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.
OIG reports $100.7 million in second-quarter recoveries
The Office of Inspector General published its second quarterly report for fiscal year 2024, with performance metrics, case summaries and agency highlights.
No issues found during audit of EEG claims
OIG auditors reviewed 30 claims for ambulatory electroencephalograms (EEG) submitted by Cook Children's Medical Center and found that the provider complied with the tested regulations in all encounters.
Common errors in dental sedation
In recent months, OIG investigators have identified concerns involving the care delivered by some dental providers.
SNAP clients are the target of new phone call scam
Recently, the OIG Fraud Hotline identified a new scam where victims receive a call that appears on caller ID to be from the Lone Star Card Helpdesk.
OIG inspection of local mental health authority provides opportunity to improve contracting process
During a recent inspection of Tropical Texas Behavioral Health, a local mental health authority, the OIG reviewed a sample of six invoices representing 121 patient records for psychiatric hospitalizations and found
Inspection follow-up finds all recommendations implemented
A recent follow-up inspection of the skilled nursing facility Mira Vista Court found that previous issues with accurately accounting for direct care hours had been resolved.
Out-of-state shopping leads to new taskforce
The Benefits Program Integrity team has activated a new task force to review whether out-of-state purchases are due to short-term travel or if the client has moved out of Texas.
Building a career with the OIG
The OIG is a dedicated team, committed to providing Texans with confidence that their taxpayer dollars are being used efficiently and appropriately for Texas health and human services programs.
Fraud detection operation examines pharmacy providers
The OIG’s Medicaid Program Integrity (MPI) team conducted a fraud detection operation to examine prescription services billed to Texas Medicaid at a level above and beyond that of the providers’ peers.