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State Agencies Bulletin No. 468
… Purpose To notify Agencies of two new Earnings Codes, TF8 - SS Refund Wage Adjustment … To notify Agencies of two new Earnings Codes TF8 SS Refund Wage Adjustment and …
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)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other …
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
… provides a wide range of medical services to those who are economically disadvantaged or have special health care … transplant to stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular … certain requirements. When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsState Agencies Bulletin No. 914
… Purpose To inform agencies of new procedures regarding withholding of Social Security and Medicare taxes for … To inform agencies of new procedures regarding withholding of Social Security and Medicare taxes for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/914-change-taxation-military-stipendsUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… October 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose …
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
… December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsState Comptroller DiNapoli Releases Audits
… in New York State possess adequate insurance coverage, or are financially secure, to compensate those persons they … Resources (2023-N-4) Open Educational Resources (OER) are any teaching, learning, and research materials that are in the public domain or are under copyright but have been …
https://www.osc.ny.gov/press/releases/2025/04/state-comptroller-dinapoli-releases-auditsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… To determine whether Long Island Laparoscopic Surgery, PLLC waived Empire Plan members’ out-of-pocket costs, and if … submitted to United by Long Island Laparoscopic Surgery, PLLC (Long Island Laparoscopic), a non-participating provider … To determine whether Long Island Laparoscopic Surgery PLLC waived Empire Plan members outof pocket costs and if so …
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
… March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… included in our initial audit report, Overpayments for Out-of-Network Anesthesia Services Provided at In-Network … on August 13, 2018, examined whether United overpaid for out-of-network anesthesia services provided at ASCs that … required to use in-network anesthesia providers. For the period January 1, 2012 through December 31, 2016, we …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryDiNapoli: State Medicaid Needs to Stop Paying Bills That Federally Funded Plans Should Cover
… guidance. The audit found state Medicaid could have saved up to $294.4 million in payments on medical services if …
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
… Medicare tax deficiency and have since left the New York State payroll Background Employees who have taxable income … is to establish a deficiency deduction in the New York State Payroll System to recover the monies advanced. For … Social Security and/or Medicare tax deficiency on their Form W-2 (Wage and Tax Statement). As a result, employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1682-current-year-social-security-andor-medicare-tax-deficiencies-and-impactCUNY Bulletin No. CU-356
… Congress are eligible to participate in the New York State Health Insurance Plan (NYSHIP) administered by the New York … established four (4) new deduction codes to process these health insurance transactions. The narrative description and … the New York State Department of Civil Service to start, cancel or change rates for individual employees. Agencies …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-356-certain-cuny-employees-eligible-new-york-state-healthNYSHIP: 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.pdfCUNY Bulletin No. CU-531
… Purpose To inform agencies of the new flat rate deduction codes that will be used to recover … To inform agencies of the new flat rate deduction codes that will be used to recover …
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
… of risks covered under the plan, without regard to age, sex, health status or occupation and such that refunds, rebates, credits or dividends based on age, sex, health status or occupation are not permitted" … officer" shall include any former school board member with twenty years or more service in such position. The total …
https://www.osc.ny.gov/legal-opinions/opinion-97-2Madrid-Waddington Central School District - Claims Audit Process (2019M-1)
… Determine whether claims were adequately documented, were for appropriate purposes and were properly audited and … claims auditor did not audit two claims totaling $251,601 for health insurance and Medicare reimbursement. In addition, … $5,700. Key Recommendations Ensure that all claims for health insurance, Medicare reimbursements and scholarship …
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1State Agencies Bulletin No. 1364
… from employees who are receiving a prior year refund of Social Security and Medicare taxes for any reason, including … to file a claim for refund on the employee’s portion of Social Security and/or Medicare taxes. This form also … including the tax year, batch number, and the amount of Social Security and/or Medicare tax refund or deficiency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1364-new-procedure-reporting-prior-year-social-security-and-medicare-taxState Comptroller DiNapoli Releases Audits
… federal COVID-19 support. ESD awarded the entirety of the $760 million allocated for small businesses to 40,842 applicants, with an average grant amount of $18,608. Auditors found ESD awarded almost $4.1 million to … type, need, or factors established in the original goals of the Program when awarding grants, instead favoring a …
https://www.osc.ny.gov/press/releases/2025/05/state-comptroller-dinapoli-releases-auditsUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… October 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llp