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UnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… benefits cover services such as physician office visits, diagnostic testing, and outpatient surgical procedures). …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Purpose To determine whether Long Island Laparoscopic Surgery, PLLC … Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … To determine whether Long Island Laparoscopic Surgery PLLC …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … LLC waived Empire Plan members outofpocket costs and if so to quantify the overpayments made …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Purpose To determine whether Hudson Valley Bone and Joint Surgeons, … Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … To determine whether Hudson Valley Bone and Joint Surgeons …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… waived Empire Plan members’ out-of-pocket costs, and if so, to quantify the overpayments made by United HealthCare … PC waived Empire Plan members outofpocket costs and if so to quantify the overpayments made by United …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsState Comptroller DiNapoli Releases Audits
… today the following audits have been issued. Department of Health – Improper Medicaid Payments for Outpatient … Medicaid recipients were discharged within 24 hours of admission, indicating a high risk that a portion of these … EOP operated on 28 State-operated SUNY campuses and served 5,969 EOP participants. While SUNY is monitoring EOP, and …
https://www.osc.ny.gov/press/releases/2025/04/state-comptroller-dinapoli-releases-auditsExcessive 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 … whether the Department was correctly paying claims for services to Medicaid recipients who also have health … and proactive steps to administer Medicaid reimbursements for services provided to dual eligible individuals. About …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followDiNapoli: 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 … When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary insurer. As a …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 914
… Medicare taxes and must be reported on a Form 1099. The regulation was silent regarding the tax treatment of a military stipend paid as wages. Because the IRS’s prior regulation addressed only income, not wages, and required … it was the opinion of OSC Legal Services that the IRS regulation was applicable only in non-employee situations. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/914-change-taxation-military-stipendsCUNY Bulletin No. CU-356
… Congress are eligible to participate in the New York State Health Insurance Plan (NYSHIP) administered by the New York State … established four (4) new deduction codes to process these health insurance transactions. The narrative description and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-356-certain-cuny-employees-eligible-new-york-state-healthDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… of Health (DOH) can save hundreds of millions of dollars in costs if it strengthens its oversight of enrollment in Medicaid and other public health plans, according to two … care. The audits found tens of thousands of instances in which state Medicaid paid costs that another, …
https://www.osc.ny.gov/press/releases/2023/09/dinapoli-state-medicaid-needs-stop-paying-bills-federally-funded-plans-should-coverState Agencies Bulletin No. 1682
… Purpose To inform agency payroll officers of the new procedure for how OSC will handle … tax deficiency and have since left the New York State payroll Background Employees who have taxable income subject … to establish a deficiency deduction in the New York State Payroll System to recover the monies advanced. For inactive …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1682-current-year-social-security-andor-medicare-tax-deficiencies-and-impactMadrid-Waddington Central School District - Claims Audit Process (2019M-1)
… were adequately documented, were for appropriate purposes and were properly audited and approved prior to payment. Key Findings We reviewed 100 claims totaling $886,642 and found the claims auditor did not audit two claims … were adequately documented were for appropriate purposes and were properly audited and approved prior to payment …
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… through October 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Insurance Program - Overpayments for Services at the South Shore Ambulatory Surgery Center (2008-S-11) …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpState Comptroller DiNapoli Releases Audits
… and Substance Abuse Services for Ineligible Members (2021-S-18) The New York State Health Insurance Program (NYSHIP), … March 31, 2021, averaged $23.7 million a year. Office of Children and Family Services (OCFS): Oversight of Runaway and … that structures requiring revocable consents had one in place. In a follow up, auditors found DOT had made some …
https://www.osc.ny.gov/press/releases/2022/06/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases Audits
… New York State Comptroller Thomas P. DiNapoli announced today … Jackson Child Development Center, Inc. (JCDC), a New York City-based not-for-profit organization, is approved … to Homeless Management Information Systems (HMISs). In New York, federally funded regional or local planning …
https://www.osc.ny.gov/press/releases/2025/05/state-comptroller-dinapoli-releases-auditsCUNY Bulletin No. CU-531
… Security tax deficiencies for City University of New Yo …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareOpinion 97-2
… bear on the issues discussed in the opinion. INSURANCE -- Health Insurance (authority to cover former school board … who participates in a municipal cooperative health benefit plan for Part B Medicare premiums paid by the former school … are not members of, and are not eligible to receive a retirement allowance from, a public retirement system. Thus, …
https://www.osc.ny.gov/legal-opinions/opinion-97-2State Agencies Bulletin No. 1364
… inform agencies of the new procedure to record receipt of Form AC3206 from employees who are receiving a prior year refund of Social Security and Medicare taxes for any reason, including Workers’ … require employers to obtain a completed and signed consent form from each affected employee to file a claim for refund …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1364-new-procedure-reporting-prior-year-social-security-and-medicare-taxNYSHIP: Payments by Empire BlueCross for Hospital Services for Ineligible Members (2019-S-32)
To determine whether Empire BlueCross paid hospital claims for members who were not eligible. The audit covered the period January 1, 2014 through December...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s32.pdf