Health Care Fraud Recoveries And Enforcement Actions

According to this report, during Fiscal Year 2010, the Federal government received approximately $2.5 billion in health care fraud judgments and settlements and the Medicare Trust Fund received approximately $2.86 billion including more than $683.2 million in Federal Medicaid money in fraud recoveries. The fraud recoveries included monies received from unscrupulous physicians, hospitals, health care clinics, pharmacies, medical device suppliers, nursing homes, home health care providers, and other health care providers in various parts of the United States.

During the same time period, the Department of Justice opened 1,116 new criminal health care fraud investigations involving 2,095 potential defendants and opened 942 new civil health care fraud investigations and had 1,290 civil health care fraud matters pending at the end of the fiscal year.The Office of Inspector General excluded 3,340 individuals and entities including exclusions based on criminal convictions for crimes related to Medicare and Medicaid (894), or to other health care programs (263); for patient abuse or neglect (247); or as a result of licensure revocations (1,582).  Such actions included identity theft and  illegal kickbacks and self-referrals.

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This entry was posted on Thursday, March 17th, 2011 at 10:16 am. Both comments and pings are currently closed.

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