Tuesday, January 13, 2015

OIG Fall 2014 Semiannual Report

Dianne De La Mare 
The US Department of Health and Human Services, Office of Inspector General (OIG) has released its 2014 Semiannual Report to Congress, which reviews the agency’s activities and accomplishments, and indicates that OIG expects $4.9 billion in recoveries returned to the federal government from oversight and investigations conducted throughout FY 2014. The $4.9 billion in expected recoveries consist of $834.7 million in program audits and about $4.1 billion in investigative work, which includes about $1.1 billion in areas such as States' shares of Medicaid restitution.

The report indicates $15.7 billion in estimated savings resulting from legislative, regulatory or administrative actions. The report also indicates that OIG excluded 4,017 individuals and entities from participation in Federal health care programs in FY 2014. OIG also reported 971 criminal actions against individuals or entities that engaged in crimes against some of the 100 HHS programs overseen by OIG. There were 533 civil and administrative cases, including false claims and unjust-enrichment lawsuits filed in Federal district court and civil monetary penalties administrative matters, which included both OIG-initiated actions and provider self-disclosures.

To obtain a copy of the full report go to https://oig.hhs.gov/reports-and-publications/archives/semiannual/2014/sar-fall2014.pdf. To obtain a copy of the press release go to https://oig.hhs.gov/newsroom/news-releases/2014/sar14fall.asp.

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