The 50 state Medicaid fraud control units obtained a collective 1,205 convictions, and claimed total recoveries of more than $1.1 billion in court-ordered restitution, fines, civil settlements, and penalties in FY 2007. (annual report, Office of Inspector General, U.S. Department of Health and Human Services)
Of the 3,308 persons and entities excluded from participation in Medicare, Medicaid and other federal health care programs in FY 2007, 805 were based on referrals made by state Medicaid fraud control units. (ibid)
The number of successful civil actions totaled 607. (ibid)
More than 61 percent of medical providers (4,319 total) banned from state Medicaid programs in 2004 and 2005 didn’t show up in the federal database of state-banned providers. This makes it easier for banned providers to set up shop in other states and continue doing business with federal health-insurance programs. (Office of InspectorGeneral, U.S. Department of Health and Human Services, 2008)
