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DiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
New York states Medicaid system could have saved up to $136 million it spent on patients with severe kidney disease whose expenses could have been covered by the federal Medicare program according to an audit released today by State Comptroller Thomas P DiNapoli
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 1031
… Excess Per Diem Payments; Non-Overnight Meal Allowances; and Employee Payments Taxable Under the IRS … found under the NYS Travel Guidelines . Non-Overnight Meal Allowances IRS requires employers to report and withhold … Security and Medicare tax deficiencies in 2011, agencies should work with their employees to accelerate the submission …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1031-year-end-procedure-taxable-travel-reimbursementState Agencies Bulletin No. 1093
… Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments Taxable Under the IRS One-Year … found under the NYS Travel Guidelines . Non-Overnight Meal Allowances IRS requires employers to report and withhold … Security and Medicare tax deficiencies in 2012, agencies should work with their employees to accelerate the submission …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1093-year-end-procedure-taxable-travel-reimbursementsState Agencies Bulletin No. 933
… Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments Taxable Under the IRS One-Year … found under the NYS Travel Guidelines . Non-Overnight Meal Allowances IRS requires employers to report and withhold … Security and Medicare tax deficiencies in 2010, agencies should work with their employees to accelerate the submission …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/933-year-end-procedure-taxable-travel-reimbursementsDiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… claims worth nearly $1 million over a 27-month period for thousands of Medicaid recipients whose benefits were … $61,711 in overpayments to providers because of incorrect Medicare coinsurance, copayment or deductible amounts. “The … Dec. 31, 2013, Medicaid paid more than $126 million in premiums to MCOs for health services, including pharmacy …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audits-find-more-1-million-waste-new-yorks-medicaid-programImproper 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.pdfManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… Objective To determine the extent of implementation of the seven … to dental and pharmacy benefits. Medicaid recipients may have additional sources of health care coverage (i.e., third-party health insurance, or TPHI), such as health …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care … Plus (FHP) was a publicly funded managed care program for individuals whose income was too high to qualify for … totaling $122.4 million ($103.9 million in improper premiums and $18.5 million in questionable premiums) for …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andCost Saving Opportunities on Payments of Medicare Part C Claims (Follow-Up)
… report, Cost Saving Opportunities on Payments of Medicare Part C Claims (Report 2020-S-65 ). About the Program Many of … Medicare and are referred to as “dual-eligibles.” Medicare Part A provides hospital insurance and Part B provides … two amounts approved by CMS. In New York, Medicaid pays 85% of dual-eligibles’ copayment or coinsurance on Medicare …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/cost-saving-opportunities-payments-medicare-part-c-claims-followState Agencies Bulletin No. 2170
… Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee … Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business … and are subject to employment and income taxes. Federal, State and New York City income tax withholding will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2170-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 1769
… agencies with the 2019 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … in box 1 on the employee’s 2019 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1769-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2079
… agencies with the 2022 calendar year-end procedures for taxable travel reimbursement. Background Taxable travel reimbursements … in box 1 on the employee’s 2022 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2079-year-end-procedure-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 2283
… agencies with the 2024 calendar year-end procedures for taxable travel reimbursement. Background: Taxable travel reimbursements … box 1 on the employee’s 2024 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2283-year-end-procedure-taxable-employee-expense-reimbursementsMedicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
… Numbers (CINs) where at least one CIN was enrolled in fee-for-service. The audit covered the period from January 1, … Department of Health (Department) uses two methods to pay for Medicaid services: fee-for-service (FFS) and managed … Department pays managed care organizations (MCOs) monthly premiums and the MCOs arrange for the provision of health …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-involving-fee-service-claims-recipientsState Agencies Bulletin No. 1863
… Purpose The purpose of this bulletin is to provide agencies with the 2020 calendar year-end … Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business expense reimbursements require … diems for the continental U.S. can be found in the Guide to Financial Operations Chapter XIII, Section 4.E . …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1863-year-end-procedure-taxable-employee-expense-reimbursementsUnified Court System Bulletin No. UCS-57
… Checks dated October 23, 2002 Background A new program has been established by the City of New York Management … is received and will be reported on employee's year-end W2. Note: The amount reported is not included in the gross … Local, Social Security and Medicare taxes. OSC Actions OSC has established a new Earnings Code HCR, Health Club …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-57-member-health-club-taxable-reimbursement-reportingState Agencies Bulletin No. 868
… required to furnish each employee with a Form W-2 Wage and Tax Statement by February 2, 2009. As the employer, OSC is … is the Federal taxable gross wages. Box 2 Federal Income Tax Withheld The amount in this box is the Federal income tax withheld. Box 3 Social Security Wages The amount in this …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/868-form-w-2-calendar-year-2008State Comptroller DiNapoli Releases Audits
… Authority – Long Island Rail Road – Non-Revenue Service Vehicles and On-Rail Equipment (2020-S-29) The Long … Department of Health – Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party … identified and recovered all Medicaid payments for fee-for-service pharmacy claims where TPHI was liable instead, …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1282
… Excess Personal Car Mileage (PCM) Reimbursements Excess Per Diem Payments Non-Overnight Meal Allowances Employee Payments … Taxable Under the IRS One-Year Rule Excess PCM and Per Diem Amounts: IRS rules relating to employee business …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1282-year-end-procedures-taxable-employee-expense-reimbursementsState Agencies Bulletin No. 765
… and reporting of Certification and Licensure Exam Fee Reimbursement (CLERF) Program recipients who received these … from GOER using Earn Code FRB in Time Entry transactions for all recipients of the CLEFR Program for calendar year … advice statement. OSC will withhold Social Security, Medicare, State and local taxes. No Federal income tax will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/765-processing-certification-and-licensure-exam-fee-reimbursement-clefr-2007