Becker's Healthcare March 13, 2023
Medicaid fraud units recovered $415.7 million from criminal convictions and $641.5 million in civil settlements in 2022, according to a report from HHS’ Office of the Inspector General.
Nationwide, there were 1,327 criminal convictions for Medicaid fraud and 553 civil settlements, according to the report that was published March 10.
Here are the provider areas with the most dollars in Medicaid fraud recovered by the office.
- Pharmaceutical manufacturers: $253.8 million recovered from 95 civil settlements and zero criminal convictions
- Managed care organizations: $89.6 million recovered from eight civil settlements and $100 recovered from one criminal conviction
- Home health agencies: $69.1 million recovered from 31 criminal convictions and $18 million recovered from 27 civil settlements
- Hospice: $84.2 million...
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