Attorney General Eric Holder and HHS Secretary Kathleen Sebelius released on February 25, the annual Health Care Fraud and Abuse Control (HCFAC) Program report showing the highest three-year average return on investment in the 17-year history of the HCFAC Program – for every dollar spent on the investigations and supporting programs in the last three years, the government recovered $8.10.
Spotlight:
In FY 2013, CMS announced the first use of its temporary moratoria authority granted by the Affordable Care Act. The action stopped enrollment of new home health or ambulance enrollments in three fraud hot spots around the country, allowing CMS and its law enforcement partners to remove bad actors from the program while blocking provider entry or re-entry into these already over-supplied markets.
The Justice Department and HHS have improved their coordination through HEAT and are currently operating Medicare Fraud Strike Force teams in nine areas across the country. The strike force teams use advanced data analysis techniques to identify high-billing levels in health care fraud hot spots so that interagency teams can target emerging or migrating schemes as well as chronic fraud by criminals masquerading as health care providers or suppliers.
More details on the programs and investigations, including the report: http://oig.hhs.gov/publications/docs/hcfac/FY2013-hcfac.pdf