Back in June of 2019, a representative of HHSC-OIG did a presentation on dental solicitation of Medicaid patients to several dental … [Read more...]
OIG Now Opens Provider Investigations into Dentists and Doctors at 3x the Rate of Complaints
The recently released HHSC-OIG Quarterly Report for the 1st Quarter of 2020 shows that the rate of provider investigations opened into dentists and … [Read more...]
UPDATE: In Memoriam
UPDATE: This past Saturday over 500 family, friends and individuals from the community came to pay their respects to Dr. Villarreal at Camp … [Read more...]
Texas HHS 2020 Inaugural Business Plan Available
HHS Executive Director Courtney Phillips Texas HHS has published a business plan for 2020 outlining its goals. This came out a few months ago … [Read more...]
UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
MEDICAID DENTISTS: Please take our confidential and anonymous five-question survey about D1352. It is basically a simple Yes-No questionnaire. It … [Read more...]
Texas HHS-OIG Fraud and Abuse Prevention Advisory on Dental Services
Last month, TDMR reported on the Texas Health and Human Services Office of Inspector General Quarterly Report for the fourth quarter of 2019. A … [Read more...]
Texas HHS-OIG Audit Finds MCNA billed Medicaid $766,000 in unsupported consulting expenses and more
A recent audit done by Texas Health and Human Services Office of Inspector General found that dental maintenance organization MCNA had paid out … [Read more...]
Who Lobbied for UnitedHealthcare, MCNA and DentaQuest
For the sake of public disclosure, TDMR is providing the lists of lobbyists registered with the Texas Ethics Commission who lobbied in 2019 on behalf … [Read more...]
OIG Update & Quarterly Report – Dental Fraud Highlighted
TDMR received an email newsletter this week from HHS-OIG. They promoted their quarterly report and also a special downloadable publication for … [Read more...]
Who is UnitedHealthcare?
Part of UnitedHealthcare complex in Minnetonka, MN We thought Medicaid dentists might like to know something about UnitedHealthcare, the company … [Read more...]
HHS Finally Announces DMO Contract Awardees
Texas Health and Human Services has finally made an announcement about the award of DMO contracts for Texas Medicaid. The announcement was posted on … [Read more...]
OAG Opposes Disqualifying Late Relators in Xerox/Conduent Case
The story of Texas vs. Xerox/Conduent appears to be never-ending. Relators to get money? There is still the issue of qui tam relators and whether or … [Read more...]
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