by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
September 25th, 2014
Enforcement Actions in FY 2013: the Department of Justice (DOJ) opened 1,013 new criminal health care fraud investigations involving 1,910 potential defendants. Federal prosecutors had 2,041 health care fraud criminal investigations pending, involving 3,535 potential defendants, and filed criminal charges in 480 cases involving 843 defendants. A total of 718 defendants were convicted of health care fraud-related crimes during the year.
Also in FY 2013, DOJ opened 1,083 new civil health care fraud investigations and had 1,079 Civil health care fraud matters pending at the end of the fiscal year. In FY 2013, Federal Bureau of Investigation (FBI) health care fraud investigations resulted in the operational disruption of 425 criminal fraud organizations and dismantlement of the criminal hierarchy of more than 115 criminal enterprises engaged in health care fraud.
Read more about this: OIG.HHS