Corporate Compliance

OIG releases MFCU annual report for FY 2007

Healthcare Auditing Weekly, July 1, 2008

In the Medicare Fraud Control Units annual report for fiscal year 2007, the OIG found that MFCUs recovered $1.1 billion in court-ordered restitution, fines, civil settlements, and penalties.
 
In FY 2007, 49 states and the District of Columbia participated in the MFCU grant program through their established MFCUs. The mission of these units is to investigate and prosecute cases of Medicaid provider fraud and patient abuse.
 
In addition to the $1.1 billion recovered, the MFCUs also obtained 1,205 convictions and reported 607 instances with successful civil action.
 
According to the OIG’s report, the MFCUs also:
  • Presented proposals to state legislatures that will positively affect the Medicaid program
  • Made recommendations to state Medicaid agencies for policy and regulation changes
  • Participated in joint case investigations/prosecutions involving federal and state law enforcement agencies
“Statistical information alone does not reflect the full measure of the MFCUs’ accomplishments or successes,” the report stated.

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