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The Department of Health & Human Services & The Department of Justice Health Care Fraud & Abuse Control Program Annual Report for Fiscal Year 2013

The report, released on February 26, 2014, presents an overview of federal activities to prevent and investigate Medicare and Medicaid fraud, and recoveries due to fines and judgments during the fiscal year. The Health Care Fraud & Abuse Control (HCFAC) Program was established in 1996. The HCFAC report noted that over the past three fiscal years (2011, 2012, and 2013), the program’s return-on-investment (ROI) was $8 for every $1 spent to fund the program. A key focus was on nine Medicare regions with high Medicare billings for durable medical equipment, home health, or community mental health center . . .

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