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.
Claims review system results in overpayment for ambulance transports
A recent OIG inspection uncovered oversight issues involving non-emergency ambulance claims approved by Driscoll Health Plan, a Texas Medicaid managed care organization (MCO).
Common errors identified in telemedicine billing
To mitigate fraud related to telemedicine the OIG has collaborated with providers and MCOs to identify dozens of potential issues and develop strategies to reduce the risks.
Family violence program audit finds some expenditure issues
A recent audit of a Harris-based family violence program identified several areas of concern involving records of expenditures and the approved salaries of some employees.
OIG updates audit and inspections plan for fiscal year 2024
The OIG has released potential audit and inspection topics for fiscal year 2024 following a risk assessment that identified programs, services, providers and contractors with an elevated potential for fraud.
OIG Hotline provides 33,000 Texans with a path to report fraud
During fiscal year 2023, the OIG Fraud Hotline received 33,034 contacts with fraud, waste or abuse allegations. Of these contacts, 7,888 resulted in referrals for further investigation.
Managed care organization special investigative unit fails to consistently comply with fraud detection requirements
A recent audit determined that Parkland Community Health Plan had not consistently met Texas Medicaid requirements aimed at preventing, detecting and investigating fraud, waste and abuse.
OIG releases results for fiscal year 2023
The Office of Inspector General published its fourth quarterly report for fiscal year 2023.