OIG recovers $5.6B from providers in FY 2016

HHS’ Office of Inspector General recovered more than $5.66 billion from healthcare providers and programs in fiscal year 2016, including about $953 million in non-HHS matters resulting from the OIG’s work in areas such as Medicaid restoration, according to the OIG’s Semiannual Report to Congress.

Advertisement

Here are five takeaways from the OIG’s report.

1. In FY 2016, the OIG reported 844 criminal actions against individuals who participated in crimes against HHS programs.

2. The OIG reported 708 civil actions, including false claims and unjust enrichment lawsuits, in FY 2016.

3. The OIG reported exclusions of 3,635 individuals and entities from participation in federal healthcare programs in FY 2016.

4. The report highlighted the achievements of the Healthcare Fraud Strike Force teams, which are a key component of the Health Care Fraud Prevention and Enforcement Action Team — a program started in 2009 by HHS and the Department of Justice to combat healthcare fraud, waste and abuse.

During FY 2016, Health Care Fraud Strike Force efforts resulted in charges filed against 255 individuals or entities.

5. In June, the Health Care Fraud Strike Force led a nationwide sweep that resulted in criminal and civil charges being filed against 301 individuals, including 61 physicians, nurses and other licensed medical professionals, for their alleged participation in healthcare fraud schemes. 

More articles on legal and regulatory issues:

House approves 21st Century Cures Act: 5 things to know
Passing ACA replacement through the Senate will be a challenge: 5 thoughts
With GOP-led Congress, lawmakers call defunding of Planned Parenthood a matter of time

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.