Yesterday, HHS-OIG issued an update on its activities. Among other things, it had a link to a fraud and abuse prevention advisory about dental marketing schemes in which hired marketers find and steer Medicaid eligible children into treatment via their parents by offering cash or gift cards.
It is a sad thing that some dental practices cannot follow the rules and harm the profession’s reputation with such conduct.Dental-Fraud-Alert-V3-2-15-19
Here is the entire newsletter.
|Welcome to the May 2019 edition of OIG Update. This monthly newsletter from the Texas Health and Human Services Office of Inspector General (OIG) provides you an update about some of the agency’s recent efforts in detecting, preventing, and deterring fraud, waste, and abuse in the delivery of Texas health and human services programs. Within this email, you’ll find hyperlinks to a fraud and abuse prevention advisory, an audit and inspection conducted by our team.
OIG releases an advisory
The OIG published a fraud and abuse prevention advisory about dental services. Read the advisory.
Audit finds MCO data errors
The results of an OIG audit found that a Texas Medicaid and Children’s Health Insurance Program (CHIP) managed care organization (MCO) incorrectly reported encounter data. Read the report.
OIG inspects PBM program integrity activities
The OIG conducted an inspection to determine the program integrity activities pharmacy benefit managers (PBM) use to detect fraud, waste, and abuse of Medicaid-funded prescriptions. Read the report.