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Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the three … for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are … are given 30 days after the issuance of the follow-up report to provide information on any actions that are …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followCost 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.pdfMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… through July 31, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients receive their services … eligible for reimbursement. Instead, the Department relies on audits by the Office of the Medicaid Inspector General …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care providers’ Medicaid claims for … Medicare Advantage plans) tailored to the specific needs of Medicare beneficiaries. Some Medicare Advantage plans … the reasons why to providers on the Explanation of Benefits (EOB) using Claim Adjustment Reason Codes …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesMedicaid 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-bOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for a broad range of outpatient medical services, physicians’ fees, and medical supplies. For individuals …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followState Agencies Bulletin No. 1043
… of military pay exempt from NYS income tax as provided by NY Tax Law. Note: This is applicable to members of the New … below indicating which State income taxes were withheld: NY -- New York IL -- Illinois DC -- District of Columbia VA … Taxable Gross Calculations Attachment (Please click on the link below) Taxable Gross Calculations W-2 Distribution The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1043-form-w-2-wage-and-tax-statement-calendar-year-2010State Agencies Bulletin No. 950
… through 12/31/09 An employee who has worked for more than one (1) State agency during the year will receive only one (1) Form W-2. Employees who worked in more than one (1) … amount of Chaplain’s Parsonage Allowance. Box 15 State A two-letter code from the list below indicating which State …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/950-form-w-2-wage-and-tax-statement-calendar-year-2009Medicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… Objective To determine the extent of implementation of the five recommendations included in our initial audit … and coinsurance). Our initial audit report, issued on December 11, 2018, examined whether the Department …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followMedicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… plans and Family Health Plus managed care plans (Plans) for recipients who were no longer enrolled. Our audit covered … York City Human Resources Administration (HRA), determine retroactive disenrollment periods and notify Plans to void … payments is based on LDSS notifications to Plans of retroactive disenrollments during periods when Plans were …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamExamination of Outstanding Premiums
… (i) the extent to which the New York State Insurance Fund (NYSIF) participates in the Statewide Offset Program (SWOP), and (ii) the amount of outstanding premiums NYSIF may have been able to recover through SWOP since April …
https://www.osc.ny.gov/state-agencies/audits/2016/08/19/examination-outstanding-premiumsCost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65) 180-Day Response
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-response.pdfOverpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… (Report 2016-S-73 ). About the Program The New York State Medicaid program provides a wide range of medical … and/or have special health care needs. Many of the State’s Medicaid recipients are also enrolled in Medicare. … 2017 for therapy services. The audit concluded that the State’s Medicaid program paid $20.1 million for services …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-followMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… of Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered … covered the period January 1, 2012 to December 31, 2016 for prescription drugs and January 1, 2012 to December 31, 2017 for therapy services. About the Program Many of the State’s …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareImproper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
… About the Program The Department of Health administers the State’s Medicaid program. Individuals may enroll in Medicaid … through Local Departments of Social Services or the NY State of Health (the State’s online health insurance marketplace). Multiple …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-involving-fee-service-claims-recipients-multiple-clientState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … not implement one. Department of Civil Service: New York State Health Insurance Program: CVS Health – Accuracy of Drug … and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and commonly …
https://www.osc.ny.gov/press/releases/2021/01/state-comptroller-dinapoli-releases-auditsComptroller DiNapoli Releases State Audits
An initial audit report issued in January 2012 found that the department did not place enough priority on ensuring that computer assets were properly controlled and appropriately used
https://www.osc.ny.gov/press/releases/2014/04/comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … industry for the pollination services they provide. The State developed the New York State Pollinator Protection Plan … for enrollees, exclusively use a centralized procurement contract (Contract) for fleet management and repair services. …
https://www.osc.ny.gov/press/releases/2024/08/state-comptroller-dinapoli-releases-auditsAudit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018
… in a post-secondary private school licensed by the State Education Department (Department), or in a business …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/audit-tuition-reimbursement-account-five-fiscal-years-ended-march-31-2018Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… from June 1, 2012 through May 31, 2017. Background Many of the State’s Medicaid recipients are also eligible for … supplementary medical insurance coverage for a range of outpatient medical services, physician services, and … B cost-sharing amounts (e.g., deductibles and coinsurance) on behalf of dual-eligibles. In December 2009, the Department …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emedny