In today’s public hearings, members of the Texas Sunset Advisory Commission passed staff recommendations and supplemental additions made by a special work group, relating to the Health and Human Services Commission Office of the Inspector General. The final report is now online and … Read More
On November 12th, the Texas Sunset Advisory Commission held public hearings on the Health and Human Services Commission with staff from both the Commission and HHSC staff testifying. The subject of the hearings was the 184-page report put together by … Read More
The Statesman reports today that HHSC’s chief counsel Jack Stick, former OIG director for enforcement, who steered business to an Austin software firm for OIG Medicaid fraud detection data mining software, has for years had close connections to the firm’s … Read More
Houston Chronicle business columnist Chris Tomlinson blasted the Texas Health and Human Services Commission Office of Inspector General for its treatment of Medicaid providers in his column Wednesday. His criticism however goes further than OIG and alleges that OIG’s overzealousness … Read More
Today, the Texas 3rd Court of Appeals overturned a lower court decision and negated Health and Human Services Commission rules that allow for the Office of Inspector General to place Medicaid payment holds in certain circumstances, basically for only program violations … Read More
In a letter to the Texas Sunset Advisory Commission, TDMR President Gregory Ewing has recommended, based on the testimony in the public hearings held last week, that all pending OIG cases be stayed for external review. All pending cases should … Read More
Last Thursday, November 13th, the Texas Sunset Advisory Commission held public hearings about its staff report on the Texas Health and Human Services Commission that was released in October. The Commission heard over nine straight hours of submissions from various … Read More
The Austin American Statesman reported this weekend that the Texas Health and Human Services Commission Office of Inspector General is finalizing a deal with an Austin company for Medicaid fraud detection software. The company involved, 21CT, is primarily a defense … Read More
The Texas Sunset Commission held public hearing both Wednesday and Thursday this week on the Health and Human Services Commission as well as its beleaguered Office of Inspector General. Sunset and HHSC staff testified on Wednesday about the recent Sunset Commission … Read More
TDMR is republishing this very descriptive and apt blog post. A Senseless Fraud Prosecution Victimized Doctor And Patients by Larry M. Elkin, CPA, CFP® In the complicated world of medical and dental care, billing mistakes happen. Add a complicated government … Read More
From the blog of Knicole Emanuel, a NC Medicaid attorney. Whew…the election is over. No more political ads, emails, and other propaganda… Ok, so we have our new elected officials, now our new elected officials need to pass some new … Read More
This past week, the Texas Health and Human Services Commission published on their website a circular about the process for audits being done by the Centers for Medicare and Medicaid Services (CMS) on Medicaid providers in Texas. All Medicaid providers in … Read More
The latest edition of the Texas Health and Human Service Commission’s online newsletter InTouch says that OIG is bringing in an outside firm to review its investigative, sampling and extrapolation processes in light of the recent scathing Sunset Commission staff report on … Read More
The Sunset Commission has set out their agenda for the upcoming public hearings on the Texas Health and Human Services Commission to be held on Wednesday and Thursday, November 12 and 13. Meeting materials will be available on the Sunset … Read More
The Texas Rangers are now investigating the Health and Human Services Commission Office of Inspector General and the firing of actuary Brad Nelson per a story in the Houston Chronicle. The Commission requested the investigation after Nelson was fired for … Read More
The 3rd Texas Court of Appeals has agreed with a Travis County District Court judge and has issued a ruling that the Office of the Inspector General should return over $1.2 million in withheld Medicaid funds to Harlingen Family Dentistry. TDMR received a … Read More
The Austin American Statesman reported this morning that Rep. Richard Peña Raymond, D-Laredo, has requested that the Texas Health and Human Services Commission Office of Inspector General review all Medicaid cases that were worked on by the now-terminated actuary that admitted to … Read More
It appears other states besides Texas are having problems with their Medicaid fraud investigations. Jury found innocent Per a news report in the Concord Register, a New Hampshire orthodontist, after a two day trial, was found innocent of 45 counts of … Read More
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 … Read More
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 … Read More
