July 2018

Audit

Audit of Himmel Home Health: A Medicaid Speech Therapy Provider
The audit evaluated whether Himmel complied with Texas Medicaid requirements for speech therapy authorizations, discontinuation, and claims billing; licensure, certification, and supervision of speech therapists; and medical necessity of speech therapy treatments. Issued July 23, 2018.

June 2018

Audit

Audit of Pharmacy Inventory Controls: Richard's Pharmacy
The OIG Audit Division performed an inventory of selected drugs to determine whether Richard's Pharmacy correctly billed Medicaid, complied with requirements, and maintained sound controls over its related IT systems for the audit period. Issued June 27, 2018.

Audit

Audit of Jordan Health Services: A Home Health Provider
The OIG Audit Division contracted Health Management Systems to audit personal care assistance records to verify services provided to recipients, paid by Texas Medicaid. Issued June 13, 2018.

Audit of Jordan Health Services: A Home Health Provider
The OIG Audit Division contracted Health Management Systems to audit personal care assistance records to verify services provided to recipients, paid by Texas Medicaid. Issued June 13, 2018.

Audit

Audit of Epic Pediatric Therapy (Dallas) : A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients, paid by Texas Medicaid. Issued June 12, 2018.

Audit of Epic Pediatric Therapy (Dallas) : A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients, paid by Texas Medicaid. Issued June 12, 2018.

May 2018

Audit

Assessment and Evaluation Practices at Mission Nursing and Rehabilitation Center
The audit evaluated Minimum Data Set (MDS) assessments, therapy services charts, medical records, Resource Utilization Group (RUG) levels assigned to residents, and physician orders and certifications for therapy services. Issued May 11, 2018.

Assessment and Evaluation Practices at Mission Nursing and Rehabilitation Center
The audit evaluated Minimum Data Set (MDS) assessments, therapy services charts, medical records, Resource Utilization Group (RUG) levels assigned to residents, and physician orders and certifications for therapy services. Issued May 11, 2018.

April 2018

Audit

Audit of Cook Children’s Home Health: A Texas Vendor Drug Program Provider
The audit evaluated Cook Children’s Home Health to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Results indicated no exceptions for the claims tested. Issued April 30, 2018.