The audit objective was to determine whether the amounts in the capitalization and moveable equipment cost centers reported on the Providence Memorial Hospital cost report were accurate, allowable, and adequately supported according to CMS and state requirements. Issued October 31, 2017.

The audit objective was to determine whether therapy services at Sunny Springs were provided consistent with physician orders and in accordance with resident assessments and evaluations. Issued October 25, 2017.

The audit evaluated Maxor National Pharmacy Service LLC to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued August 31, 2017.

The audit objective was to determine whether the amounts in the capitalization and moveable equipment cost centers reported on the Lake Pointe Medicare cost report were accurate, allowable, and adequately supported according to CMS and state requirements. Issued August 31, 2017.

The audit evaluated HEB Pharmacy #084 to determine whether it properly billed VDP and complied with certain requirements.  Issued August 31, 2017.

The audit evaluated US Bioservices to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable.  Results indicated no exceptions for the claims tested.

The audit was conducted to determine whether confidential HHS System information in the custody of FirstCare and its subcontractors was protected from unauthorized access, loss, or disclosure. Issued August 22, 2017.

This informational report summarizes acute care utilization management practices in managed care organizations based on the results of four audits performed by the HHSC IG Audit Division. Issued August 15, 2017.

The objectives of the audit were to evaluate whether MedCare complied with certain Texas Medicaid requirements. Issued August 11, 2017.

The audit evaluated Houston Medicine Chest, LLC to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued August 3, 2017.

The IG Audit Division has completed this informational report, Dental Service Organizations, to gain an understanding of DSOs and how they support the delivery of dental services provided to Medicaid and CHIP-eligible individuals. Issued May 31, 2017. Revised November 14, 2017.

The IG Audit Division has completed Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014.

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company.

The IG Audit Division has completed the Audit of DADS Claims Management System: Information Technology Interface Processing Controls.

The IG Audit Division has completed the report Deep East Texas Council of Governments: While HHS Contract Funds Were Used as Intended, Financial and IT Controls Should be Improved.

The IG Audit Division has completed the informational report Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance.

The IG Audit Division has completed Audit of Recovery of Overpayments Identified in Federal Audits. This report contains the results of an audit of the effectiveness of HHSC policy and processes related to the recovery of overpayments identified during federal audits.

This informational report, Texas Medicaid Speech Therapy: Informational Report on Payment Trends and Service Delivery, is the first in a series of reports related to the audit of Texas Medicaid speech therapy providers. IG Audit Division Report IG-17-010 issued February 28, 2017.

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Community Health Choice, Inc. This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions.

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: FirstCare Health Plans. This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions.

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