OIG Issues Fall 2014 Semiannual Report to Congress.

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its Fall 2014 (April-September) Semiannual Report to Congress.  For fiscal year (FY) 2014, the OIG reported:

• Over $4.9 billion in expected recoveries;
• Exclusions of 4,017 individuals and entities from participation in federal health care programs;
• 971 criminal actions for HHS program-related crimes; and
• 533 civil actions.

The report also highlights the success of the Health Care Fraud Prevention and Enforcement Action Team.  For FY 2014, the Medicare Fraud Strike Force team’s efforts resulted in the filing of charges against 228 individuals and entities, 232 criminal actions, and $441 million in investigative receivables.  Additionally, a nationwide Strike Force takedown resulted in charges against 90 individuals who allegedly participated in schemes involving around $260 million in false claims.

The OIG report also identifies Medicare wasteful payments, policies, and practices; and reasons for Medicare and Medicaid improper claims and payments.  Further, the report evaluates HHS’ implementation and operation of the Affordable Care Act programs and progress.

The OIG’s Fall 2014 Semiannual Report to Congress is available at:

https://oig.hhs.gov/reports-and-publications/archives/semiannual/2014/sar-fall2014.pdf.

Department of Health and Human Services Office of Inspector General.  “Fall 2014 Semiannual Report to Congress.”  10 Dec. 2014.