OIG Expects $6.9B in Healthcare Fraud Recoveries

HHS' Office of Inspector General expects recoveries from audits and investigations to total roughly $6.9 billion for fiscal year 2012.

The $6.9 billion in expected recoveries consists of $923.8 million in audit receivables and $6 billion in investigative receivables. Also, the OIG reported $8.5 billion in estimated savings resulting from legislative, regulatory or administrative actions to reduce fraud in Medicare, Medicaid and other HHS programs.

The OIG excluded 3,131 individuals and entities from participation in federal healthcare programs in FY 2012, reported 778 criminal actions against HHS programs and issued 367 civil actions, including false claims.

The OIG listed other highlights from the government's fraud-fighting efforts this fiscal year. Among them was the Medicare Fraud Strike Force's nationwide takedown involving $452 million in false billing — the largest amount of Medicare false billings in a single event.

More Articles on Medicare and Medicaid Fraud:

AHA Presses Feds on Compliance Issues With EHRs and Billing
GAO: Hospitals Most Common Subjects in Civil Healthcare Fraud Investigations
5 Cornerstones of a Culture of Compliance for Hospitals

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