Data analytics helping uncover FWA related to the COVID-19 pandemic
Throughout the last year, the coronavirus has presented new challenges for health care systems and new opportunities for those wishing to exploit the changing health care delivery processes.
OIG makes recommendations to treatment facility
The OIG conducted an audit of Homeward Bound, Inc., a substance use disorder treatment facility under contract with the Texas Health and Human Services Commission (HHS).
OIG recovers $74 million in second quarter
The Texas Health and Human Services Office of Inspector General (OIG) published its second quarterly report for fiscal year 2021.
OIG opens investigations after dental fraud detection operations
The majority of Texas Medicaid dental providers take pride in their work and deliver excellent care to their patients.
OIG resolves cases against home health agencies
In first quarter of fiscal year 2021, approximately 61 percent of referrals the OIG Fraud Hotline sent to the Provider Investigations unit (PI) concerned home health care.
Audit recommends improvements to speed payments to nursing facilities
The OIG conducted an audit of State of Texas Access Reform PLUS (STAR+PLUS) nursing facility claims paid by UnitedHealthcare Community Plan (UnitedHealthcare), a managed care organization (MCO).
OIG settles pharmacy cases from invoice initiative
The OIG’s Provider Field Investigations unit continues to pursue cases resulting from a pharmacy invoice initiative.
BPI recovers SNAP overpayments
Families in need get help buying food with the Supplemental Nutrition Assistance Program (SNAP). Benefit amounts are based on an applicant’s household size, income, assets and other factors.
OIG responds to COVID-19 pandemic with increased productivity and engagement
Even in a year of unprecedented challenges, the OIG accomplished record recoveries with $503,526,689 recovered for fiscal year 2020 and $626,964,044 identified for recovery.
OIG monitors use of vitamin infusions
The Office of Inspector General is seeing an increase in cases with medically unnecessary use of vitamin infusions in long-term care facilities.