OIG releases third quarter recoveries
The OIG released its third quarterly report for fiscal year 2024, achieving more than $140 million in recoveries.
OIG follows up on previous audit to verify compliance
The OIG recently returned to a previously audited durable medical equipment company to determine if the audit recommendations were implemented.
Joint workgroup seeks proactive ways to reduce benefit fraud
The OIG’s Benefits Program Integrity team has established a workgroup with Texas Health and Human Services Access and Eligibility Services to discuss current fraud prevention methods and proactive efforts to reduce
Audit of pediatric services provider uncovers compliance issues
OIG auditors recently issued a report for a prescribed pediatric extended care center that found the facility did not comply with requirements for staffing ratios, employment checks and therapy services coordination
Retailer monitoring recovers more than $280,000 in first half of fiscal year 2024
After six months, the OIG's Electronic Benefits Transfer Trafficking Unit completed 175 cases, resulting in $280,302 in recoveries from retailers participating in the state's Supplemental Nutrition Assista
Provider investigations average less than 24 days for preliminary investigations
Over the first half of fiscal year 2024, the Medicaid Program Integrity team has demonstrated its efficiency by successfully concluding 796 preliminary investigations into allegations against providers within an ave
Longest-serving employees mark OIG anniversary
To recognize the 12 OIG members who have served with the agency since it began operations, we asked to share their thoughts about the last two decades.
OIG Fraud Hotline provides path to report fraud
The OIG Fraud Hotline helps the public report suspicious behavior, during the second quarter of fiscal year 2024, the OIG Fraud Hotline received 7,223 contacts alleging fraud, waste or abuse.
Fraud Analytics team building new tools to combat fraud in Texas
The OIG's Fraud Analytics team is developing new tools and algorithms that leverage data analytics to fight fraud, waste and abuse in Texas Medicaid delivery.
Audit uncovers coding issues for EEG submissions
OIG auditors reviewed 30 claims for ambulatory electroencephalograms submitted by a Houston based health system and found that the provider did not always comply with select program rules.