TDMR recently received Texas HHS-OIG’s email newsletter for February. We’re not sure how many others who are interested get this so we are going to republish it here.
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OIG Update |
Welcome to OIG Update – a monthly newsletter from the Texas Health and Human Services Office of Inspector General (OIG). This newsletter highlights some of the OIG’s recent efforts in detecting, preventing and deterring fraud, waste and abuse in the delivery of Texas health and human services programs. Within this email, you’ll find hyperlinks to recent case highlights and an inspection conducted by our team.
Texas doctor convicted in $325 million health care fraud schemeA federal jury found a South Texas doctor guilty for a scheme where he falsely diagnosed patients. Read how the OIG helped investigate the case. OIG inspection finds $1 million in unrecovered state fundsThe OIG made recommendations to effectively recover funds from the Texas Comptroller of Public Accounts. Read the report. MPI recovered $17 million during the first quarterMedicaid Program Integrity (MPI) investigates and reviews fraud, waste and abuse allegations against providers; reviews hospital and nursing facility claims and medical records; and screens providers seeking to enroll in Medicaid. Read recent case highlights from MPI. |
There needs to be some changes in denying providers payment. There are times when MD takes forever to sign paperwork and we get penalized for it and other things that cause us not to get paid. There should be no reason after providing service should a agency be denied payment. If the PT, were to stay in the hospital. You would spend triple what you out. Please, review and change the denial process.
Humana PAID Wellstar Atlanta Medical Center South 100% of asking CMS EPB Charges, Disregarded Contract Agreement, Zero Copay, and Ignored Good Faith Reported EOB Appeals from 2012 throughout August 2016 to my multiples Greivance Complaints. My late Mother painfully suffered Covert and Systemic Iatrogenic’s Causations to Egreious Malpractices Personal Injuries, Tortoured, Opioids Overdosed to Induced Invasive ProceInduced Illnesses, Elderly Abused and Iatrogenic’s Death/Murdered. MOTIVES: Medical Enterprise RICO’S RACKETEERING Schemes and Corruption to CMS False Claims