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Improper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… through December 31, 2019. We found the Department did not have a process to identify and recover improper Medicaid … two have been partially implemented, and one has not yet been implemented. Key Recommendation Officials are …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followState Agencies Bulletin No. 872
… Purpose To inform agencies of the new process for checking the Retirement Plan checkbox in Box 13 of the … Retirement Arrangements (IRAs),” and Instructions for Form W-2, the Retirement Plan checkbox in Box 13 of the Form W-2 must be checked for all employees who are eligible for a retirement plan, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/872-change-process-retirement-plan-checkbox-form-w-2Hear 2 Learn PLLC – Compliance With the Reimbursable Cost Manual
… year ended June 30, 2013. Background Hear 2 Learn is a privately owned institution located in Syracuse, New York that provides preschool special … year, Hear 2 Learn provided Special Education Itinerant Teacher (SEIT) services to 105 children with learning …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/hear-2-learn-pllc-compliance-reimbursable-cost-manualAssessment of Costs to Administer the Workers’ Compensation Program for the Two Fiscal Years Ended March 31, 2013
… procedures in place to accurately report its assessable expenses related to administration of Sections 50(5), 151, … Firefighters’ and the Volunteer Ambulance Workers’ Benefit Laws. We performed our audit pursuant to legislative … the Comptroller and the Chair of the Board ascertain the annual amount of expenses incurred in the administration of …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/assessment-costs-administer-workers-compensation-program-two-fiscal-years-ended-march-31State Agencies Bulletin No. 1295
… for more than one agency in the same company during the year [for example, State of New York (NYS) or City University …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1295-form-w-2-wage-and-tax-statement-calendar-year-2013Empowering Minds Therapy Inc. – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) … services to children with disabilities who are between 3 and 4 years of age. SED sets the special education rates … with the guidelines in SED’s RCM regarding eligibility and documentation requirements. For the fiscal year ended …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/empowering-minds-therapy-inc-compliance-reimbursable-cost-manualNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… included in our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesState Agencies Bulletin No. 1956
… CSEA Certification, Licensure, and Exam Fee Reimbursement Program, or who used Empire Star Public Service awards for … are informed of the taxability upon enrollment in the program. Questions Questions regarding this bulletin may be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1956-certification-licensure-and-exam-fee-reimbursement-clefr-2021Compliance With Executive Order 88 – Energy Efficiency in State Buildings
… Objectives To determine if the Department of Corrections and Community … Supervision (DOCCS) has developed targets and plans to effectively meet its contributions toward Executive Order … more meters than required. In addition, a major design change was made after the contract was awarded, causing some …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracted with UnitedHealthcare … level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually provided … monitored out-of-network providers who routinely billed for higher-level E/M services, and if out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… – the clouding of the lens in the eye – which cause vision problems. A cataract is corrected with surgery, which frequently … lens and replacing it with an intraocular lens (such as a plastic lens). Empire generally reimburses the intraocular …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… Advantage Plan Services (Report 2017-S-46 ). About the Program The Department of Health (Department) administers the State’s Medicaid program. Many Medicaid recipients are also enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Report 2017-S-36 ). …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followState Agencies Bulletin No. 1864
… is to inform agencies of the taxable fringe benefit CLEFR for 2020 processing. Affected Employees Employees who … Program or who used Empire Star Public Service awards for certification, license or exam fees are affected. … Time Entry using the earn code CFR . This amount is used for reporting and tax withholding purposes only and does not …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1864-certification-licensure-and-exam-fee-reimbursement-clefr-2020Oversight of Information Technology Consultants and Contract Staffing (Follow-Up)
… are responsible for monitoring project deliverables and timelines, and then determining if deliverables are …
https://www.osc.ny.gov/state-agencies/audits/2020/12/08/oversight-information-technology-consultants-and-contract-staffing-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… Objective To determine the extent of implementation of the three recommendations made in our initial audit … Plan Providers (Report 2016-S-54 ). About the Program Many of the State’s Medicaid recipients are also enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followMetro Therapy, Inc. – Compliance With the Reimbursable Cost Manual
… ended June 30, 2011. Background Metro Therapy is based in Hauppauge, New York and provides Special Education Itinerant Teacher (SEIT) services to children between the ages of three and five years residing in New York City and Nassau and Suffolk counties. During the …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/metro-therapy-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 2278
… The CLEFR amount will be reported on the employee’s Form W-2 in box 14 under code FRB . Payroll Register and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2278-certification-licensure-and-exam-fee-reimbursement-clefr-2024-0NYS Common Retirement Fund Contacts
… Titarchuk Chief Investment Officer atitarchuk@osc.ny.gov Anastasia Titarchuk is the Chief Investment Officer … Navyug Patel Deputy Chief Investment Officer npatel@osc.ny.gov Navyug (Nav) Patel is the Deputy CIO of the New York … Managers Jennifer Cardiff, Global Equities jcardiff@osc.ny.gov Manuel Casanga, Real Estate & Real Assets …
https://www.osc.ny.gov/common-retirement-fund/resources/nys-common-retirement-fund-contactsHigher Education – 2023 Financial Condition Report
… totaling almost $182 million in aid, including 29,610 Excelsior scholarships totaling $126.5 million. The New York … college in New York State. For eligible students, the Excelsior Scholarship Program covers any remaining tuition …
https://www.osc.ny.gov/reports/finance/2023-fcr/higher-education