Texas Department Of Health Fraud

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Health Care Fraud and Abuse Office of the Attorney General

(6 days ago) Health insurance and medical billing fraud occurs when a health care provider or individual deceives an insurer in order to receive greater reimbursement. Examples of health insurance and medical billing fraud are: 1. Billing for services not actually performed 2. “Upcoding,” or billing for a more expensive service … See more

https://www.texasattorneygeneral.gov/consumer-protection/health-care/health-care-fraud-and-abuse

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Report Fraud, Waste or Abuse Office of Inspector General - Texas

(3 days ago) WEBThe OIG is prohibited from providing you with an update on the status of any open investigation. To report fraud, waste, or abuse in a Texas health and human services program, call the OIG Fraud Hotline at 1-800-436-6184 or use the online reporting tool here. To report fraud, waste, or abuse regarding the expenditure of other state funds

https://oig.hhs.texas.gov/report-fraud-waste-or-abuse

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How Do I Report Suspected Fraud or Misuse of State Resources?

(Just Now) WEBReport suspected waste, fraud or abuse in health and human services programs to the: Texas State Auditor's Office at 800-TX-AUDIT. Texas Health and Human Services Office of Inspector General at 800-436-6184. You also can contact these agencies online at:

https://www.hhs.texas.gov/services/your-rights/complaint-incident-intake/how-do-i-report-suspected-fraud-or-misuse-state-resources

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Report fraud - Texas Department of Insurance

(2 days ago) WEBReporting state agency fraud. If you suspect, or have evidence of internal fraud, waste, and abuse related to TDI staff or operations, report it immediately to either TDI's Internal Audit Office or to …

https://www.tdi.texas.gov/fraud/index.html

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Complaint and Incident Intake Texas Health and Human Services

(2 days ago) WEBCall 800-458-9858 to report complaints about the care or treatment of someone served by a Regulatory Services provider, including allegations of abuse, neglect, or exploitation. Access a list of provider types so you can file a complaint with Complaint and Incident Intake. Agents answer calls Monday through Friday from 7 a.m. – 7 p.m.

https://www.hhs.texas.gov/services/your-rights/complaint-incident-intake

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Fair and Fraud Hearings Texas Health and Human Services

(6 days ago) WEBHHSC Fair and Fraud Hearings currently has 49 staff members. In 2022, the office received 30,191 appeals and issued 29,532 decisions. Fraud hearings are conducted for two programs: SNAP and TANF. The Office of Inspector General (OIG) is responsible for investigating intentional program violations. If an alleged violation is found, the OIG will

https://www.hhs.texas.gov/services/your-rights/fair-fraud-hearings

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Texas State Auditor's Office - Report Fraud

(9 days ago) WEBThe State Auditor's Office investigates allegations of illegal acts and improprieties involving any entity that receives funds from the state. The online fraud reporting form is a resource for individuals to report such allegations. Individuals reporting suspected fraud may request to remain anonymous. However, any information submitted may be

https://sao.fraud.texas.gov/ReportFraud

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Texas Health Care Fraud and Opioid Takedown - Department of …

(3 days ago) WEBThe Justice Department announced today a coordinated health care fraud enforcement operation across the state of Texas, involving charges against a total of 58 individuals across all four federal districts in Texas for their alleged involvement in Medicare fraud schemes and networks of “pill mill” clinics resulting in $66 million in losses and 6.2 …

https://www.justice.gov/opa/pr/texas-health-care-fraud-and-opioid-takedown-results-charges-against-58-individuals

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Insurance fraud guide - Texas Department of Insurance

(Just Now) WEBIf you suspect fraud, or think you've been a victim of insurance fraud, report it to the TDI Fraud Unit. You can report fraud online or by calling our Help Line at 800-252-3439. Report fraud involving Medicare, Medicaid, or drug or health care discount programs to the Texas Attorney General's Consumer Protection Hot Line at 800-621-0508.

https://www.tdi.texas.gov/pubs/consumer/cb044.html

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Historic nationwide investigation, with Texas ties, …

(3 days ago) WEBThe cases were prosecuted by Health Care Fraud and ARPO Strike Force teams from the Criminal Division’s Fraud Section, along with 43 U.S. Attorneys' Offices nationwide, and agents from HHS-OIG

https://www.click2houston.com/health/2020/10/01/historic-nationwide-investigation-with-texas-ties-uncovers-more-than-6b-in-healthcare-fraud-opioid-abuse/

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Seven charged in $110 million health care fraud scheme - Texas

(Just Now) WEBThe Texas Health and Human Services OIG was part of the investigation that included Inspectors General from the U.S. Postal Service, Department of Labor, Veterans Affairs, and U.S. Department of Health and Human Services, along with the FBI, Defense Criminal Investigative Service and the Texas Attorney General Medicaid Fraud Control …

https://oig.hhs.texas.gov/about-us/news/seven-charged-110-million-health-care-fraud-scheme

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File a Complaint Against a Health Facility or Health Care …

(3 days ago) WEBHealth and Human Services Commission Complaint and Incident Intake Mail Code E-249 P.O. Box 149030 Austin, Texas 78714-9030; How We Process Complaints Against Regulated Acute Health Care Facilities. The Health Facility Compliance Unit receives complaints against regulated acute health care facilities. The steps for handling …

https://www.hhs.texas.gov/providers/health-care-facilities-regulation/file-a-complaint-against-a-health-facility-or-health-care-regulation-representative

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Compact with Texans Texas DSHS - Texas Department of State …

(1 days ago) WEBTexas Department of State Health Services. PO Box 149347. (Physical address: 1100 W. 49th Street) Austin, TX 78756. Toll Free 1-888-963-7111 or 512-776-7111. TDD Relay 1-800-735-2989. Email Customer Service. Information for Texas Residents. Call 211 for information on health services in your local area.

https://www.dshs.texas.gov/compact-texans

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FRAUD ALERT: Beware of scams targeting SNAP clients Office of …

(7 days ago) WEBThe Texas Health and Human Services Office of Inspector General (OIG) is receiving reports of two scams targeting clients of the Supplemental Nutrition Assistance Program (SNAP). Text/email scam. One scam involves a text message or email claiming to come from Texas Health and Human Services (HHS). Clients are threatened with losing …

https://oig.hhs.texas.gov/about-us/news/fraud-alert-beware-scams-targeting-snap-clients

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Provider investigations average less than 24 days for preliminary

(1 days ago) WEBOut of these, 107 cases were escalated to full-scale investigations, while 170 were referred to the Office of the Attorney General's Medicaid Fraud Control Unit. The OIG's Medicaid Provider Field Investigation team reviews allegations against medical and service providers enrolled in the Texas Medicaid Program.

https://oig.hhs.texas.gov/about-us/news/provider-investigations-average-less-24-days-preliminary-investigations

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Fast facts and FAQ - Texas Department of Insurance

(2 days ago) WEB“The FBI estimates non-medical insurance fraud to be at least $40 billion every year.” “Fraud occurs in about 10% of property-casualty losses.” According to the National Health Care Anti-Fraud Association: “… the financial losses due to health care fraud are in the tens of billions of dollars each year. A conservative estimate is 3%

https://www.tdi.texas.gov/fraud/facts.html

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Texas doctor convicted in $325 million health care fraud scheme

(9 days ago) WEBThe doctor from Mission was convicted in January of numerous counts including health care fraud. The case was investigated by The Rio Grande Valley Health Care Fraud Task Force, which includes the OIG, FBI and Texas Medicaid Fraud Control Unit. The U.S. Department of Justice prosecuted the case in front of a federal judge.

https://oig.hhs.texas.gov/about-us/news/texas-doctor-convicted-325-million-health-care-fraud-scheme

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How to file a health insurance complaint - Texas Department of …

(8 days ago) WEBFile a complaint by using our online complaint system: Make a copy of the front of your insurance ID card. Go to our online complaint system. After answering some questions, you'll be asked if you want to upload supporting documents. Uploads are limited to 24 pages. To help resolve your complaint, we need to share your information with the

https://www.tdi.texas.gov/consumer/file-health-cmplnt.html

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Fraud, Waste, or Abuse Texas DSHS - Texas Department of State …

(7 days ago) WEBLocal Health Department Labs; Specimen Collection Guidelines; Regional & Local Health. Public Health Regions; Office of Border Public Health; Texas Center for Infectious Disease; Public Health Nursing; Center for Health Emergency Preparedness & Response; Research, Funding, & Educational Resources. Continuing Education Service; Events & …

https://www.dshs.texas.gov/fraud-waste-or-abuse

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GOVERNMENT CODE CHAPTER 544. FRAUD, WASTE, ABUSE, AND …

(7 days ago) WEBSec. 544.0204. HEALTH AND HUMAN SERVICES AGENCY MEDICAID FRAUD, WASTE, AND ABUSE DETECTION GOAL. (a) The health and human services agencies, in cooperation with the commission, shall periodically set a goal for the number of potential cases of Medicaid fraud, waste, or abuse that each agency will attempt to identify and …

https://statutes.capitol.texas.gov/Docs/GV/htm/GV.544.htm

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Texas Physician Convicted in $16 Million Medicare Fraud Scheme

(Just Now) WEBTexas Physician Convicted in $16 Million Medicare Fraud Scheme. A federal jury in Texas found a physician who was the owner and operator of a medical clinic in Houston, Texas, guilty today of participating in a $16 million Medicare fraud scheme in which she signed false and fraudulent "plans of care" and other medical documents for …

https://oig.hhs.gov/fraud/enforcement/texas-physician-convicted-in-16-million-medicare-fraud-scheme/

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Twin doctors admit to healthcare fraud, mimicking injections on

(5 days ago) WEBDALLAS, Texas — Drs. Desi Barroga and Deno Barroga, both 51, pleaded guilty to healthcare fraud charges, as announced today by U.S. Attorney for the Northern District of Texas, Leigha

https://tylerpaper.com/news/texas/twin-doctors-admit-to-healthcare-fraud-mimicking-injections-on-patients/article_b3804ea6-9d0a-5a97-a127-f77a42619654.html

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Dallas doctors plead guilty in $45 million health care fraud over

(6 days ago) WEBIn plea papers, the brothers said they billed Blue Cross Blue Shield, Cigna and United Healthcare some $45 million and pocketed at least $9 million between early 2016 and late 2022. They each face

https://www.msn.com/en-us/health/other/dallas-doctors-plead-guilty-in-45-million-health-care-fraud-over-fake-pain-injections/ar-BB1mO1AM

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Texas Department of State Health Services (DSHS)

(7 days ago) WEBServices and resources aimed at improving the health of women of childbearing age, adolescents, children, infants, and children with special health care needs. Vital Statistics The Vital Statistics section maintains vital records for the state of Texas, including, birth and death certificates, marriage applications, and divorce records.

https://www.dshs.texas.gov/

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Medicare and Medicaid fraudsters continue to steal taxpayer money

(1 days ago) WEBFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department of Justice (DOJ) reported civil settlements and judgments under the False Claims Act related to healthcare fraud that exceeded $1.8 billion in the fiscal year ending Sept. 30, 2023.

https://www.thomsonreuters.com/en-us/posts/investigation-fraud-and-risk/medicare-medicaid-fraud-2024/

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Four People Plead Guilty, Sentenced for Multi-Million-Dollar …

(5 days ago) WEBThe Pennsylvania Medicaid Fraud Control Unit receives 75 percent of its funding from the U.S. Department of Health and Human Services under a grant award totaling $10,632,312 for Federal fiscal year (FY) 2024. The remaining 25 percent, totaling $3,544,100 for FY 2024, is funded by Pennsylvania. # # #

https://www.attorneygeneral.gov/taking-action/four-people-plead-guilty-sentenced-for-multi-million-dollar-medicaid-fraud-scheme-that-involved-inflated-transportation-costs-other-phantom-services/

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Texas Doctor Convicted of Health Care Fraud Violations

(3 days ago) WEBTariq Mahmood, 63, of Cedar Hill, Texas, was found guilty by a jury of conspiracy to commit health care fraud, seven counts of health care fraud, and seven counts of aggravated identity theft following a four day trial before U.S. District Judge Michael Schneider. Read more on www.justice.gov

https://oig.hhs.gov/fraud/enforcement/texas-doctor-convicted-of-health-care-fraud-violations/

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Texas law firm to pay $12.5 mln over ex-client's alleged fraud

(2 days ago) WEBLocke Lord Llp. Follow. May 10 (Reuters) - Dallas-founded law firm Locke Lord is set to pay $12.5 million to settle claims that it allowed one of its former energy industry clients to engage in a

https://www.reuters.com/legal/legalindustry/texas-law-firm-pay-125-mln-over-ex-clients-alleged-fraud-2024-05-10/

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3 admit $500K-plus health care fraud - The Business Journals

(7 days ago) WEBThe owner and two employees of a St. Louis County home health care firm pleaded guilty in a Missouri Medicaid fraud scheme of more than $552,000, the feds said. The owner and two employees of a St

https://www.bizjournals.com/stlouis/news/2024/05/15/3-admit-500k-health-care-fraud.html

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AIDS spreading in Texas community pool is impossible Fact check

(7 days ago) WEBThe claim: People contracted AIDS from a swimming pool in Texas. An April 27 Facebook post (direct link, archive link) shares a screenshot that includes a map of a neighborhood in Arlington, Texas

https://www.usatoday.com/story/news/factcheck/2024/05/10/aids-hiv-spreading-in-texas-community-pool-is-impossible-fact-check/73620605007/

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