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May 16, 2019

OIG finds incorrectly reported encounter data

The results of an OIG audit found that a Texas Medicaid and Children’s Health Insurance Program (CHIP) managed care organization (MCO) incorrectly reported encounter data.

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May 6, 2019

OIG inspection finds issues with power wheelchair suppliers

The OIG completed an inspection to determine if documentation requirements are being met when Medicaid clients receive power wheelchairs from DME (durable medical equipment) suppliers. The OIG made the following observations:

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April 25, 2019

OIG recovers $98 million in second quarter

The Office of Inspector General recovered nearly $98 million in the second quarter of fiscal year 2019, identified almost $42 million for future recoveries, and achieved $37 million in cost avoidance.

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April 22, 2019

OIG conducts inspection of MCO complaint reporting processes

The OIG conducted an inspection to determine if managed care organization member complaint intake processes are consistent with the Uniform Managed Care Contract and Uniform Managed Care Manual requirements.

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April 11, 2019

OIG audit finds overpayment

An OIG audit of a Texas hospital’s transport program found funds reimbursed in error. The OIG recommended the overpayments be returned to the state.

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