The Health and Human Services Commission issued a press release this afternoon that OIG has now settled with Carousel Pediatrics of Austin on claims of Medicaid fraud, now deemed billing errors, for $3.75 million. $22.1 million settled for $3.75 million … Read More
The Big Conversation If the University of Texas System regents tap Gov. Rick Perry favorite Kyle Janek as their next chancellor, they won’t get pushback from the president of the system’s flagship campus. “I’ve known Kyle for a long … Read More
TDMR has received notification that HHSC-OIG has begun a Provider Education series that will cover topics of particular interest to Medicaid providers. It is about time. The first topic is Understanding Waste, Abuse and Fraud and TDMR has rabble roused … Read More
TDMR presents the second in a series of articles on health care compliance penned by TDMR President Greg Ewing. Greg is a health care lawyer with over fifteen years of experience in transactional health law; health information technology; privacy and security … Read More
According to a government source, Jack Stick has been elevated from his position at the Texas Health and Human Services Commission as Deputy Inspector General for Enforcement to that of interim Chief Legal Counsel, replacing the retiring Steve Aragorn. A further … Read More
On February 27th, administrative law judge Rick Gilpin of Texas Health and Human Services Commission issued a final order in the “credible allegation of fraud” payment hold case of Antoine Dental of Houston, fully reversing the Proposal for Decision written … Read More
When Steve Aragon’s daughter invited him to speak to her students for career day, he wasn’t sure what he was going to say. He was lined up behind a judge, a SWAT team member and a zoologist. But when it … Read More
On Monday, Augustine Ihenacho Nnadi, a Medicaid fraud analyst with the Texas Attorney General’s Office, was arrested for bribery. Agents with the FBI and the Texas Attorney General’s Office arrested Nnadi Monday morning in Houston, Texas. According to the criminal complaint, … Read More
Last September 27th, TDMR published an article concerning the fact that the Texas Health and Human Services Commission Office of the Inspector General at that time had not yet made available on its website, information on due process rights for … Read More
On Sunday, the Austin American Statesman published a feature article on the current state of affairs regarding how Texas regulators are dealing with the claims of large scale Medicaid orthodontic fraud that have been swirling around Texas since 2011. The … Read More
This past week a number of Medicaid dentists filed suit against ACS, Affiliated Computer Systems, the state’s Medicaid claims administrator better known as TMHP or the Texas Medicaid and Health Partnership. The dentists allege that ACS was negligent in their … Read More
Antoine Dental Center of Houston, Harlingen Family Dentistry of Harlingen, M&M Orthodontics of San Antonio and Dr. Paul Dunn of Levelland filed suit this past Monday against ACS, Affiliated Computer Services, the state’s private contractor which handles claims administration for … Read More
A long time dental Medicaid provider recently sent to TDMR an old article that was written in the March/April 2005 edition of the Texas Medicaid Bulletin. It is interesting because both the Texas Medicaid and Health Partnership (TMHP) and the … Read More
Yesterday the Dallas Morning News reported that a North Dallas psychotherapist plead guilty to a five-year health care fraud scheme and agreed to surrender his license to practice psychology. The US Attorneys Office press release states that Michael Ellis Wolf, … Read More
At the beginning of December, 2013, the Health and Human Services Commission published online its budgetary figures for 2014. Included in the document are the 2012 and 2013 expenditures and metrics for the Office of the Inspector General and its … Read More
Texas State Office of Administrative Hearings judges, the Honorable Howard Seitzman and the Honorable Catherine Egan, provided their final Proposal for Decision in the case of Houston’s Antoine Dental Center to HHSC Excecutive Director Dr. Kyle Janek on Thursday. Antoine … Read More
TDMR is pleased to present the first in a series of articles on health care compliance penned by TDMR President Greg Ewing. Greg is a health care lawyer with over fifteen years of experience in transactional health law; health information technology; … Read More
Back on October 15th, 2012, now more than a year ago, Texas Deputy Attorney General for Civil Litigation John Scott testified before the House Committee on Public Health in the Capitol. TDMR has just reviewed the archived video from the … Read More
Before the Thanksgiving long weekend, TDMR received a copy of the August 2012 audit conducted by the HHSC Office of the Inspector General on the Texas Medicaid and Healthcare Partnership. As far as we know this is the first time … Read More
The Texas Sunset Commission is evaluating the state Health and Human Services Commission this coming year under its mandate to periodically review Texas state agencies for their operation and need to exist. About the Commission The Texas Legislature created the … Read More
