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Plainview-Old Bethpage Central School District - Retiree Health Insurance (2018M-148)
… Determine whether the District is paying health insurance premiums for deceased retirees or their dependents. Key Findings The District did not pay health insurance premiums for deceased retirees or their dependents. District officials …
https://www.osc.ny.gov/local-government/audits/school-district/2018/09/21/plainview-old-bethpage-central-school-district-retiree-health-insuranceImproper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for … services their members require. In addition to the monthly premiums, MCOs can receive a one-time Supplemental Maternity … data to verify that SMCP claims were eligible for reimbursement. Instead, the Department relied on audits by …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/improper-supplemental-maternity-capitation-payments-managed-care-organizations-followAudit of the Tuition Reimbursement Account for the Five Fiscal Years Ended March 31, 2018
… presentation of the Financial Statements of the Tuition Reimbursement Account for the five fiscal years ended March 31, 2018. About the … Chapter 887 of the Laws of 1990 created the Tuition Reimbursement Fund, now titled the Tuition Reimbursement …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/audit-tuition-reimbursement-account-five-fiscal-years-ended-march-31-2018Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… in our initial audit report, Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Report 2009-S-64). Background Our initial … whether the Department was correctly paying claims for services to Medicaid recipients who also have health …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today the … valued at $4,022 that were under-assessed by DOL. State Education Department: Programs for Little Learners …
https://www.osc.ny.gov/press/releases/2018/09/state-comptroller-dinapoli-releases-audits-0Ulster County Community College - Retiree Health Insurance and Payroll (2018M-123)
… insurance billings. Ensure the continued eligibility of retirees, and inappropriately paid $2,092 in premiums for … Ensure that comparisons are performed to determine status of retiree health insurance accounts. Attempt to recover … health insurance provider. Establish adequate segregation of duties within the College’s payroll process. Ensure that …
https://www.osc.ny.gov/local-government/audits/community-college/2018/10/26/ulster-county-community-college-retiree-health-insurance-and-payrollComptroller DiNapoli Releases State Audits
… found the Research Foundation's current methodology for charging SUNY campuses for the costs of central office … a potential $20.3 million overpayment from an incorrect reimbursement rate. Auditors found other overpayments of … are still needed. Department of Health: Overpayments for Medicare Part C Coinsurance Charge (Follow-Up) (2013-F-26) An …
https://www.osc.ny.gov/press/releases/2014/01/comptroller-dinapoli-releases-state-auditsVillage of West Haverstraw - Accrued Leave and Benefits (2019M-143)
… accordance with Village policies, and whether amounts paid for benefits were accurate. Key Findings The Treasurer did … separate records on leave accruals earned and used for administrative employees, or the amount of sick leave … paid by surviving spouses for their health insurance premiums were inaccurate. Two surviving spouses had balances …
https://www.osc.ny.gov/local-government/audits/village/2019/09/06/village-west-haverstraw-accrued-leave-and-benefits-2019m-143IV.3.B Miscellaneous Receipts – IV. Accounting Codes - Uses and Descriptions
… Class SFS Account Product Code Required Title Description Abandoned and Unclaimed Property 31001 Abandoned Property OSC Use – To record transfers from the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv3b-miscellaneous-receiptsDiNapoli: Audit Shows Health Department Overpaid Certain Medicaid Managed Care Premiums
… overpaid managed care organizations nearly $19 million for the state fiscal year 2014-15, in part, because of a flaw in how it calculated premiums, according to an audit released today by State …
https://www.osc.ny.gov/press/releases/2016/10/dinapoli-audit-shows-health-department-overpaid-certain-medicaid-managed-care-premiumsState Comptroller DiNapoli Releases Audits
… the member was disenrolled ($1.1 million). State Board of Elections (BOE): Use of Federal Funding for Election … contracts. State Education Department (SED): Westchester County Chapter NYSARC Inc. (WARC) – Compliance With the … special education provider located in Westchester County, serving students from Westchester and Putnam …
https://www.osc.ny.gov/press/releases/2021/10/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 780
… addresses on file in PayServ by January 31, 2008. W-2s for the 2007 calendar year will include earnings paid in … Social Security tax deducted, not to exceed $6,045. Box 5 Medicare Wages All wages subject to Medicare taxes. There is … code is also used for the Certification/Licensing Exam Fee Reimbursement from PEF and GOER. EDA Educational Assistance …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/780-2007-w-2-year-end-processingEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… and recovery of overpayments made to hospitals for special medical items; and took sufficient steps to … hospitals that do not include language that limits the reimbursement of special medical items. The audit covered the … program. Empire’s contracts with member hospitals include reimbursement rate schedules for the payment of inpatient and …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsDiNapoli: Former Village of Chatham Clerk-Treasurer Pleads Guilty to Defrauding Village
… has pleaded guilty to attempted official misconduct for unlawfully waiving her own health insurance premiums at the town’s expense. “Ms. Henry took advantage of …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-village-chatham-clerk-treasurer-pleads-guilty-defrauding-villageCost-Saving Ideas: Overtime Planning and Management
… benefits, including pension benefits, are large expenses for New York's local governments and school districts. These … costs, such as the employer's share of Social Security and Medicare payroll taxes, workers' compensation premiums, and retirement costs, could increase cost savings …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-overtime-planning-and-managementMainstream Managed Care Organizations – Administrative Costs Used in Premium Rate Setting (Follow-Up)
… Purpose To determine the extent of implementation of the seven recommendations made in our initial audit … Rate Setting ( 2014-S-55 ). Background The Department of Health (Department) is responsible for setting the monthly …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/mainstream-managed-care-organizations-administrative-costs-used-premium-rate-setting-followTown of Callicoon – Cash Receipts and Disbursements (2013M-16)
… of our audit was to review selected financial activities for the period January 1, 2011, through October 19, 2012. … had not defined the rate or percentage of health insurance premiums that retirees must pay for their continuing health insurance coverage, we were …
https://www.osc.ny.gov/local-government/audits/town/2013/06/07/town-callicoon-cash-receipts-and-disbursements-2013m-16State Comptroller DiNapoli Releases Audits
… Revenues, Expenditures, and Changes in Fund Balance for the Eight Fiscal Years Ended March 31, 2017 (2017-S-81) … including $123.9 million in Medicaid managed care premiums paid on behalf of 86,475 Medicaid recipients who had … costs that did not comply with SED’s requirements for reimbursement. These costs included $232,464 in parent agency …
https://www.osc.ny.gov/press/releases/2019/09/state-comptroller-dinapoli-releases-auditsXIII.8 - Procedures for Employee Non-Travel Expense Reimbursement – XIII. Employee Expense Reimbursement
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii8-procedures-employee-non-travel-expense-reimbursementMedicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… To determine whether improper Medicaid managed care premiums were paid on behalf of recipients with duplicate … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identification