The OIG’s Benefits Program Integrity (BPI) unit collaborated with the Social Security Administration to resolve a Smith County case.
The OIG conducted an audit of State of Texas Access Reform PLUS (STAR+PLUS) nursing facility claims paid by Superior HealthPlan, Inc. (Superior), a managed care organization (MCO).
An OIG nurse analyst and provider field investigator reviewed the medical records of a family medicine physician in Garland. The provider appeared as an outlier in a data review of prescribers.
The Office of Inspector General published its first Quarterly Report for fiscal year 2021. The report summarizes the excellent work performed by the OIG during the past three months.
The owner of a Texas chain of hospice companies has been sentenced to 20 years in federal prison for his role in a $150 million health care scheme.
The Benefits Program Integrity (BPI) division completed more than 16,000 investigations involving some form of benefit recipient overpayment or fraud allegation in fiscal year 2020.
Tips from the public to the OIG Fraud Hotline help ensure that Texas Medicaid funds are not lost to fraud.
State Supported Living Centers (SSLCs) provide around-the-clock, campus-based services to nearly 3,000 residents with intellectual and developmental disabilities in 13 facilities across Texas.
The federal government is warning health care providers and hospitals about a threat from cyber criminals.