In fiscal year (FY) 2010, the combined Federal and State grant expenditures for the State Medicaid Fraud Control Units (MFCU) totaled $205.5 million, of which Federal funds represented $153.8 million. The 50 MFCUs employed 1,827 individuals.
Collectively, in FY 2010, the MFCUs reported conducting 13,210 investigations, of which 9,710 were related to Medicaid fraud and 3,500 were related to patient abuse and neglect, including patient funds cases.1 Investigations resulted in 1,603 individuals' being indicted or criminally charged: 1,048 for fraud and 555 for patient abuse and neglect. In total, 1,329 convictions were reported in FY 2010, of which 839 were related to Medicaid fraud and 490 were related to patient abuse and neglect.
In FY 2010, States reported $1.8 billion in recoveries for both civil and criminal cases handled by the 50 MFCUs.2 In addition to other significant accomplishments of the MFCUs in prosecuting patient abuse and detecting and deterring fraud, this translates to a return on investment (ROI) of $8.98 per $1 expended by the Federal and State governments for operation of the MFCUs.3 The total number of civil judgments and settlements for the fiscal year was 1,077.
The MFCUs refer to OIG a significant number of cases for possible exclusion from participation in Medicare, Medicaid, and other Federal health care programs. In FY 2010, 942 of the 3,340 OIG exclusions were based on referrals made to OIG by MFCUs.
With the exception of the MFCU grant expenditures and exclusion information, which are maintained by OIG, these totals are based on information supplied by the MFCUs and have not been independently verified by OIG.
Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555 begin_of_the_skype_highlighting 1 888-428-2555 end_of_the_skype_highlighting, Ext. 200.
Collectively, in FY 2010, the MFCUs reported conducting 13,210 investigations, of which 9,710 were related to Medicaid fraud and 3,500 were related to patient abuse and neglect, including patient funds cases.1 Investigations resulted in 1,603 individuals' being indicted or criminally charged: 1,048 for fraud and 555 for patient abuse and neglect. In total, 1,329 convictions were reported in FY 2010, of which 839 were related to Medicaid fraud and 490 were related to patient abuse and neglect.
In FY 2010, States reported $1.8 billion in recoveries for both civil and criminal cases handled by the 50 MFCUs.2 In addition to other significant accomplishments of the MFCUs in prosecuting patient abuse and detecting and deterring fraud, this translates to a return on investment (ROI) of $8.98 per $1 expended by the Federal and State governments for operation of the MFCUs.3 The total number of civil judgments and settlements for the fiscal year was 1,077.
The MFCUs refer to OIG a significant number of cases for possible exclusion from participation in Medicare, Medicaid, and other Federal health care programs. In FY 2010, 942 of the 3,340 OIG exclusions were based on referrals made to OIG by MFCUs.
With the exception of the MFCU grant expenditures and exclusion information, which are maintained by OIG, these totals are based on information supplied by the MFCUs and have not been independently verified by OIG.
Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555 begin_of_the_skype_highlighting 1 888-428-2555 end_of_the_skype_highlighting, Ext. 200.
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