OIG reports fraud hotline results
The OIG Fraud Hotline handled 6,657 calls and other points of contact in the third quarter of fiscal year 2022.
OIG auditors discover training, staffing and maintenance issues at nursing facility
The OIG Audit and Inspections Team recently conducted an unannounced site visit to the Matagorda House Healthcare Center as part of an annual risk assessment for Texas nursing facilities.
Health district fails to meet objectives related to STD/HIV prevention services grant
The OIG released the findings of an audit on the San Antonio Metropolitan Health District’s (Metro Health) administration of a $5.6 million grant issued to reduce sexually transmitted diseases.
Texas providers encouraged to self-report overpayments
Providers continue to participate in the OIG’s self-report process, choosing to collaborate to reduce fraud, waste and abuse.
Fraud detection operation examines durable medical equipment providers
An OIG Fraud Detection Operation (FDO) focused on indicators for potential fraud, waste and abuse among durable medical equipment (DME) providers.
Special investigative units help prevent fraud, waste and abuse
One tool managed care organizations (MCOs) use to reduce fraud, waste and abuse (FWA) is a team of in-house investigators known as the special investigative units (SIUs).
EBT Trafficking Unit investigates vendor fraud
The OIG Electronic Benefits Transfer (EBT) Trafficking Unit investigates allegations of retailers' misuse or trafficking of Supplemental Nutrition Assistance Program (SNAP) benefits.
Auditors conducted site visits at Houston residential care facility
The OIG conducted site visits at two locations operated by Lighthouse for the Blind of Houston, a facility licensed to provide services to deaf blind with multiple disabilities (DBMD) clients.
OIG investigates reports of SNAP fraud
As part of the OIG's mission to protect Texas taxpayer dollars, the agency investigates fraud allegations against clients receiving benefits from the Supplemental Nutrition Assistance Program (SNAP).
Audit finds psychiatric services provider overbilled for telemedicine visits
The OIG conducted an audit of claims submitted by Medcare Clinics for psychiatric services to ensure the provider billed Medicaid and the Children’s Health Insurance Program correctly for telemedicine services.