Under the False Claims Act, more than $1.8 billion in settlements and judgments was related to health-related matters in the last fiscal year, about two-thirds of the monetary fraud recoveries by the Department of Justice (DOJ). Scams took place across the industry, affecting managed care providers, hospitals, pharmacies and long-term acute care facilities. The agency said Feb. 22 that $1.8 billion refers to recoveries “arising only from federal losses,” but it often recovered more for state Medicaid programs. The total fraud figure jumps to more than $2.68 billion once including all other types of reported fraud.
Read the full article: Medicare Advantage Fraud in DOJ’s Crosshairs after Agency Reports $2.7B in Settlements //
Source: https://www.fiercehealthcare.com/payers/medicare-advantage-fraud-dojs-crosshairs