Blog Post

OIG’s 2022 Fall Semi-Annual Report Finds $4 Billion In Potential Savings

Richard P. Kusserow | December 2022

The OIG’s Semiannual Report to Congress (SAR), covering April 1 through September 30 of this year, projects nearly $4 billion in expected recoveries resulting from audits and investigations. Over $1 billion is expected to be returned based on program audit findings, and approximately $3 billion is expected to be returned based on investigative work.  The SAR highlighted a report about potential fraud, waste, and abuse of telehealth services, identifying more than 1700 providers with “concerning billing.” The OIG noted its participation on Strike Force Teams, resulting in “charges against 100 individuals or entities, 90 criminal actions,” and almost $250 million in “investigative receivables.” The OIG also reported 710 criminal enforcement actions against individuals or entities, 736 civil actions including false claims, civil monetary penalty settlements, and administrative recoveries. In addition, 2,332 individuals and entities were excluded from participation in Federal health care programs, an increase of almost 40 percent during the same reporting period last year.

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About the Author

Richard P. Kusserow established Strategic Management Services, LLC, after retiring from being the DHHS Inspector General, and has assisted over 2,000 health care organizations and entities in developing, implementing and assessing compliance programs.

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