California Healthline Daily Edition

Summaries of health policy coverage from major news organizations

Federal Gov’t Recovered $4.1B in Health Care Fraud Judgments in 2011

On Tuesday, HHS Secretary Kathleen Sebelius and Attorney General Eric Holder announced that their agencies recovered a record-high $4.1 billion in health care fraud judgments in 2011, the AP/Washington Post reports. That figure is about 50% more than in 2009.

Federal officials said the increased recovery rate can be attributed to new fraud-fighting tools. DOJ and HHS said they have strengthened enrollment requirements and both agencies are more thoroughly screening health care providers. Investigators also are conducting site visits to ensure that moderate-risk providers have legitimate offices. Meanwhile, high-risk providers are subject to background checks and fingerprinting. The officials also noted that they are doing a better job of sharing data between agencies.

Holder said fraud strike force teams in fraud hot spots such as Miami, Detroit and Los Angeles "reflect a strong, ongoing commitment to fiscal accountability and to helping the American people at a time when budgets are tight."

DOJ officials also praised judges for increasing sentences for fraudulent activity from an average of 42 months in 2010 to more than 47 months in 2011 (AP/Washington Post, 2/13).

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