MFCUs boast recoveries
By HME News Staff
Updated 9:39 AM CDT, Mon March 17, 2025
WASHINGTON – Medicaid Fraud Control Units recovered $3.46 for every $1 spent in fiscal year 2024, according to an annual report from the Office of Inspector General. Their activity resulted in 1,151 convictions – 817 from fraud and 224 from patient abuse or neglect – and 1,042 individuals or entities being excluded from federally funded programs. It also resulted in 493 civil settlements and judgements. MFCUs recovered $1.4 billion in FY24 - $961 million from criminal recoveries, the highest amount over a 10-year period, and $407 million from civil recoveries. The report highlighted, as an example of criminal fraud, a scheme that involved billing the Medicaid program for DME such as knee braces for elderly and disabled patient who did not receive these items. A federal indictment was issued against the defendant, who was ordered to pay $421 million to CMS.
- Read the annual report here.
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