DOJ Annual Report on Health Care Fraud

The Department of Health and Human Services and the Department of Justice released the Health Care Fraud and Abuse Control Program Annual Report for FY 2012.  During Fiscal Year 2012 the Federal government won on negotiated over $3 billion in health care fraud judgments and settlements.  For FY 2012 the Federal government actually collected $4.2 billion from current and prior year settlements. 

In FY 2012, the Department of Justice (DOJ) opened 1,131 new criminal health care fraud investigations involving 2,148 potential defendants.  A total of 826 defendants were convicted of health care fraud-related crimes during the year.  They also opened 855 new civil health care fraud investigations and had 1,023 health care fraud matters pending at the end of the fiscal year.  In FY 2012, the Federal Bureau of Investigation health care fraud investigations resulting in the operational disruption of 329 criminal fraud organizations, and dismantlement of the criminal hierarchy of more than 83 criminal enterprises engaged in health care fraud.

In FY 2012 the HHS Office of Inspector General excluded 3,131 individuals and entities from federal health care programs. 

For more information please utilize the following link.

https://oig.hhs.gov/publications/docs/hcfac/hcfacreport2012.pdf