Posted On: June 29, 2010 by Mercedes Varasteh Dordeski

Health Care Fraud Recoveries Up For First Half of FY 2010

The Inspector General’s Office for the Department of Health and Human Services (HHS OIG) has recovered approximately $3.1 billion in health care funding that would have otherwise been lost to fraud or abuse during the first half of FY 2010, according to the latest Semi-Annual Report to Congress.

The report, which reviews the period from October 2009 to March 2010, discloses that HHS OIG has recovered $667.7 million in audit receivables and $2.5 billion in investigative receivables. These numbers represent a significant increase from the previous fiscal year, as detailed below.

FY 2009 (First Half) - $274.8M in audit receivables, $2.2B in investigative
FY 2009 (Second Half) - $217.2M in audit, $1.8B in investigative
FY 2010 (First Half) - $667.3M in audit, $2.5B in investigative

While the Patient Protection and Affordable Care Act (PPACA) allocates $250 million in increased funding to combat fraud and abuse over the next decade, the latest OIG report covers the period before PPACA’s enactment. Therefore, the new figures are a hopeful sign that OIG recovery effects are becoming increasingly effective.

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