Posted on February 3, 2011 11:59
Categories: Legislative and Regulatory Issues | Medicare | Medicaid
Topics: Medicaid | Medicare | Regulation
On January 24, U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice (DOJ) officials released the Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2010, finding that federal officials recouped $4.02 billion from health care fraud cases in FY2010. The $4 billion figure is a 54 percent increase over the $2.6 billion recouped in FY2009 and more than twice the $2 billion recouped in FY2008. The authors found that nearly 75 percent of the recovered funds were fraudulently obtained through Medicare. Federal officials cite increased fraud detection efforts and cooperation between government agencies for their improved results.
From the report:
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control Program (HCFAC or the Program) under the joint direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), acting through the Inspector General, designed to coordinate Federal, state and local law enforcement activities with respect to health care fraud and abuse. In its fourteenth year of operation, the Program's continued success again confirms the soundness of a collaborative approach to identify and prosecute the most egregious instances of health care fraud, to prevent future fraud or abuse, and to protect program beneficiaries.
Full Report: Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2010 (PDF | 1.07 MB)
U.S. Department of Health and Human Services and U.S. Department of Justice. (2011). Health care fraud and abuse control program annual report for fiscal year 2010.
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