Recently, OIG team members audited a 128-bed behavioral health center in Houston, Texas, to determine if the facility met specific requirements established by state and federal regulations.
The OIG’s Benefits Program Integrity (BPI) unit completed 3,205 investigations involving some form of benefit recipient overpayment or fraud allegation in the first quarter of fiscal year 2023.
The Office of Inspector General published its first quarterly report for fiscal year 2023, with performance metrics, case summaries and agency highlights.
As winter weather begins to move into Texas, this is an excellent time for long-term care facilities to review and update emergency response plans for the health and safety of residents.
The OIG continues to enhance fraud detection using a Department of Agriculture grant to build data-driven methods of identifying beneficiary fraud in the Supplemental Nutrition Assistance Program (SNAP).
One way the OIG protects the health and welfare of people receiving Medicaid is by preventing certain people or businesses from participating as service providers.
The OIG released the results of a recent audit of the City of Houston Health Department’s administration of a grant to reduce sexually transmitted diseases.
Recently, an OIG audit of a managed care organization (MCO) found issues when determining the fair market value of outsourced services and behavioral health claims.
The Social Security Act requires states to engage one or more recovery audit contractors to identify underpayments and overpayments and recoup overpayments in Medicaid fee for service claims submitted by provider
The OIG Fraud Hotline handled 7,841 calls and other points of contact in the fourth quarter of fiscal year 2022 with operators referring 1,844 cases for further investigation.