Audit finds issues with allergy therapy provider
The audit of a Houston-based immunotherapy services provider found claims for 3,522 doses of allergy shots that did not meet program requirements.
Inspection finds nursing facility largely met incident reporting and employment check requirements
The Harris County skilled nursing facility was compliant in more than 90% of tested reports and records.
Acute care clinic billing leads to investigation
A South Texas medical clinic will repay $150,000 to the Texas Medicaid program after a records review and patient interviews could not corroborate telemedicine claims.
OIG modernizes payment options and other online tools
The OIG is making it easier for clients and providers to repay the state and resolve their overpayments online.
Self-disclosure leads to $17 million settlement
An OIG self-disclosure case resulted in a $17 million settlement with a group of pediatric hospitals.
Unauthorized use of prescriber number results in million-dollar settlement
The OIG resolved allegations against pharmacies in Plano and Richmond, both accused of distributing more than 3,500 COVID-19 tests using an unauthorized prescriber number.
Nursing facility inspection finds issues
The OIG released an inspection report that found a nursing home had errors in 88% of reviewed provider investigation reports of abuse, neglect and exploitation.
An Overview of EVV
Electronic visit verification (EVV) is a tool that ensures people receive the care they need.
Audit finds concerns with MCO special investigative unit
While auditing a managed care organization’s special investigative unit, the OIG found errors in 78% of preliminary investigations and 74% of extensive investigations.
Lock-In Program guards against prescription drug abuse
The OIG’s Lock-In Program prevents prescription drug misuse by limiting some clients to a single pharmacy or prescriber.