Office of the Inspector General (OIG) - Division of Investigations and Clinical Support (DICS)

Thomas Russell, Inspector General       

OIG Hotline:

Report Fraud, Waste and Abuse

866-770-7175

Division of Investigations and Clinical

Support (DICS)

About the DICS            

The Division of Investigations & Clinical Support is staffed by a group of experienced clinical professionals and investigators.

The Unit is responsible for: 

• Providing follow-up up on Surveillance Utilization Review Subsystem (SURS) Exception Reports to ascertain whether Medicaid providers have properly billed Medicaid.

• Reviewing medical and non-medical billing documentation for inconsistencies.

• Conduct site visits to the Medicaid provider facilities.

• Conferring with subject matter experts

• Interviewing Medicaid recipients to investigate billing and/or documentation discrepancies.

• Analyzing the CPT and ICD-9 codes submitted by providers for accuracy.

• Making recommendations to a specific Medicaid program regarding the recovery of any improperly billed services and/or possible changes in procedures.

• Other assignments at the direction of the Inspector General.

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