Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in FY 2013, according to an annual report issued Friday. Practically every state operates a fraud control unit, and the report from the Department of Health and Human Services Office of the Inspector General compiled results from all of these units.
The investigations included:
- Allegations of criminal and civil fraud
- False claims
- Allegations of abuse and neglect
Civil fraud settlements and judgments accounted for the majority of nursing home recoveries last fiscal year, according to the report. These cases led to $8.3 million in recoveries. Criminal fraud investigations led to about $1.1 million being recovered. Civil abuse and neglect cases represented about $771,000 in recoveries, and criminal abuse and neglect convictions resulted in almost $155,000 being recovered, the report stated.