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Corinth 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-129Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). … enrolled in Medicare, the federal health insurance program for the elderly and disabled. Under Medicare Part C, also … administer Medicare benefits. Medicare pays a fixed amount for each Medicare Part C beneficiary every month to companies …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followAudit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018
… with the Department, that closes before their education is complete. When such schools violate the Education Law …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/audit-tuition-reimbursement-account-five-fiscal-years-ended-march-31-2018Improper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… members require. In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity Capitation …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for Medicare Part C Coinsurance Charges (2011-S-33). Background Our initial report, issued on September 26, …
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)
… Part A. Medicare Part A provides supplementary medical insurance for inpatient care in hospitals, post-hospital nursing home care, hospice, and home health services. If an individual is enrolled in both … payer and generally covers most of the eligible costs for health services. Medicaid, as a secondary payer, generally …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… Claims for Recipients With Multiple Client Identification Numbers (Report 2019-S-22 ). About the Program The … Claims for Recipients With Multiple Client Identification Numbers Report 2019S22 …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientMedicaid 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 “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsState Comptroller DiNapoli Releases Audits
… New York State Health Insurance Program – Anthem Blue Cross – Coordination of Benefits With Medicare (2023-S-3) … (Civil Service). Civil Service contracts with Anthem Blue Cross (Anthem) to administer the Hospital Program of the …
https://www.osc.ny.gov/press/releases/2024/08/state-comptroller-dinapoli-releases-auditsOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). … Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical … Generally, Medicare is the primary payer of claims for services provided to dual-eligible recipients. After …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followPlainview-Old Bethpage Central School District - Retiree Health Insurance (2018M-148)
… - pdf] Audit Objective Determine whether the District is paying health insurance premiums for deceased retirees or …
https://www.osc.ny.gov/local-government/audits/school-district/2018/09/21/plainview-old-bethpage-central-school-district-retiree-health-insuranceComptroller DiNapoli Releases State Audits
… Thomas P. DiNapoli announced today the following audits have been issued: New York City Department of … the risk that equipment may be misappropriated, or used for personal use. In a follow-up, auditors found the … Psychiatric Institute, established in 1895, is one of two clinical research facilities administered by the Office of …
https://www.osc.ny.gov/press/releases/2014/04/comptroller-dinapoli-releases-state-auditsMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans. The audit covered the period from January 1, 2013 to July 31, … To determine if the Department of Health overpaid health care providers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… two recommendations made in our audit report, Overpayments for Services Also Covered by Medicare Part B (Report … Part B, which provides supplementary medical insurance for a broad range of outpatient medical services, physicians’ fees, and medical supplies. For individuals enrolled in both Medicaid and Medicare, …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Program – Overpayments for Services Also Covered by Medicare Part B
… if the Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance. The audit covers the period … 31, 2009. Background Medicare is a federal health program for the elderly and disabled. It consists of several parts. …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bUlster County Community College - Retiree Health Insurance and Payroll (2018M-123)
… established adequate internal controls over: The retiree health insurance contribution billing process. The … Key Findings Officials did not: Properly account for retiree health insurance billings. Ensure the continued … that comparisons are performed to determine status of retiree health insurance accounts. Attempt to recover …
https://www.osc.ny.gov/local-government/audits/community-college/2018/10/26/ulster-county-community-college-retiree-health-insurance-and-payrollMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… C, managed care companies administer Medicare benefits and offer different health care plans (referred to as … Plan, Medicaid is generally the secondary payer and reimburses providers for financial balances not covered by the Plan (typically deductibles and coinsurance). Our initial audit report, issued on …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followState Comptroller DiNapoli Releases Audits
… Tool (Follow-Up) (2018-F-4) An initial audit released in September 2016 found that CUNY’s processes and controls … only to functions that were necessary to meet their needs. In a follow-up, auditors found CUNY officials have made progress in addressing the issues identified in the initial report. Of …
https://www.osc.ny.gov/press/releases/2018/09/state-comptroller-dinapoli-releases-audits-0Cost-Saving Ideas: Overtime Planning and Management
… Reducing the cost of employee salaries and benefits by even a small percentage … school districts. These costs represent nearly 57 percent of annual budget expenditures, on average. Overtime wages can … service 1 and pension costs. For example, 8 to 30 percent of wages paid to highway employees in New York State are for …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-overtime-planning-and-managementComptroller DiNapoli Releases State Audits
… $500,115. Office of Court Administration, Reporting on Foreclosure of Real Property Funds - Kings County (2013-S-2) … referees did not always properly report and account for foreclosure funds. A review of 10 of 35 foreclosures with …
https://www.osc.ny.gov/press/releases/2014/01/comptroller-dinapoli-releases-state-audits