Magazine article Clinical Psychiatry News

Feds Recover $3 Billion in Health Care Fraud in 2014

Magazine article Clinical Psychiatry News

Feds Recover $3 Billion in Health Care Fraud in 2014

Article excerpt

The federal government recouped $3 billion in health fraud settlements and judgments in fiscal 2014, down from $4 billion in 2013, according to a report by the Department of Health 8C Human Services.

The Health Care Fraud and Abuse Control (HCFAC) Program has recovered nearly $30 billion since it began in 1997.

The Department of Justice (DOJ) in 2014 also opened 924 new criminal health care fraud investigations, and federal prosecutors filed criminal charges in 496 cases involving 805 defendants, HHS said in its report. A total of 734 defendants were convicted of health care fraud-related crimes during last year.

Meanwhile, investigations by the HHS Office of Inspector General resulted in 867 criminal actions against individuals or entities that engaged in crimes related to Medicare and Medicaid and 529 civil actions, which include false claims and unjust-enrichment lawsuits.

HHS excluded 4,017 health providers from participation in Medicare and Medicaid and other federal health care programs as a result of program violations, criminal actions, and licensure revocations. …

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