Wednesday, May 31, 2017

OIG Releases MFCU FY 2016 Annual Report

Dianne De La Mare

In May, the Department of Health and Human Services, Office of Inspector General (OIG) released its Medicaid Fraud Control Units (MFCU) 2016 Annual Report, which highlights statistical achievements from the investigations and prosecutions the 50 Medicaid Fraud Control Units (MFCUs) conducted from FY 2012-FY 2016. In 2016, MFCUs reported 1,564 convictions, over a third of which involved personal care services attendants. Fraud cases accounted for 74 percent of the 1,564 convictions. The number of convictions related to drug diversion cases increased from FY 2015. MFCUs also reported 998 civil settlements and judgments, with settlements with pharmaceutical manufacturers making up almost half of all the settlements. Lastly, MFCUS reported almost $1.9 billion in criminal and civil recovers.

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