OIG refers case to Texas Medical Board

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.

As a result of the 2019 medical records review, a referral was made to the Texas Medical Board that resulted in a quality of care disciplinary action for the physician this quarter. The board found that the physician failed to obtain or document adequate patient history or assessment for 15 patients that he treated for chronic pain, failed to appropriately monitor patients’ use of controlled substances and failed to document adequate medical rationale for the pain medications he prescribed.