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
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 … Read More
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 … Read More
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 … Read More
The St. Mary’s University Mu Psi Chapter of the Pi Sigma Alpha National Political Science Honor Society is holding The Texas Medicaid Fraud Issue Forum on Wednesday, November 5th, 2014 in San Antonio. The purpose of the forum is to … Read More
TDMR received a notice from the Texas Sunset Commission on Tuesday requesting feedback on the staff report just issued on HHSC which was particularly scathing of the Office of Inspector General. Make your voice heard Any Texan can comment on … Read More
The Houston Chronicle has reported that as a result of the Sunset Commission’s scathing report on the Health and Human Services Commission Office of Inspector General, HHSC Executive Commissioner Kyle Janek is appointing a special assistant to review OIG procedures … Read More
This afternoon the staff of the Texas Sunset Commission issued its long anticipated report on their proposed recommendations for changes to the Health and Human Services Commission which is under sunset review this year. News Coverage: Texas Tribune, Austin American … Read More
After two years, the Chief Counsel of the Texas Health and Human Services Commission and former director for enforcement of the Office of Inspector General Jack Stick had a day in court on his DWI on Thursday. Judge to rule on … Read More
The Houston Chronicle (story behind a paywall) reported this morning that Leah Rayne, HHSC’s business technology architect, was fired because she “admitted to officials that she leaked details about an internal strategy meeting to Truven Health Analytics…[the] company that was in final negotiations for … Read More
