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Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). Background … rendered to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid recipients are also …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). Background Our initial audit … managed care plans for Medicaid recipients who also had Medicare health insurance coverage, known as "dual … about $111 million) that were made on behalf of 45,000 Medicare recipients who were ineligible for Medicaid managed …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… 2013 to July 31, 2017. Background Many Medicaid recipients are also enrolled in Medicare Part C, also known as Medicare … offer supplemental insurance benefits for services that are not covered by original Medicare (e.g., dental services). … secondary payer, and covers any financial balances that are not covered by the Plans (typically deductibles and …
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)
… audit report, Overpayments for Services Also Covered by Medicare Part B (Report 2012-S-27). Background Many of the State’s Medicaid recipients are also enrolled in Medicare Part B, which provides supplementary medical …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… made in our initial audit report, Medicaid Payments to Medicare Advantage Plan Providers (Report 2016-S-54 ). About … of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for people age …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our … made overpayments for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… of the State’s Medicaid recipients are also eligible for Medicare, the federal health insurance program for people age … programs are commonly referred to as “dual-eligible.” The Medicare program has multiple parts. Medicare Part B provides supplementary medical insurance …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMedicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
To determine if Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buyin program
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-payments-medicare-buy-premiums-ineligible-recipientsMedicaid Program – Overpayments for Medicare Part C Claims
… To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage Plans. The audit covered the period from …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report … program. Many Medicaid recipients are also enrolled in Medicare. Under the Medicare buy-in program (Buy-in Program), …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followState Agencies Bulletin No. 2204.1
… Retired, or Deceased in PayServ. Employees whose NYS Position Number in Position Data has a Reg/Temp field … for employees who meet the eligibility criteria and whose NYS Position Number in Position Data has a Reg/Temp field … Annual Addl Earnings (to prevent making another payment) Retirement Information and General Deductions: The PEF Dental …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/22041-public-employees-federation-pef-2023-dental-stipendMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Advantage Plan Services (Report 2017-S-46 ). About … program. Many Medicaid recipients are also enrolled in Medicare Part C, commonly referred to as Medicare Managed …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followDiNapoli Finds Over $100 Million in Inappropriate Medicaid Payments
… Medicaid program provides critical health care services to millions of New Yorkers but the program is dogged by … abuse in the system. DOH should act on our recommendations to ensure significant unnecessary expenses and preventable … program that provides a wide range of medical services to economically disadvantaged populations, including …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-finds-over-100-million-inappropriate-medicaid-paymentsState Agencies Bulletin No. 468
To notify Agencies of two new Earnings Codes TF8 SS Refund Wage Adjustment and TF9 Med Refund Wage Adjustment used by OSC in Time Entry for processing app
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/468-new-earnings-codes-current-year-social-security-and-medicare-adjustmentsExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
Determine the extent of implementation of 3 recommendations incld in our initial audit report Excessive Medicaid Payments for Services to Recipients Receiving
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followState Agencies Bulletin No. 982
… Stipend earnings that were subject to Social Security and Medicare tax withholdings beginning in 2006 through 2009 … Military Stipend earnings exempt from Social Security and Medicare taxes. OSC Actions OSC will identify and mail … forms will reduce the reported Social Security and Medicare wages by the value of the Military stipend amount …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/982-social-security-and-medicare-tax-refunds-and-corresponding-correctedState Comptroller DiNapoli Releases Audits
… have been issued. New York State Health Insurance Program (NYSHIP): UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services (2020-S-7) NYSHIP, administered by the Department of Civil Service, … The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracts with UnitedHealthcare …
https://www.osc.ny.gov/press/releases/2021/11/state-comptroller-dinapoli-releases-auditsDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… whose expenses could have been covered by the federal Medicare program, according to an audit released today by … stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular dialysis treatments …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 914
… on a Form 1099. The regulation was silent regarding the tax treatment of a military stipend paid as wages. Because … situations. Since no specific guidance was provided on the tax treatment of a military stipend paid as wages to … than 30 days are to be treated as wages, subject to income tax withholdings but not Social Security or Medicare taxes. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/914-change-taxation-military-stipendsState Agencies Bulletin No. 952
… 21, 2009 Background The Internal Revenue Service issued new regulations in 2009 making Military Stipend earnings …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/952-refund-social-security-and-medicare-tax-withholdings-related-military