BC Advantage - 2023 Issue 9

Texas HHSC-OIG is Ramping Up Its Investigations of Medicaid Pediatric Telemedicine Claims

In the state of Texas, Medicaid plays a significant role in providing healthcare services to a large portion of the population. With more than 5.9 million Texans1  (approximately 18.9% of the current population2) enrolled in Medicaid, it is an essential program for qualifying low-income citizens. In Texas, Medicaid costs taxpayers over $40 billion. Federal and industry authorities estimate that fraud3 comprises up to 10% of the costs of the Medicaid program, making Medicaid fraud a $4 billion problem for the state.4 In an ongoing effort to identify and prevent improper billings, a number of federal and...

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