Feds Recover $4.1 Billion In Health Care Fraud In 2011

Federal authorities say they recovered $4.1 billion in health care fraud judgments last year.

Attorney General Eric Holder and Department of Health and Human Services Secretary Kathleen Sebelius are expected to make the announcement Tuesday.

But federal officials told The Associated Press that agencies are doing a better job of screening providers before they get in the system and have beefed up enrollment requirements. Higher risk providers are also subject to fingerprint and criminal background checks.

Authorities have long said the solution to solving the nation's estimated $60 billion to $90 billion a year Medicare fraud problem lies in vigorously screening providers and stopping payment to suspicious ones.


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  • by Bill Location: ENC on Feb 15, 2012 at 04:28 AM
    The very group that gave it away is patting itself on the back for collecting what should not have been given away in the first place. Politics at its finest and at election time. What good planning.
  • by ace Location: j ville on Feb 15, 2012 at 04:24 AM
    Now they need to work harder on welfare fraud, Section 8 fraud, unemployment fraud and political fraud!
    • reply
      by Koch Brothers on Feb 15, 2012 at 05:25 AM in reply to ace
      Leave political fraud alone!!! Never mind that man behind the curtain, who are you going to believe..me or your lying eyes?
      • reply
        by Obama Snake Oil Co on Feb 15, 2012 at 08:39 AM in reply to Koch Brothers
        That is so, how desperate can you be to defend your failed party and admin kind of statement.
        • reply
          by Banister on Feb 17, 2012 at 03:20 AM in reply to Obama Snake Oil Co
          Between the Koch Brothers and Foster Friess, It's who will be willing to pay the most for the Presidency. Its a shame that the highest office is auctioned off to creeps like these three.
  • by Barlow Location: Winterville on Feb 14, 2012 at 07:33 AM
    Nice job by the Obama administration. This number is up 50% from 2009.
    • reply
      by Obama Snake Oil Co on Feb 14, 2012 at 08:55 AM in reply to Barlow
      And you should be thanking Bush who had the committee put in place; Medicare and Medicaid made an estimated $23.7 billion in improper payments in 2007. These included $10.8 billion for Medicare and $12.9 billion for Medicaid. Medicare’s fee-for-service reduced its error rate from 4.4 percent to 3.9 percent. (U.S. Office of Management and Budget, 2008) Every $1 the U.S. government invests in combating Medicare and Medicaid fraud saves $1.55. (U.S. Department of Health & Human Services, 2009) Medicare paid dead physicians 478,500 claims totaling up to $92 million from 2000 to 2007. These claims included 16,548 to 18,240 deceased physicians. (U.S. Senate Permanent Committee on Investigations, 2008) Nearly one of three claims (29 percent) Medicare paid for durable medical equipment was erroneous in FY 2006. (Inspector General report, Department of Health and Human Services, 2008) Medicare and private health insurers pay up to $16 billion a year for needless imaging tests ordered by doctors. (American College of Radiology, 2004)
      • reply
        by Anonymous on Feb 14, 2012 at 11:07 AM in reply to Obama Snake Oil Co
        Bush also had access to the Navy Seals, but was he successful with them??? Nuff Said!!!
        • reply
          by Obama Snake Oil Co on Feb 14, 2012 at 03:18 PM in reply to
          What does the US military have to do with the president? They take orders when given by their supperiors that are OKd by the president. Did Obimbo go on the mission? Nuff Said!
      • reply
        by To Osoc on Feb 15, 2012 at 12:00 AM in reply to Obama Snake Oil Co
        I don't recall Bush going to Iraq to fight either....wait, he did put on a Flight Suit...Mission Accomplished? That was just for publicity, and you voted for him, twice. Man can you pick-em.
        • reply
          by Obama Snake Oil Co on Feb 15, 2012 at 05:07 AM in reply to To Osoc
          Another example of desperate times require desperate measures, lie about it or spin it off....
      • reply
        by Ha Ha Ha on Feb 17, 2012 at 03:22 AM in reply to Obama Snake Oil Co
        Complain all you like, you can hold your breath until you are blue in the face. But it will not change the FACT that Obama will be reelected in 2012!!!! OBAMA 2012
    • reply
      by Madea on Feb 14, 2012 at 04:11 PM in reply to Barlow
      lol I decided not to vote for Republicans a long time ago. And they keep re-affirming my decision. The republican party is a joke. the 2012 primaries prove it.
      • reply
        by Obama Snake Oil Co on Feb 15, 2012 at 05:08 AM in reply to Madea
        And they were glad to see you go too! How is that hopey changey thing going fer ya?
        • reply
          by Anonymous on Feb 16, 2012 at 05:12 PM in reply to Obama Snake Oil Co
          A lot better than that Mission Accomplishment thing went for the United States and the economy.
        • reply
          by Anonymous on Feb 17, 2012 at 03:23 AM in reply to Obama Snake Oil Co
          You are suffering from Obama Derangement Syndrome, seek help now.
  • by Concerned on Feb 14, 2012 at 06:35 AM
    Fraud is rampant I agree, but the government is taking money back for not dotting I's and crossing T's and theres nothing a provider can do about it except loose everything.
  • by Anonymous on Feb 14, 2012 at 05:10 AM
    I see it everyday in my practice. Lifetime disability for resolved problems. Fraud is rampant but the liberal giver awayers report these little victories like they mean something. They make us work so hard to make 1/2 what we did 10 years ago we dont have time to address this and keep the patients from suing us.
    • reply
      by shonuff on Feb 14, 2012 at 06:25 AM in reply to
      I'm sure there is not a medical practice out there that would over charge a patient or the government. Not that long ago you could get a tooth pulled for $35, that's right. Now try and get a tooth pulled, they fight you tooth and nail then want to charge you $350. All because if they pull that tooth, there is no more money to be made on it. And that goes to fixing your diet for diabetes, high blood pressure, to ear infections. Once those things are fixed you don't come back. Over the years a store front doctors office has become elaborate offices, dressed out like a grand hotel with chandeliers, leather seating and big screen tv's. This is all tacked onto what your $35.00 dollar tooth should cost. If they charge you more then they can charge the government more. All while they live in their private gated communities, driving their fine cars. They rob you just as much as the insurance companies and your government does with their tax hikes every time you blink. They overcharge all the time, and get by with it. This country is in desperate need of an overhaul when it comes to doctors and hospitals.
    • reply
      by left with the bill on Feb 14, 2012 at 11:19 AM in reply to
      I recently had a tooth extracted and the Dentist broke my lower jaw. Cant do anything about it, Effective October 1, 2011, the newly elected Republican legislature of North Carolina passed major tort reform which greatly restricts a malpractice victims rights when making a claim against a doctor, hospital or nursing home. Thanks a lot GOP, keep looking out for the Wealthy and Big Insurance Business, you were bought and paid for by them.
      • reply
        by Obama Snake Oil Co on Feb 14, 2012 at 03:19 PM in reply to left with the bill
        You should not have told him you supported Obama...
        • reply
          by Concerned on Feb 15, 2012 at 05:22 AM in reply to Obama Snake Oil Co
          Yet another case of the GOP looking out for the One percenters. Middle class rights being compromised to satisfy one groups greedy pockets. Now through no fault of their own, they are responsible for the bill. Talk about Fair? People need to wake up and be aware of the mis-justice that is going on in this country.
  • by Dawg on Feb 14, 2012 at 04:46 AM
    Good news, but this is only a drop in the buck.
  • by Anonymous on Feb 14, 2012 at 03:38 AM
    Great news for sure......as long as it isn't political spin. Now as Biker Dude said go after disability frauds, PLUS welfare too.
  • by Biker Dude on Feb 13, 2012 at 08:20 PM
    Now if they would crack down on these folks on "disability" I have a neighbor that can apparently do anything he wants except work. He can care for and ride horses, work side jobs for cash, he is able to ride around all day so why can't he work? and you and I will pay him to do it.
    • reply
      by un hunh~~ on Feb 14, 2012 at 02:36 AM in reply to Biker Dude
      I agree Biker DUDE~~ Disability should be audited!!
  • by Wonder Location: ENC on Feb 13, 2012 at 07:53 PM
    Well, Fla. might have another CEO to elect as Governor.
  • by Damon Corp (CEO Mitt Romney) fined for medicare fraud on Feb 13, 2012 at 07:33 PM
    During Romney’s tenure at Damon, the company allegedly defrauded Medicare for millions of dollars by offering packages of blood tests that resulted in doctors ordering unnecessary lab-work, paid for by Medicare. Damon offered suites of blood tests that, in some cases, were unrelated. Doctors could order Damon’s lab-work in these packages–but Damon did not inform those doctors that it would bill Medicare for the superfluous tests included in the packages. After Bain sold the company to Corning, federal investigators caught Damon and a host of other medical-lab companies engaged in similar activity. Damon under Mitt Romneys leadership, pleaded guilty to Medicare fraud in 1996 and paid a total of $119 million, including a criminal fine and a civil settlement. The United States Attorneys Bulletin outlined the sweeping investigations, known as LABSCAM, in its April 1997 issue. http://www.washingtonpost.com/blogs/fact-checker/post/mitt-romney-and-charges-of-medicare-fraud/2012/01/29/gIQA0ZQabQ_blog.html
    • reply
      by Anonymous on Feb 14, 2012 at 01:21 AM in reply to Damon Corp (CEO Mitt Romney) fined for medicare fraud
      And he is the current GOP front runner?
    • reply
      by Hypocrites in the GOP on Feb 14, 2012 at 05:21 AM in reply to Damon Corp (CEO Mitt Romney) fined for medicare fraud
      Don't surprise me, still amazed that the Bain Corp. story is being swept under the rug.
    • reply
      by Obama Snake Oil Co on Feb 14, 2012 at 08:48 AM in reply to Damon Corp (CEO Mitt Romney) fined for medicare fraud
      Allegedly? Well, alledgedly, Obama is a Kenyian, alledgedly.
      • reply
        by Facts are Facts on Feb 14, 2012 at 11:10 AM in reply to Obama Snake Oil Co
        The Damon Corp was not alleged, Its involvement and prosecution is something called FACTS, which you know nothing of. If you are waiting to hear this on Fox or the blaze...don't hold your breath.
        • reply
          by Obama Snake Oil Co on Feb 14, 2012 at 03:20 PM in reply to Facts are Facts
          Really? Can you post the link, the video or the found guilty verdict? I'll wait...tick, tock, tick tock....Same ole story. Is that what media matters told you? You really that much of sucker? You heard of PT Barnum? Make the connection....
      • reply
        by Snake pull your head out of the sand on Feb 14, 2012 at 04:15 PM in reply to Obama Snake Oil Co
        People like Romney are what's wrong with the economic realities in America. The rich get richer and the poor are getting poorer. The rules are stacked so that the wealthiest pay the least, as a percentage of their earnings in taxes. This puts even more responsibility on the working middle class. It clearly demonstrates the unfairness of tax loopholes and avoidance of taxes through overseas accounts hiding their wealth from tax exposure.
        • reply
          by Obama Snake Oil Co on Feb 15, 2012 at 05:10 AM in reply to Snake pull your head out of the sand
          If you believe what the party rhetoric currently is, that is what they want you to believe. In the meantime, all those rich Wall St Investors are giving money to Obama for re election, along with GE, Soros and many other rich people. This is about idealogue, not money.
    • reply
      by crooks on Feb 14, 2012 at 04:09 PM in reply to Damon Corp (CEO Mitt Romney) fined for medicare fraud
      Wow...119 million for Medicare fraud? And the hits just keep coming. The GOP Clown Show continues.
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