-2-wage-and-tax-statement-calendar-year-2009Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65) 180-Day Response
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65-response.pdfXII.6.I Paying a Non-State Employee – XII. Expenditures
… incurred in the performance of their official duties. For overnight travel, non-salaried Public Officers may receive a fixed per diem allowance of $75 per night, or may use the receipted …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6i-paying-non-state-employeeIV.4.C General State Charges – IV. Accounting Codes - Uses and Descriptions
IV4C General State Charges
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv4c-general-state-chargesState Agencies Bulletin No. 1493
… gross pay for the existing FICA repayment obligation. A new FICA repayment obligation can then be established with … payment of the full amount of underpaid FICA tax to the IRS and the subsequent deduction of the employee’s share of … Comptroller on their behalf. Failure to quickly begin collection of the employee share would require OSC to “gross …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1493-new-repayment-rate-deduction-code-502-nys-ssmedicare-deficiencyCUNY Bulletin No. CU-547
… of gross pay for the existing FICA repayment obligation. A new FICA repayment obligation can then be established with … payment of the full amount of underpaid FICA tax to the IRS and the subsequent deduction of the employee’s share of … Comptroller on their behalf. Failure to quickly begin collection of the employee share would require OSC to “gross …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-547-new-repayment-rate-deduction-code-582-cuny-ssmedicareComptroller DiNapoli Releases State Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … audits have been issued: Research Foundation of the State University of New York: Allocation and Budgetary … As a result, Empire made a net overpayment of $391,894 on 81 of the 100 claims we tested. Auditors estimate Empire …
https://www.osc.ny.gov/press/releases/2014/01/comptroller-dinapoli-releases-state-auditsNew York’s Economy and Finances in the COVID-19 Era (June 24, 2021)
… Telehealth Services Among Medicaid and Child Health Plus Beneficiaries in New York The COVID-19 pandemic prompted many … among New York Medicaid and Child Health Plus (CHP) beneficiaries are available for the period from January 2018 … available). Telehealth services provided to New York beneficiaries began to increase before the pandemic, growing …
https://www.osc.ny.gov/reports/new-yorks-economy-and-finances-covid-19-era-june-24-2021Audit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018
To express an opinion on the fair presentation of the Financial Statements of the Tuition Reimbursement Account for the five fiscal years ended March 31 2018
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/audit-tuition-reimbursement-account-five-fiscal-years-ended-march-31-2018State Comptroller DiNapoli Releases Audits
… with SED’s requirements for reimbursement. Department of Health – Improper Medicaid Payments for Individuals Receiving … hospice care. The follow-up found that the Department of Health made some progress in addressing the problems …
https://www.osc.ny.gov/press/releases/2023/02/state-comptroller-dinapoli-releases-auditsMedicaid Program – Overpayments for Medicare Part C Claims
… and coinsurance, as follows. Medicaid pays 100% of the deductibles. Medicaid pays 100% of the copayments and coinsurance on inpatient claims, and … From a judgmental sample of 89 of these claims, totaling $1,325,452, from five hospitals, we determined Medicaid made …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
… buy-in program. The audit covered Medicaid payments for individuals enrolled in the Medicare buy-in program for the period from January 1, 2015 through December 31, 2019 … program (Buy-in Program), administered by the Centers for Medicare & Medicaid Services (CMS), Medicaid pays …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsMedicaid Program – Reducing Medicaid Costs for Recipients With End Stage Renal Disease
… Purpose To determine whether the Department of Health took sufficient … Medicaid recipients with ESRD and helped guide them on how to apply for and enroll in Medicare. In response to our … then for recipients with the necessary QCs, collect and submit documentation required for SSA to make an ESRD …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/medicaid-program-reducing-medicaid-costs-recipients-end-stage-renal-diseaseMedicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare
… 2021. About the Program The Department administers the State’s Medicaid program. Individuals who are eligible or … federal cash benefit to assist low-income individuals. In New York, all SSI recipients are eligible to receive Medicaid. …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-reducing-medicaid-costs-recipients-who-are-eligible-medicareDiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… Medicaid recipients with ESRD and helps guide them on how to apply for and enroll in Medicare. In response to the … and notify them that they may be eligible for Medicare and how to apply. DOH can also obtain recoveries from Medicare … in applying for Medicare; Follow up with recipients who do not apply for Medicare by implementing a process that …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsForms for State Agencies and Employees
… PDF AC 3206 Prior Year Social Security and Medicare Tax Refund Certification Fillable PDF for NYS Fillable PDF … highlighted and fields defined ( PDF ) Fillable PDF AC 946 Tax Exempt Certificate Fillable PDF AC 1171 State Aid Voucher …
https://www.osc.ny.gov/state-agencies/formsFour Individuals Charged in Widespread Scheme to Defraud Medicare and Other Health Insurance Providers Through Fraudulent Medical Corporations and False Billing Resulting in Tens of Millions of Dollars in Losses
… said: "The Spinas and their associates allegedly swindled tens of millions of dollars by fraudulently billing health … New York agents and our law enforcement partners uncovered tens of millions of dollars in losses. This type of fraud … totaled more than $80,000,000, resulting in losses of tens of millions of dollars. As alleged in a separate …
https://www.osc.ny.gov/press/releases/2018/08/four-individuals-charged-widespread-scheme-defraud-medicare-and-other-health-insurance-providers