America’s taxpayers could see recoupment of billions of dollars in misspent Medicare, Medicaid, and other health and human services funds as a result of work by the Department of Health and Human Services (HHS), Office of Inspector General (OIG), according to a new report.
The Fall 2023 Semiannual Report to Congress (SAR) highlights over $3.44 billion in expected recoveries resulting from HHS-OIG audits and investigations conducted during fiscal year (FY) 2023.
In addition to summarizing the reporting period’s achievements, the SAR details the impact of our work for the entire FY 2023. The report projects over $3.44 billion in expected recoveries resulting from HHS-OIG audits and investigations occurring between October 1, 2022 and September 30, 2023; over $283 million is expected to be returned based on program audit findings, and $3.16 billion is expected to be returned based on investigative work.
In FY 2023, HHS-OIG reported 707 criminal enforcement actions against individuals and entities suspected of engaging in crimes targeting HHS programs and the people they serve. HHS-OIG also reported 746 civil actions, which include false claims and unjust-enrichment lawsuits filed in federal district court, civil monetary penalty settlements, and administrative recoveries related to provider self-disclosure matters. Our agency also excluded 2,112 individuals and entities from participation in federal health care programs.
Additional highlights of HHS-OIG’s work in the SAR...
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