The Office of Inspector General published its fourth quarterly report for fiscal year 2019. The report summarizes the excellent work performed by the OIG during the past four quarters.
In effort to streamline and make investigative processes more efficient, the OIG’s Benefits Program Integrity Division has a designated intake unit to screen, prioritize and validate referrals.
The audit objective was to determine whether Medical Transportation Management’s (MTM) performance in selected areas was in accordance with contract requirements.
This OIG advisory outlines how to prevent being the target of fraud or abuse by dental solicitors.
Patient review and restriction programs are commonly called “Lock-in” programs and are used to restrict the overuse of medical services, such as prescription drugs.
The OIG conducted an audit to determine if a Texas Medicaid managed transportation organization met contract requirements.
The OIG conducted an audit of Texas Department of Family and Protective Services child-specific contracts for individuals in state conservatorship who received inpatient services from a psychiatric hospital.
The OIG conducted an audit to assess the effectiveness of security controls over confidential HHS system information stored by an MCO.
The OIG conducted an audit of a pharmacy to determine whether it properly billed the Vendor Drug Program and complied with contractual and state requirements.
The El Paso Benefits Program Integrity (BPI) team is part of a task force honored as “Best Team” by Homeland Security Investigations.