OIG uses technology to improve efficiency
OIG's Acute Care Surveillance Team has implemented a new record review process that saves providers time and money.
BPI uncovers more than 300 fraud cases in 3rd quarter
The OIG's Benefits Program Integrity (BPI) unit completed 311 investigations in the third quarter where fraud was found.
OIG implements prepayment review
The OIG is using a new tool to prevent fraud, waste and abuse.
OIG audits medical transportation provider
The OIG conducted an audit of a medical transportation provider's performance to determine if it complied with contractual and state requirements.
OIG Benefits Program Integrity recovers nearly $18 million in third quarter
The Benefits Program Integrity (BPI) division opened 2,587 investigations involving some form of benefit recipient overpayment or fraud.
OIG audits financial impact of therapy practices
The OIG Audit Division has completed an audit of the statewide financial impact of therapy practices at long-term care nursing facilities.
OIG Medicaid Program Integrity recovers $14 million in third quarter
The Medicaid Program Integrity (MPI) Division is comprised of Provider Investigations, Medical Services, Program Integrity Development and Support and the Provider Enrollment Integrity Screenings units.
OIG provides new reference for MCOs
Managed Care Organizations (MCOs) have a new chapter in the Uniform Managed Care Manual (UMCM) that consolidates existing Office of Inspector General (OIG) deliverables and guidance into one place.
OIG recovers nearly $145 million in third quarter
The Office of Inspector General recovered nearly $145 million in the third quarter of fiscal year 2019.
OIG audit finds overpayment to DME provider
An OIG audit has found that a durable medical equipment provider submitted unsupported and unauthorized claims, resulting in overpayments.