Tags: US | Health | Care | Fraud

New Enforcement Tools Help Fight Health Care Fraud

Thursday, 13 May 2010 07:13 AM

 

  Comment  |
   Contact  |
  Print   |
    A   A  
  Copy Shortlink

The government says it recovered $2.5 billion in overpayments for the Medicare trust fund last year as the Obama administration focused attention on fraud enforcement efforts in the health care industry.

Investigators have new tools this year to help crack down on health care fraud, with the Justice Department and the Health and Human Services Department working cooperatively to police companies. The newly enacted Affordable Care Act is designed to lengthen prison sentences in criminal cases and the new law provides an additional $300 million over the next 10 years for stronger enforcement. It also gives the government new authority to step up oversight of companies participating in Medicare and Medicaid.

Under the Affordable Care Act, providers could be subject to fingerprinting, site visits and criminal background checks before they begin billing Medicare and Medicaid.

To combat fraud, the act allows Health and Human Services Secretary Kathleen Sebelius to bar providers from joining the programs and allows her to withhold payment to Medicare or Medicaid providers if an investigation is pending.

In a report being released Thursday, the Justice Department and HHS say they are putting investigative resources in areas where health care fraud is especially widespread, including south Florida; Los Angeles; Houston; Detroit; New York City's Brooklyn borough; Baton Rouge, La.; and Tampa, Fla.

The result is a rising number of criminal prosecutions and the return of more stolen money to the government. At the same time, federal investigators are blocking unscrupulous companies from getting into government health care programs in the first place.

For the fiscal year that ended last Sept. 30, the federal government won or negotiated $1.63 billion in judgments and settlements, and investigators opened 1,014 new criminal health care fraud investigations involving 1,786 defendants.

Most of those figures are up from 2008, when the government won or negotiated $1 billion in judgments and settlements, and investigators opened 957 new criminal health care fraud investigations involving 1,641 potential defendants.

In 2008, the recoveries for the Medicare Trust Fund totaled $1.9 billion.

© Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

  Comment  |
   Contact  |
  Print   |
  Copy Shortlink
Around the Web
Join the Newsmax Community
Please review Community Guidelines before posting a comment.
>> Register to share your comments with the community.
>> Login if you are already a member.
blog comments powered by Disqus
 
Email:
Country
Zip Code:
Privacy: We never share your email.
 
Follow Newsmax
Like us
on Facebook
Follow us
on Twitter
Add us
on Google Plus
Around the Web
Top Stories
You May Also Like

Minnesota Lawmaker Demands Jonathan Gruber Pay Back $329G

Thursday, 18 Dec 2014 10:40 AM

A Minnesota lawmaker has demanded that disgraced Obamacare “architect” Jonathan Gruber pay back the $329,000 he received . . .

Report: Hollywood's Special Ops Movies Help Train Terrorists

Thursday, 18 Dec 2014 10:13 AM

The military's special operations community believe that their hostage rescue and terrorist targeting missions are being . . .

Politicians Hit Twitter to Urge Sony to Release 'The Interview'

Thursday, 18 Dec 2014 09:44 AM

Politicians from both sides of the aisle are lighting up Twitter about Sony’s decision to cancel its controversial movie . . .

Most Commented

Newsmax, Moneynews, Newsmax Health, and Independent. American. are registered trademarks of Newsmax Media, Inc. Newsmax TV, and Newsmax World are trademarks of Newsmax Media, Inc.

 
NEWSMAX.COM
America's News Page
©  Newsmax Media, Inc.
All Rights Reserved