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CUNY Bulletin No. CU-531
… new flat rate deduction codes that will be used to recover Medicare and Social Security tax deficiencies for City … (CUNY) employees. Affected Employees CUNY employees with Medicare and/or Social Security deficiency Effective Date(s) …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-531-new-deduction-codes-580-city-university-new-york-medicareState Agencies Bulletin No. 964
… a decrease in the reported wages and Social Security and Medicare taxes Effective Date(s) Immediately Background Previously, refunds of Social Security and Medicare taxes were remitted to employees as soon as the OSC … will no longer immediately issue the Social Security and Medicare tax refund when the C8EMP form is processed. OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/964-procedure-change-prior-year-ssmed-tax-refundsUnitedHealthcare – 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 … the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million active and retired State, … on August 13, 2018, examined whether United overpaid for out-of-network anesthesia services provided at ASCs that …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryOpinion 97-2
… in a local health insurance plan. Thus, in our view, section 92-a necessarily implies that school districts … from, a public retirement system. Thus, we expressed the view that a school district lacked authority to permit such …
https://www.osc.ny.gov/legal-opinions/opinion-97-2State Agencies Bulletin No. 1364
… of the new procedure to record receipt of Form AC3206 from employees who are receiving a prior year refund of … employers to obtain a completed and signed consent form from each affected employee to file a claim for refund on the … (last date the agency payroll office will accept Form 3206 from the employee). Tax refund amount Reason for the refund …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1364-new-procedure-reporting-prior-year-social-security-and-medicare-taxState Agencies Bulletin No. 732
… agencies of the new Deduction Code 502 (Social Security/Medicare Deficiency) that will be used to recover Social Security and/or Medicare tax deficiencies. Affected Employees Employees who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/732-new-deduction-code-502-social-securitymedicare-deficiencyMedicaid Program – Medicare Part D Clawback Payments
… appropriateness of the following payments: $1.65 million in payments on behalf of 2,315 recipients who were receiving Medicaid in another state. $451,348 in payments on behalf of 1,250 recipients who either were …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-medicare-part-d-clawback-paymentsUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and … The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital …
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 Laparoscopic Surgery
… Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and … The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United …
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
… Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and … The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient … process and pay medical claims from health care providers for services provided to Empire Plan members. United …
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 Long Island Spine Specialists
… and retired State, participating local government, and school district employees and their dependents. The Empire …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsState Comptroller DiNapoli Releases Audits
… (2023-S-42) The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service … The Empire Plan is the primary health benefits plan for NYSHIP, covering over 1 million members. Since 2014, the …
https://www.osc.ny.gov/press/releases/2025/04/state-comptroller-dinapoli-releases-auditsMadrid-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-1CUNY Bulletin No. CU-356
… participate in the New York State Health Insurance Plan (NYSHIP) administered by the New York State Department of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-356-certain-cuny-employees-eligible-new-york-state-healthState Agencies Bulletin No. 1223
… and employers will each pay in 2013 is $7,049.40. Medicare Tax The Medicare tax rate for employees and employers is 1.45%. There is no wage base limit for this tax. New Additional Medicare Tax Beginning January 2013, employees receiving …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1223-summary-tax-related-withholding-requirements-2013Medicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
… individuals receiving hospice care covered by Medicare. This audit covered the period January 1, 2015 … drugs. When individuals are enrolled in both Medicaid and Medicare (referred to as dual-eligibles), Medicare is the …
https://www.osc.ny.gov/state-agencies/audits/2020/12/28/medicaid-program-improper-medicaid-payments-individuals-receiving-hospice-services-coveredUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and … The Empire Plan is the primary health benefits plan for NYSHIP, covering a range of services from inpatient hospital …
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
… (2021-S-18) The New York State Health Insurance Program (NYSHIP), administered by Civil Service, provides health … The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Civil Service …
https://www.osc.ny.gov/press/releases/2022/06/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1743
… who were/are on a paid Workers’ Compensation leave and the leave was entered after the weekly processing of the … periods 3L/3C, paychecks dated 5/15/19 (Administration) and 5/23/19 (Institution) Background The NYS payroll system … tax purposes, can generate excessive refunds of Federal and State income taxes. For employees in this situation, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1743-late-reporting-workers-compensation-leaveNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… Objective To assess the extent of implementation of the six recommendations included in our … behalf. Our initial audit report, issued on September 29, 2021, determined if CVS paid pharmacy claims for Empire Plan … who were not eligible. Our audit covered the period from January 1, 2014 through December 31, 2019. We determined …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligible