OIG report: Feds clawed again $3.6B in fraud recoveries in 2019


The feds recovered almost $3.6 billion in healthcare fraud {dollars} in 2019, new information launched by the Trump administration present.

The Division of Well being and Human Providers Workplace of Inspector Basic (OIG) launched its annual look again at fraud recoveries, which confirmed that of the $3.6 billion clawed again, over $2.5 billion was deposited into Medicare belief funds.

OIG stated that the federal authorities received or negotiated greater than $2.6 billion in judgements or settlements in fraud causes throughout 2019. The remaining funds had been introduced in by settlements or judgements from prior years, based on the report.

In fiscal 12 months 2019, the Division of Justice opened 1,060 new prison healthcare fraud investigations, with federal prosecutors submitting expenses in opposition to 814 defendants throughout 485 instances.

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DOJ opened 1,112 new civil healthcare fraud investigations in 2019 as nicely, based on the report.

As well as, investigations performed by the Federal Bureau of Investigation led to the operational disruption of 558 prison fraud organizations and dismantled the hierarchy of 151 healthcare fraud schemes, OIG stated.

Fraud investigations performed by OIG itself led to 747 prison actions in opposition to people or entities engaged in schemes to defraud Medicare and Medicaid, and 684 civil actions. HHS additionally excluded 2,640 people from collaborating in federal healthcare packages in 2019, with 1,194 instances linked to crimes in opposition to Medicare and Medicaid, based on the report.


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