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.
July 2018
Audit of Travis Medical Sales Corp.: A Durable Medical Equipment Provider
The OIG Audit Division contracted Health Management Systems to audit durable medical equipment records to verify services provided to recipients, paid by Texas Medicaid. Issued July 10, 2018.
Audit of URS Medical I: A Durable Medical Equipment Provider
The OIG Audit Division contracted Health Management Systems to audit durable medical equipment records to verify services provided to recipients, paid by Texas Medicaid. Issued July 10, 2018.
June 2018
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 of Shield Denver Health Care Centers: A Durable Medical Equipment Provider
The OIG Audit Division contracted Health Management Systems to audit durable medical equipment records to verify services provided to recipients, paid by Texas Medicaid. Issued June 27, 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 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 Therapy 2000: 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 (Austin) : 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.
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 of Specialty Therapeutic Care: A Texas Vendor Drug Program Provider
The audit evaluated Specialty Therapeutic Care 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. Issued May 31, 2018.
Audit of Circle of Care: 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 May 25, 2018.
Audit of Tropical Texas Behavioral Health: A Texas Behavioral Health Services Provider
The OIG Audit Division contracted Health Management Systems to audit behavioral health records to verify services provided to recipients, paid by Texas Medicaid. Issued May 25, 2018.
Audit of St. Louis Medical Supply: A Durable Medical Equipment Provider
The OIG Audit Division contracted Health Management Systems to audit durable medical equipment records to verify services provided to recipients, paid by Texas Medicaid. Issued May 25, 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.
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 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.