A self-report by a provider to both the federal OIG and Texas OIG led to a successful collaboration between the agencies to achieve a settlement agreement for $7,000,000.
The OIG has released the first of a series of audits regarding STAR+PLUS service coordination.
OIG's Acute Care Surveillance Team has implemented a new record review process that saves providers time and money.
The OIG's Benefits Program Integrity (BPI) unit completed 311 investigations in the third quarter where fraud was found.
The OIG is using a new tool to prevent fraud, waste and abuse.
The OIG conducted an audit of a medical transportation provider's performance to determine if it complied with contractual and state requirements.
The Benefits Program Integrity (BPI) division opened 2,587 investigations involving some form of benefit recipient overpayment or fraud.
The OIG Audit Division has completed an audit of the statewide financial impact of therapy practices at long-term care nursing facilities.
The Medicaid Program Integrity (MPI) Division is comprised of Provider Investigations, Medical Services, Program Integrity Development and Support and the Provider Enrollment Integrity Screenings units.
Managed Care Organizations (MCOs) have a new chapter in the Uniform Managed Care Manual (UMCM) that consolidates existing Office of Inspector General (OIG) deliverables and guidance into one place.