Federal Medicaid Audit Tags Texas for $30 Million


Another HHS-OIG audit about to be released of the Texas Medicaid program will cost Texas another $30 million, according to a story in this morning's Austin American Statesman.  The federal audit covers 2011 for non-emergency medical transportation services. The article reports that the Texas Health and Human Services Commission "improperly claimed Medicaid reimbursements in 70 out of the 90 … [Read more...]

Federal audit: Texas owes $30 million for improper Medicaid… | www.mystatesman.com

The federal government wants Texas to pay back more than $30 million for incorrectly claimed Medicaid reimbursements. An audit to be released Wednesday by the Office of Inspector General within the U.S. Department of Health and Human Services describes how Texas incorrectly claimed $30.3 million in fiscal year 2011 for non-emergency medical transportation services — private companies that … [Read more...]

UPDATED: HHSC Executive Compensation Figures Released

THHSC building

This past week HHSC released a report on executive compensation within HHSC.  (Staff Compensation) Per the report, the average base salary for non-executive staff on August 31, 2014 was $37,326. The following table is excerpted from the report to show only the salary increases from 2013 to 2014 . It should be noted that the Inspector General's salary has increased from $153,296 in 2010 … [Read more...]

Congressional Budget Office Report on How Initiatives to Reduce Fraud in Federal Health Care Programs Affect the Budget

Last Updated: Tuesday, 21 October 2014 06:10 Read Complete Document (pdf, 522.97 KB) October 20, 2014 - Observers often cite fraud as an important contributor to high health care spending, particularly in federal programs. This report describes how CBO estimates the budgetary effects of legislative proposals to reduce fraud in Medicare, Medicaid, and the Children’s Health Insurance Program … [Read more...]

President of Houston Hospital and Three Others Convicted in $158 Million Medicare Fraud Scheme

Washington, DC—(ENEWSPF)—October 20, 2014. A federal jury in Houston today convicted the president of Riverside General Hospital (Riverside), his son, and two others for their participation in a $158 million Medicare fraud scheme involving false claims for mental health treatment.  Ten defendants have now been convicted in connection with the Riverside fraud scheme. Assistant Attorney General … [Read more...]

Texas Medicaid “Low Hanging Fruit” – AG Lawsuit Against Yet Another Company

justice for texas medicaid providers

Two weeks ago, the Texas Office of the Attorney General quietly filed a lawsuit against yet another company associated with Texas Medicaid - the drug company AstroZeneca. Millions of dollars in excess reimbursements It accuses the company of defrauding the Texas Medicaid program with the off-label promotion of its drug Seroquel, claiming that the company's illegal conduct resulted in … [Read more...]

FTC, Texas business groups oppose new DSO rules | Dr. Bicuspid

October 17, 2014 -- The U.S. Federal Trade Commission (FTC) and Texas business groups are urging the rejection of new rules proposed by the state dental board regarding dental service organizations (DSOs), saying they would restrict dentists' ability to contract with DSOs and could hamper business competition. While the proposed rule changes do not expressly refer to DSOs, the "rules seem … [Read more...]

TDMR: OIG Should Not Be Under HHSC and Performance of OIG Executives Should Be Reviewed

sunset commission2

This past Friday, TDMR sent its comments about the recent Sunset Commission staff report on the Texas Health and Human Services Commission to the Texas Sunset Commission. The following is what was sent from TDMR president Gregory Ewing.  A downloadable copy is available - TDMR Sunset Commission letter 17 Oct 14. ____________ October 17, 2014 Sunset Advisory Commission, 1501 North … [Read more...]

“Cooked Books” Caused OIG to Settle for $39,000 in $16 Million Dental Medicaid Case

THHSC building

A Texas Health and Human Services Commission employee in the Office of the Inspector General was fired because he apparently "cooked the books" in OIG's case against Dr. Rachel Trueblood, according to a story published in the Austin American Statesman yesterday evening. Settlement offer sent one business day after firing The Statesman's investigation found that the employee was fired and … [Read more...]

Fraud inspector’s falsified work could cost state millions | www.statesman.com

This summer, state regulators settled a Medicaid fraud case against an Austin dentist for literally pennies on the dollar. Although the Texas Health and Human Services Commission’s Office of Inspector General had initially accused Rachel Trueblood of bilking the government out of $16.2 million in unnecessary procedures and other improper charges, the agency quietly agreed to a one-time payment of … [Read more...]


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