Health Care Fraud and Abuse Control Program FY 2021 Report Issued

From the Health Group

The Department of Health and Human Services and the Department of Justice have released the Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2021. 

During FY 2021, the federal government won or negotiated more than $5 billion in health care fraud judgments and settlements.  The Report provides highlights of significant criminal and civil investigations by type including:

• Ambulance transportation services
• Clinics
• Diagnostic testing
• Drug companies
• Durable medical equipment
• Electronic health records
• Genetic testing
• Home health providers
• Hospice care
• Hospitals and health systems
• Laboratory testing
• Managed care
• Medical devices
• Nursing homes and facilities
• Pharmacies
• Physical therapy
• Physicians and other practitioners
• Prescription drugs and opioids
• Psychiatric and psychological testing and services
• Substance use treatment centers

The Report provides an all-inclusive look into the current and potential activities relating to the identification and pursuit of fraudulent and abusive activities, including Medicare provider screening.  All providers should be continuously aware of areas of focus as described in the Report.  The entire Report is available at FY 2021 HCFAC Report (hhs.gov).