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Anthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits to properly pay claims for NYSHIP Empire Plan members with Medicare coverage. The … 1.1 million of the members. Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareMonitoring of Prevailing Wage Compliance on Construction Contracts
… Purpose To determine whether the Dormitory Authority of the State of New York (Authority) monitors the contractors and … is to finance and construct buildings for a variety of public and not-forprofit entities, including universities, … To determine whether the Dormitory Authority of the State of New York Authority monitors the contractors …
https://www.osc.ny.gov/state-agencies/audits/2017/04/04/monitoring-prevailing-wage-compliance-construction-contractsUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate Revenue ( … of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s prescription … of 3 recommendations made in our intl audit report United HealthCare Insurance Company of New York Empire …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… with third-party insurers prior to billing Medicaid for services. After processing a claim from a provider, the … Group codes include PR (patient responsibility) and CO (contractual obligation). CARC 45 occurs when the charge … Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsState Agencies Bulletin No. 2407
… is to inform agencies of the content information for the 2025 Form W-2. Affected Employees: All employees who receive … a Form W-2 Wage and Tax Statement for calendar year 2025 are affected. Background: According to IRS Publication 15 (Circular E) for 2025, and the Instructions for Form W-2 (Wage and Tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2407-form-w-2-wage-and-tax-statement-tax-year-2025Anthem Blue Cross – Effectiveness of the Recovery Process
… To determine whether Anthem Blue Cross Anthem effectively administered the …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processDual Employment
… Purpose To determine whether Unified Court System (UCS) employees who are dually employed at other … Supreme and County courts, Family Courts, Surrogate's Court, and City and District courts. UCS includes the Office of Court Administration (OCA), which is the administrative arm …
https://www.osc.ny.gov/state-agencies/audits/2013/12/18/dual-employmentSelected Financial Management Practices
… Trust has established adequate controls over the following financial management functions: revenue and collection; procurement and contracting; time and attendance; budgeting and … Trust has established adequate controls over the following financial management functions revenue and collection …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practicesInternal Control System Components
… the head of each covered agency to certify compliance with the Act by April 30 of each year by submitting a … within their units. Separate the duties associated with the internal control and internal audit functions, …
https://www.osc.ny.gov/state-agencies/audits/2015/10/01/internal-control-system-componentsSecurity and Effectiveness of Division of Criminal Justice Services’ Core Systems
… effectively, and available to continue processing in the event of a disaster or mishap that disables normal … Division systems are at risk for total data loss in the event of a regional disaster. ITS does not have an … Coordinate with the Division to develop and regularly test a comprehensive disaster recovery plan. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-division-criminal-justice-services-core-systemsControls Over Cash Advance Accounts
… accounts and whether the money is properly accounted for and used for appropriate business expenses. The audit covers the … of cash advance accounts, which State agencies may use for petty cash, travel, and other funding needs such as …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/controls-over-cash-advance-accountsReporting and Utilization of Bias Incident Data
… is accurately collecting, recording, and reporting bias incident statistics and utilizing the data for management … took place in New York City. The NYPD’s data is drawn from Incident Reports that are prepared by its Hate Crimes Task … 2012, there were data disparities between individual incident reports and summaries of bias-related crimes …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/reporting-and-utilization-bias-incident-dataOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Overpayments of Certain Medicare … Background Many Medicaid recipients are also enrolled in Medicare, the federal health care program for people 65 … years old with certain disabilities. Individuals enrolled in both programs are referred to as “dual-eligibles.” …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followState Agencies Bulletin No. 2355
… will no longer be available for use in PayServ. Effective Dates: Changes described in this bulletin are effective … the beginning of the pay period for the following check dates (Institution – 09/18/2025 & Administration – … the beginning of the pay period for the following check dates (Institution – 10/02/2025 & Administration – …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2355-sfs-chartfield-strings-payserv-09152025-09302025-lapse-datesState Agencies Bulletin No. 2198
… NYS and CUNY, will receive a Form W-2 for each company. Attachment A provides a detailed breakdown of the information … full Social Security number. Taxable Gross Calculations: Attachment B (Taxable Gross Calculations) shows the … not opt out of receiving a 2023 paper form W-2, OSC will mail Form W-2 to employee’s mailing address currently listed …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2198-form-w-2-wage-and-tax-statement-tax-year-2023IT Security Fundamentals – Information Technology Governance
… be used to adequately protect against IT security threats. Only a combination of multiple preventive, detective and …
https://www.osc.ny.gov/local-government/publications/it-governance/it-security-fundamentalsDiNapoli: Binghamton Woman Charged With Stealing Deceased Father-in-Law's Pension Payments
… DiNapoli said. “Thanks to the work of my investigative team and Broome County District Attorney Korchak, she will … in an effort to have payments resumed. LaBarr lived in the home with Burnett prior to his death and admitted to …
https://www.osc.ny.gov/press/releases/2023/12/dinapoli-binghamton-woman-charged-stealing-deceased-father-laws-pension-paymentsDiNapoli: Great Demand For NYS General Obligation Bonds Allows State to Reduce Costs to Taxpayers
… State Comptroller Thomas P. DiNapoli yesterday awarded through negotiated sale $572,715,000 of New … State Comptroller Thomas P DiNapoli yesterday awarded through negotiated sale $572715000 of New …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-great-demand-nys-general-obligation-bonds-allows-state-reduce-costs-taxpayersMedicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as … (Department). The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status … versus outpatient – affects Medicaid’s reimbursement for services provided. Inpatient care generally requires …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsState Agencies Bulletin No. 1984
… NYS and CUNY, will receive a Form W-2 for each company. Attachment A provides a detailed breakdown of the … full Social Security number. Taxable Gross Calculations Attachment B (Taxable Gross Calculations) shows the … not opt out of receiving a 2021 paper form W-2, OSC will mail Form W-2 to employee’s mailing address currently listed …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1984-form-w-2-wage-and-tax-statement-calendar-year-2021