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United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… Purpose To determine whether Long Island Bone and Joint, LLP waived Empire Plan members’ out-of-pocket costs, … on claims submitted to United by Long Island Bone and Joint, LLP (LI Bone and Joint), a non-participating provider …
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 Comptroller DiNapoli Releases Audits
… been issued. Empire State Development – COVID-19 Pandemic Small Business Recovery Grant Program (2023-S-10) Empire State Development (ESD) …
https://www.osc.ny.gov/press/releases/2025/05/state-comptroller-dinapoli-releases-auditsNYSHIP: 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.pdfNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by CVS Health for Pharmacy Services for Ineligible Members (Report 2020-S-17 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleEmpire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughState Agencies Bulletin No. 290
… Security Tax deducted, not to exceed $4,984.80. Box 5 Medicare Wages All wages subject to Medicare taxes. There is no salary cap on Medicare wages. Box 6 Medicare Tax Withheld The Medicare …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/290-2001-w-2-year-end-processingImproper Payments to a Physical Therapist (Follow-Up)
… of the State’s Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the … both programs are commonly referred to as “dual-eligible.” Medicare is generally the primary payer for medical services … including deductibles and coinsurance, not paid by Medicare. We issued our initial audit report on December 15, …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followState Agencies Bulletin No. 1375
… withholding allowance remains at $1,000. Social Security & Medicare Wage Base and Tax Rate Information The Social … There is no limit on the amount of wages subject to Medicare tax. The Social Security tax rate of 6.2% and Medicare tax rate of 1.45% remain the same. Employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1375-summary-tax-related-changes-2015State Agencies Bulletin No. 1455
… withholding allowance remains at $1,000. Social Security & Medicare Wage Base and Tax Rate Information The Social … There is no limit on the amount of wages subject to Medicare tax. The Social Security tax rate of 6.2% and Medicare tax rate of 1.45% remain the same. Employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1455-summary-tax-related-changes-2016Medicaid Program: Overpayments for Medicare Part C Claims (2023-S-13)
To determine whether Medicaid made improper payments on Medicare Part C claims for recipients covered by Medicare Advantage Plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2025-23s13.pdfImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71 ). About the Program Hospice is a … 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/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followState Agencies Bulletin No. 780
… Social Security tax deducted, not to exceed $6,045. Box 5 Medicare Wages All wages subject to Medicare taxes. There is no salary cap on Medicare wages. Box 6 Medicare Tax Withheld Medicare tax …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/780-2007-w-2-year-end-processingState Agencies Bulletin No. 1297
… withholding allowance remains at $1,000. Social Security & Medicare Taxes The Social Security wage base limit for 2014 … There is no limit on the amount of wages subject to Medicare tax. The Social Security tax rate of 6.2% and Medicare tax rate of 1.45% remain the same. Employees …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1297-summary-irs-tax-related-changes-tax-year-2014Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (2020-S-35)
To determine if Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s35.pdfImproper Payments of Medicare Buy-In Premiums for Ineligible Recipients (2020-S-35) 180-Day Response
To determine if Medicaid made improper Medicare premium payments on behalf of recipients enrolled in the Medicare buy-in program.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s35-response.pdfSelected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireState Comptroller DiNapoli Releases State Audits
… of Health (DOH) Medicaid Payments Made Pursuant to Medicare Part C (Follow-Up) (2016-F-16) An audit released in … have saved up to $69 million if it limited payments of Medicare Part C cost-sharing liabilities. The audit also identified several scenarios under which Medicare Part C cost-sharing liabilities were improperly …
https://www.osc.ny.gov/press/releases/2016/12/state-comptroller-dinapoli-releases-state-audits-1DiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… $61,711 in overpayments to providers because of incorrect Medicare coinsurance, copayment or deductible amounts. “The … In a separate report, DiNapoli’s auditors examined Medicare Part C claims for services rendered to Medicaid … because the providers billed claims with incorrect Medicare coinsurance, copayment, or deductible amounts. At …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audits-find-more-1-million-waste-new-yorks-medicaid-programState Agencies Bulletin No. 1121
… social security tax withholding rate is 6.2% for 2012. Medicare There is no wage base limit for Medicare tax. The Medicare tax withholding rate is 1.45% each for the employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1121-summary-tax-related-withholding-requirements-2012