Texas Dentists for Medicaid Reform

For more information call 956-507-7264

  • Home
  • Issues
  • * Medicaid Difficulty Alert *
    • About the Medicaid Difficulty Alert
    • Alert Form
  • Articles
    • TDMR articles
    • Medicaid Media
    • Compliance Articles
  • Archive
    • The Facts About the Medicaid Orthodontic Scandal 2007 to 2012
    • HHSC-OIG Archive 2012 to 2014
      • TMHP
      • Antoine Dental Case
      • Harlingen Family Dentistry Case
        • Further HFD articles
      • OIG Never Returns Funds
      • Webinar March 19 2012
      • 2008 TMHP Audit by OIG
      • 2012 TMHP Audit by OIG
      • OIG Legislative Testimony
        • OIG Testimony March 19 2013
        • OIG Testimony February 13 2013
        • OIG Testimony February 4 2013
        • OIG Testimony January 30 2013
      • Jack Stick Arrest for DWI
    • Due Process Archive
      • Survey Results
      • Committees
        • Hearing Videos
      • TDMR Submission
      • HB 1536/SB 785
        • House Committee on Human Services
        • Written Testimony
        • Attorney Testimony Videos
        • Dental Provider Testimony Videos
      • SB 1803
        • Overview
        • Bill Moves to House
        • Public Testimony Videos
        • Passes House Committee
        • Bill Changed Before House Vote
        • SB 1803 Has Passed the House!
      • Other Proposed Bills
      • Due Process Legal Articles
      • Legislative Media
      • Media Archive
  • About
    • Dr. Juan D. Villarreal
    • Dr. Tara Rios
    • Dr. Paul Dunn
    • Gregory Ewing
  • Contact
You are here: Home / Archives for OIG

OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government

December 6, 2019 By TDMR Leave a Comment

Washington, DC—America's taxpayers could see nearly $5.9 billion in misspent Medicare, Medicaid, and other health and human service program dollars … [Read more...]

Filed Under: Media Tagged With: HHS-OIG, OIG

Texas Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions

November 1, 2019 By TDMR Leave a Comment

10-21-2019 | Audit (A-06-16-01001) | Complete Report | Report in Brief Why OIG Did This Review Federal regulations effective July 1, 2011, prohibit … [Read more...]

Filed Under: Media Tagged With: medicaid, OIG, texas health and human services

The Minnesota State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries’ Deaths

October 3, 2019 By TDMR Leave a Comment

10-01-2019 | Audit (A-05-17-00049) | Complete Report | Report in Brief We estimated that Minnesota made unallowable capitation payments totaling at … [Read more...]

Filed Under: Media Tagged With: medicaid, OIG

HHS-OIG Releases Latest Quarterly Report

April 18, 2019 By TDMR Leave a Comment

TDMR received an email update from the Texas Health and Human Services Office of Inspector General this week.  Although regular quarterly reports have … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: OIG, texas medicaid reform

OIG Asks for Extra $10M, More ‘Boots on the Ground’ to Target Home- and Community-Based Fraud

March 26, 2019 By TDMR Leave a Comment

The Office of the Inspector General (OIG) is making good on its long-held promise to ramp up oversight of home- and community-based services, … [Read more...]

Filed Under: Media Tagged With: healthcare fraud, OIG

HHSC OIG Orthodontic Consultant Reluctant to “Second Guess” Xerox/Conduent Prior Authorizations

December 17, 2018 By TDMR Leave a Comment

A board certified orthodontist hired by HHSC-OIG was apparently reluctant to "second guess" Xerox/Conduent prior authorization (PA) approvals per a … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, office of inspector general, OIG, texas health and human services commission

“I Guess No One Really Cares” – HHSC OIG Director of Medicaid Integrity

December 13, 2018 By TDMR 5 Comments

In the same Xerox/Conduent court filing from July 2018 mentioned in our previous article, there is another exhibit worth mentioning.  It is the … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: medicaid fraud, OIG, texas health and human services commission

OIG: Texas Improperly Collected $20.7M In Federal Medicaid Money, Owes CMS

April 11, 2018 By TDMR Leave a Comment

Texas overcharged the federal government for a portion of primary care reimbursement following a state Medicaid rate cut, according to the HHS Office … [Read more...]

Filed Under: Media Tagged With: medicaid fraud, OIG

The top 10 management and performance challenges facing the Department of Health and Human Services

November 16, 2017 By TDMR Leave a Comment

If he’s confirmed as the next secretary of the Department of Health and Human Services, Alex Azar will have his hands full. The Office of Inspector … [Read more...]

Filed Under: Media Tagged With: Department of Health and Human Services, HHS-OIG, OIG

HHS DMO CONTRACT UPDATE

MCNA DentaQuest United

as of October 15, 2019 11:00pm

Receive Updates on TDMR Activities

Search the TDMR Website

Most Viewed Posts & Pages

  • Texas Braces For Medicaid Cuts Under GOP Health Plan
    Texas Braces For Medicaid Cuts Under GOP Health Plan
  • Dentist sues, accuses nation's largest dental insurer of price-fixing, conspiracy
    Dentist sues, accuses nation's largest dental insurer of price-fixing, conspiracy
  • Medicare chief asked taxpayers to cover stolen jewelry
    Medicare chief asked taxpayers to cover stolen jewelry
  • 10 Former NFL Players Charged With Stealing Millions Of Dollars In Elaborate Healthcare Scheme
    10 Former NFL Players Charged With Stealing Millions Of Dollars In Elaborate Healthcare Scheme
  • Morristown Doctor Sentenced To Prison For $30M Fraud Scheme
    Morristown Doctor Sentenced To Prison For $30M Fraud Scheme

Recent Comments by Readers

  • Ali Falahat on Dentist sues, accuses nation’s largest dental insurer of price-fixing, conspiracy
  • Graham D. Shea, DDS on UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
  • Joe Knows on UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
  • Graham D. Shea, DDS on UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
  • TDMR on UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
  • DDS on UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments

Recent Media of Interest

Dentist sues, accuses nation’s largest dental insurer of price-fixing, conspiracy

December 13, 2019

Texas Braces For Medicaid Cuts Under GOP Health Plan

December 13, 2019

Dentists warn that Medicaid audits could harm children’s dental care in Nebraska

December 13, 2019

10 Former NFL Players Charged With Stealing Millions Of Dollars In Elaborate Healthcare Scheme

December 13, 2019

Morristown Doctor Sentenced To Prison For $30M Fraud Scheme

December 12, 2019

Former employees testify of unusual practices in healthcare fraud case

December 12, 2019

Free dental, medical services for New Mexicans this weekend

December 11, 2019

Uninsured rate for Texas’ youngest children jumps

December 11, 2019

Medicare chief asked taxpayers to cover stolen jewelry

December 9, 2019

Alaska dentist who extracted a tooth while riding a hoverboard on trial for dozens of charges

December 6, 2019

OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government

December 6, 2019

New Jersey Doctor Doles Out Nearly 1.5 Million Opioids In Three Years

December 4, 2019

DOJ Charges Numerous Medical Professionals in Latest Round of Healthcare Fraud Enforcement Actions

December 2, 2019

Texas Orthopedic Surgeon to Pay $300,000 to Settle False Claims Act Allegations

November 29, 2019

Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process

November 29, 2019

Lab to pay $26 mil for conspiring with Texas hospitals to induce doctor referrals, bill Medicare, TRICARE

November 28, 2019

More Articles...

Copyright © 2019 · All Rights Reserved. Texas Dentists for Medicaid Reform · Privacy Policy

tdmr_logo

Are you subscribed to
TDMR News Alerts?

Get the latest news from TDMR. Just provide your email address.
  • This field is for validation purposes and should be left unchanged.