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DiNapoli: Former Medical Office Manager Arrested for Scheme to Defraud the New York State Health Insurance Plan
… will be held accountable.” Gina Bradshaw, 50, of Maybrook, NY, worked as an office manager for multiple doctors in … to the employee from NYSHIP. The employee must then pay the provider out of pocket either with their own funds or … by filing a complaint online at https://www.osc.state.ny.us/investigations , or by mailing a complaint to: Office …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-former-medical-office-manager-arrested-scheme-defraud-new-york-state-health-insurance-planPrivacy and Links Policy
… to protecting your privacy when you access our website and the online services we offer. Consistent with New York State’s Internet Security and Privacy Act, Freedom of Information Law and Personal Privacy Protection Law, this policy explains the …
https://www.osc.ny.gov/online-services/privacy-and-links-policyVillage of Lindenhurst – Claims Processing (2016M-345)
… Purpose of Audit The purpose of our audit was to examine the … General fund budgeted appropriations for the 2016-17 fiscal year total approximately $12.6 million. Key Findings The …
https://www.osc.ny.gov/local-government/audits/village/2016/12/16/village-lindenhurst-claims-processing-2016m-345Lake Placid Central School District – Claims Auditing (2016M-84)
… Purpose of Audit The purpose of our audit was to examine the District’s claims auditing process for the … Findings The Business Manager prints signed checks prior to the claims auditor’s audit and approval of the … Recommendations Only print signed checks after the claims have been audited and approved by the claims auditor. Ensure …
https://www.osc.ny.gov/local-government/audits/school-district/2016/06/10/lake-placid-central-school-district-claims-auditing-2016m-84Medicaid Program – Overpayments for Medicare Part C Claims
… Objective To determine whether Medicaid made improper payments on … copayments, and coinsurance, as follows. Medicaid pays 100% of the deductibles. Medicaid pays 100% of the copayments … When Plans deny a claim or pay a different amount than what a provider billed (e.g., after netting out cost-sharing …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… Purpose To determine if the recommendations made in our initial audit report, Empire BlueCross … documentation for payments which predate a certain point in time. However, we obtained cost data for 11 of the … New York State claims. Although Empire performed audits of claim payments to the Health Network, these audits did not …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… distinct and independent from other services provided on the same day. The audit covered the period from September 1, 2012 to August … to August 31, 2013, United paid over $82.3 million for about 1.3 million services with modifier 59. Key Findings For …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Matter of Merton Simpson v. Department of Civil Service
… New York State Department of Civil Service administered a test called the promotion test battery from 1996 to 2006. A similar test was utilized in 1996 for some open competitive titles. …
https://www.osc.ny.gov/unclaimed-funds/claimants/matter-merton-simpson-v-department-civil-serviceNew Yorkers in Need: A Look at Poverty Trends in New York State for the Last Decade
… income that likewise affect economic security, such as the payment of taxes and childcare and medical expenses; and It … assessment of impacts. The survey included a question on payment of routine household expenses in August 2020. … countable income must not exceed the maximum monthly SSI payment: $794 per month for individuals and $1,191 per month …
https://www.osc.ny.gov/reports/new-yorkers-need-look-poverty-trends-new-york-state-last-decadeTown of Lewis – Highway Purchases (2014M-103)
… November 30, 2013. Background The Town of Lewis is located in Lewis County and has a population of approximately 850. It … a claim for prepayment of materials to be received in the following year. Key Recommendations Ensure that all Town officials and employees involved in purchasing have a copy of the Town’s procurement policy …
https://www.osc.ny.gov/local-government/audits/town/2014/06/06/town-lewis-highway-purchases-2014m-103Other Bulletin No. 49
… (10) or more years of continuous service* at a base annual salary equal to or greater than the Job Rate of the employee’s grade (based on the 4/1/2018 Salary Schedule) as of 03/31/2019; and Did not have a … Change from a Non-M/C Position Where the Employee’s Salary was Equal to or Greater Than Job Rate to an M/C …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-49-april-2019-state-university-construction-fund-scfDivision of Housing and Community Renewal Bulletin No. DH-92
… Purpose To inform agencies of OSC’s processing of the October 2016, April 2017 and October 2017 DC37 LLS … Eligible employees in NS positions where the equated grade does not appear on the Position Data page. Agencies must … the effective date of the payment, the payroll system does not consider the AC-230 when calculating the automatic …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-92-october-2016-april-2017-and-october-2017-districtDiNapoli Urges New Yorkers to Fill Out 2020 Census Forms
… (37.8 percent), Sullivan (31.9 percent) and Hamilton (16.5 percent). Cities with the highest response rate include … more in taxes to the federal government in Federal Fiscal Year 2018 than it got back in federal spending, ranking it … Balance of Payments in the Federal Budget – Federal Fiscal Year 2018 Find out how your government money is spent at Open …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-urges-new-yorkers-fill-out-2020-census-formsState Agencies Bulletin No. 902
… Replacement Form W-2s will be prepared by accessing an Adobe .PDF version of the four-part Form W-2 for 2005, 2006 … (The link to this secure area was emailed to agency payroll staff on 12/18/08). Agencies will continue to access … must continue to follow the W-2C procedure as described in Payroll Bulletin No. 831 . Questions Questions regarding this …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/902-new-procedure-reissue-prior-year-form-w-2-tax-years-2005-2006-and-2007Brookfield Central School District – Claims Audit Process (2018M-6)
… The Brookfield Central School District is located in the towns of Bridgewater, Brookfield, Columbus, Hamilton, Madison and Sangerfield in Chenango, Madison and Oneida Counties. The District, which …
https://www.osc.ny.gov/local-government/audits/school-district/2018/03/16/brookfield-central-school-district-claims-audit-process-2018m-6Village of Sylvan Beach – Board Oversight (2013M-34)
… 2012. Background The Village of Sylvan Beach is located in the Town of Vienna in Oneida County and has approximately 900 residents. The … oversight responsibilities because it did not audit each claim listed on the abstracts. The Board did not annually …
https://www.osc.ny.gov/local-government/audits/village/2013/05/10/village-sylvan-beach-board-oversight-2013m-34Medicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… Objective To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology … for paying the Medicare Part C cost-sharing. States can pay: the full Medicare cost-sharing liability, their … appropriate. … To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsXII.8 Overview – XII. Expenditures
… that provided goods or services to New York State, or (b) refund New York State vendors or citizens. A voucher that is … that provided goods or services to New York State or b refund New York State vendors or citizens …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii-overviewState Agencies Bulletin No. 1842.1
… to notify agencies of the updated AC-2772 Direct Deposit Form for NYS Employees (Rev. 01/2021), and to provide guidance to agencies when processing the new form. Affected Employees All New York State (NYS) employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/18421-updated-direct-deposit-form-nys-employees-ac-2772State Agencies Bulletin No. 2161
… purpose of this bulletin is to inform agencies of the New Locked Query (LQ_TAX_NEW_W4_REQUIRED) to help them identify … fill out a new Form W-4. Agency Actions: Run the new locked query LQ_TAX_NEW_W4_REQUIRED on a weekly basis. … a New Form W-4 from employees who show as results on the locked query. Update the tax data page in PayServ to reflect …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2161-locked-query-identify-employees-who-require-new-form-w-4-employees