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OIG saves, recovers record $35.4 billion in 2005

Executive Briefings Digest, January 31, 2006

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The Office of the Inspector General (OIG) has nearly doubled its savings and recoveries during the past five years, according to its Semiannual Report to Congress. The OIG said it expects to have saved or recovered nearly $35.4 billion in fiscal year 2005. The tally includes $32.6 billion in established savings recommendations, $1.2 billion in audit receivables, and another $1.6 billion received as a result of investigations, according to an OIG press release.

In 2005, the OIG reported nearly 4,000 fraud and abuse exclusions, 537 criminal actions against individuals or facilities, and 262 civil actions. Two large settlements in the second half of 2005 included a $325 million fraud settlement with HealthSouth Corporation related to allegations of Medicare Part A cost report fraud, and a $532 million refund from the state of New York related to Medicaid audits of school-based services.

Source: Strategies for Healthcare Compliance



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