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State Comptroller DiNapoli Releases Audits
… of Health – Medicaid Program – Excessive Payments for Durable Medical Equipment Rentals (2021-S-36) Medicaid recipients receive necessary durable medical … trucks, and vans – used by 26 departments in their day-to-day operations. It also maintains 43 pieces of on-rail …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsAccounting for TAN and RAN Premiums
Accounting for TAN and RAN Premiums
https://www.osc.ny.gov/files/local-government/publications/pdf/tan_ran_premiums.pdfArgyle Central School District – Medicaid Reimbursements (2020M-171)
… maximized Medicaid reimbursements by submitting claims for all eligible Medicaid services provided. Key Findings The … not maximize Medicaid reimbursements by submitting claims for all eligible Medicaid services provided. The District … were submitted and reimbursed. Claims were not submitted for 1,251 eligible services totaling $26,637. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/18/argyle-central-school-district-medicaid-reimbursements-2020m-171Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37) 30-Day Response
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-response.pdfAusable Valley Central School District - Medicaid Reimbursements (2018M-189)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 1,674 eligible services totaling $58,965 and service …
https://www.osc.ny.gov/local-government/audits/school-district/2019/01/25/ausable-valley-central-school-district-medicaid-reimbursements-2018m-189Comptroller DiNapoli Releases State Audits
An initial audit report issued in October 2012 determined that from March 2006 through February 2011 Medicaid made nearly 260000 improper payments totaling about $268 million for people enrolled in the Medicare buyin program
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsWhitehall Central School District - Medicaid Reimbursements (2019M-42)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 628 eligible services totaling $24,179. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/21/whitehall-central-school-district-medicaid-reimbursements-2019m-42Risk Management Planning Group
… broker and Third Party Administrator (TPA) for North Shore Hospital (North Shore) and King Kullen Supermarket (King Kullen) policies; … when calculating premiums and providing discounts to North Shore and King Kullen. Background NYSIF provides a guaranteed …
https://www.osc.ny.gov/state-agencies/audits/2017/01/24/risk-management-planning-groupState Agencies Bulletin No. 1960
… is the portion that is greater than the applicable Federal rate and not substantiated by receipts. The 2021 maximum rate … on the employee’s 2021 Form W-2. Social Security/Medicare tax deficiency deductions will be initiated in early 2022 for … 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/1960-year-end-procedure-taxable-employee-expense-reimbursementsDiNapoli: Former Village of Chatham Clerk-Treasurer Arrested for Stealing Funds From the Village
… Columbia County District Attorney Paul Czajka, and the New York State Police today announced the arrest of … joint investigation for unlawfully waiving her own health insurance premiums. This is the second arrest of a village … and the village. Since taking office in 2007, DiNapoli has committed to fighting public corruption and encourages …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-former-village-chatham-clerk-treasurer-arrested-stealing-funds-villageMoriah Central School District - Medicaid Reimbursements (2019M-64)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 517.5 eligible services totaling $21,211 and service …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/14/moriah-central-school-district-medicaid-reimbursements-2019m-64Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… initial audit report, Medicaid Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). Background … of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followState Agencies Bulletin No. 937
… agencies of the new earnings code CFR (CLEFR) to be used for the taxable fringe benefit CLEFR and how it will be … the PEF, M/C or CSEA Certification, Licensure and Exam Fee Reimbursement Program Effective Date(s) Administration … is subject to Federal, State, Local, Social Security and Medicare Taxes. “CFR” and the amount will appear on the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/937-certification-licensure-and-exam-fee-reimbursement-clefr-2009Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid recipients are also enrolled in Medicare … Part C, managed care plans (also known as Medicare Advantage Plans) administer an individual's Medicare …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our … examined whether Medicaid made overpayments for recipients who were also enrolled in Medicare Part A. Medicare Part A … health services. Medicaid, as a secondary payer, generally pays a small portion of the costs, such as coinsurance or …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… rendered to recipients enrolled in UnitedHealthcare’s Medicare Advantage plan: UnitedHealthcare Dual Complete. The … Background Many Medicaid recipients are also enrolled in Medicare. Such recipients are commonly referred to as …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsForms for State Agencies and Employees
… Photocopy of Check or Forgery Affidavit Fillable PDF Travel AC 132‑A Travel Voucher Form AC 132-A is now obsolete and has been … and defined ( PDF ) Fillable PDF Fillable Word AC 160‑S Statement of Automobile Travel Fields numbered and defined ( …
https://www.osc.ny.gov/state-agencies/formsCorinth Central School District - Medicaid Reimbursements (2019M-129)
… all Medicaid reimbursements to which it was entitled for services provided to eligible special education students. … to ensure Medicaid claims were submitted and reimbursed for all eligible services provided. Claims were not submitted and reimbursed for 273 eligible services totaling $16,910. Had these …
https://www.osc.ny.gov/local-government/audits/school-district/2019/09/13/corinth-central-school-district-medicaid-reimbursements-2019m-129State Agencies Bulletin No. 1035
… in the PEF, M/C or CSEA Certification, Licensure and Exam Fee Reimbursement Program Effective Date(s) Institution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1035-certification-licensure-and-exam-fee-reimbursement-clefr-2010Cost 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.pdf