Providers encouraged to self-report billing errors
Providers who identify errors in claims have an avenue to voluntarily disclose mistakes to the OIG and work with the agency to correct claims for Medicaid and other Texas Health and Human Services programs.
MCNA Dental data breach information
If you believe the MCNA Dental data breach may have impacted you, visit MCNA Dental (idx.us) or call 1-888-220-5006 for more infor
South Texas pediatrician settles with OIG over strep test billing
The OIG has agreed to settle with a South Texas pediatric medical clinic that conducted an estimated 23,500 unnecessary tests for strep throat infections.
The OIG shares contract monitoring lessons from audits, inspections and investigations
The Office of Inspector General’s commitment to preventing fraud, waste and abuse includes conducting investigations and risk-based audits related to HHS contracts.
$15.5 million in benefit overpayments recovered in fiscal year to date
The OIG’s Benefits Program Integrity unit has completed 6,849 investigations involving some form of benefit recipient overpayment or fraud allegations through April of fiscal year 2023.
Audit of communication agency shows issues with complying with requirements for utilizing subcontractors
The OIG audited Sherry Matthews Group to determine if the communication agency met contract and billing requirements for a $19 million education campaign for the Women, Infants and Children (WIC) program.
OIG reviews retailers’ compliance with WIC program rules
The Women, Infants and Children (WIC) Vendor Monitoring Unit (VMU) cited violations in 42 stores after completing compliance buys at 69 Texas retailers during the second quarter of fiscal year 2023.
UPDATE: Full-scale investigation opened on two home health agencies
The OIG has opened full-scale investigations on two home health agencies following a review of documents and evidence collected during a preliminary review of the providers’ Medicaid reimbursement filings.
Dental billing receives in-depth review
During the second quarter of fiscal year 2023, the OIG’s Medicaid Provider Field Investigations (PFI) team reviewed dental providers exhibiting billing practices that could indicate fraud, waste or abuse.
MCO overpaid durable medical equipment vendors by more than $18,000
The OIG recently audited Blue Cross and Blue Shield of Texas (BCBS), finding the managed care organization lacked adequate controls to detect fraudulent claims for durable medical equipment (DME).