Health district did not meet objectives related to STD/HIV prevention services grant
The OIG released the results of a recent audit of the City of Houston Health Department’s administration of a grant to reduce sexually transmitted diseases.
OIG audit discovers MCO inaccurately reported $8.1 million in overstated expenses
Recently, an OIG audit of a managed care organization (MCO) found issues when determining the fair market value of outsourced services and behavioral health claims.
OIG RAC Program seeks to reduce denials
The Social Security Act requires states to engage one or more recovery audit contractors to identify underpayments and overpayments and recoup overpayments in Medicaid fee for service claims submitted by provider
OIG reports fraud hotline results for fourth quarter of fiscal year 2022
The OIG Fraud Hotline handled 7,841 calls and other points of contact in the fourth quarter of fiscal year 2022 with operators referring 1,844 cases for further investigation.
Emergency ambulance services provider audited by OIG
OIG auditors reviewed claims submitted by American Medical Response (AMR), a ground emergency ambulance services provider, to verify that documentation accurately depicted the level of services performed.
EBT Trafficking Unit investigates misuse of benefits
The OIG Electronic Benefits Transfer (EBT) Trafficking Unit investigates allegations of retailers' misusing or trafficking Supplemental Nutrition Assistance Program (SNAP) benefits.
OIG audits Home and Community Support Services Agency in Pasadena
Recently, the OIG audited Elara Caring, a Home and Community Support Services Agency, finding the provider complied with most program requirements, including developing Individual Service Plans (ISP) for clients.
Latest Medicaid provider investigation result data released
The OIG released provider investigation results for the fourth quarter of fiscal year 2022 in the latest edition of the quarterly report.
OIG inspectors discover errors in reported nursing home staff hours
A recent OIG inspection of Westchase Health and Rehabilitation Center found the facility accurately reported 85 percent of reviewed records; however, the facility lacked standard timekeeping procedures.
OIG updates audit and inspections plan for new fiscal year
The OIG updated the Audit and Inspections Plan for fiscal year 2023, which outlines potential audit and inspections areas and topics.