Medicaid was overbilled for more than $45,000 for telehealth visits
OIG auditors found a behavioral health services provider double-billed the state for telemedicine visits and improperly submitted claims for facility fees that were not provided.
OIG Hotline provides path to report fraud
During the first quarter of fiscal year 2024, the OIG Fraud Hotline received 9,111 contacts with fraud, waste or abuse allegations.
Pharmacy errors led to more than $18,000 in overpayments
Recently, OIG auditors found a managed care pharmacy based in Houston had dispensed prescriptions to Medicaid clients with errors in records, printed instructions and medication strength.
OIG celebrates 20 years of protecting Texas HHS programs
Since 2004, the Office of Inspector General (OIG) has been providing oversight to Texas health and human services, uncovering fraud, waste and abuse.
OIG reports $101.5 million in first quarter recoveries
The Office of Inspector General published its first quarter report for fiscal year 2024, with performance metrics, case summaries and agency highlights.
Looking ahead with Inspector General Winter
Inspector General Raymond Charles Winter discusses the OIG’s priorities in 2024.
Telehealth provider found to have overbilled Medicaid
OIG auditors recently found a behavioral health services provider had billed the state incorrectly for add-on psychotherapy sessions, including the use of providers who were not enrolled in Medicaid.
Avoiding Common Pharmacy Violations
The OIG's mission to detect and prevent fraud in Medicaid has provided the agency with an opportunity to encounter frequent errors and violations that occur in pharmacies.
Few errors found during inspection of DME provider
A recent inspection of durable medical equipment provider Byram Health found the company completed most reviewed order forms correctly and provided the correct items on all tested invoices.
WIC Vendor Monitoring Unit exceeds annual goal
The WIC Vendor Monitoring Unit exceeded its goal of monitoring 25% of vendors during the previous fiscal year, reviewing 880 of the 2,200 enrolled retailers.