Corporate Compliance

OIG recoveries expected to top $3 billion

Compliance Monitor, June 8, 2011

The OIG expects to recover $3.4 billion from its investigations, audits, and other reviews of performed during the first half of fiscal year 2011, according to an announcement made in connection with the OIG's Semiannual Report to Congress.

The expected recoveries include approximately $3.2 billion arising from 349 criminal and 197 civil actions that concluded during the period and an additional $222 million from audits.. OIG also excluded 883 individuals and entities from participating in federal healthcare programs during that time.

The OIG's Semiannual Report to Congress also highlighted the following items:

  • OIG Medicare Strike Force teams arrested more than 100 suspects in an unprecedented healthcare fraud takedown
  • Pharmaceutical companies GlaxoSmithKline LLC and Allergan USA, Inc. settled false claims, marketing, and other alleged violations for $750 million and $600 million respectively
  • Medicare is losing out on hundreds of millions in investment income
  • Part D sponsors underestimated rebates which could lead to Medicare and its beneficiaries overpaying for Part D drug coverage
  • Approximately 14% of Medicare beneficiaries experience preventable adverse events

OIG launched a provider compliance training, and published new physician guidance, and fugitives list

Read more about each of these items in the OIG’s Semiannual Report to Congress.

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