Corporate Compliance

Healthcare fraud prevention and enforcement efforts recover record $4 billion

Compliance Monitor, January 26, 2011

The government’s healthcare fraud and abuse efforts netted more than $4 billion in fiscal year (FY) 2010, according to a U.S. Department of Health and Human Services (HHS) press release. That is the largest annual healthcare fraud amount ever recovered.

Much of the success is owed to the collaboration between HHS and the Department of Justice (DOJ). The two agencies enhanced their coordination through the Health Care Fraud Prevention & Enforcement Action Team (HEAT). During FY 2010, HEAT and the Medicare Fraud Strike Force expanded local partnerships and helped educate Medicare beneficiaries about how to protect themselves against fraud. 

HHS also announced new healthcare fraud prevention rules authorized by the Affordable Care Act. The final rule includes new provider screening and enforcement measures aimed to keep bad actors out of government healthcare programs through suspension of payment to providers charged with fraud.

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