OIG Announces Projected Recoveries of More Than $2.77 Billion in First Half of Fiscal Year 2016 Alone

Wednesday, June 8, 2016
By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has reported that it expects recoveries of more than $2.77 billion—nearly $554.7 million in audit receivables and about $2.22 billion in investigative receivables—from October 1, 2015 to March 31, 2016, the agency said in its Semiannual Report to Congress. Click here to view the report.

This projected number is a significant increase from the $1.8 billion expected during the same period last year. To read the Semiannual Report to Congress from 2015, click here.

The Recoveries.

During the time period covered, OIG reported 428 criminal actions against individuals or entities and 383 civil actions.  OIG concluded cases involving more than $43.8 million in civil monetary penalties (CMPs) and assessments. “Our CMP recoveries have increased almost five fold over the past 3 years, and OIG is on track to exceed prior recoveries in FY 2016,” the agency said. Additionally, OIG also noted self-disclosure cases resulted in more than $48.1 million in HHS receivables.

Strike Force Efforts.

Strike Force efforts during the first half of Fiscal Year 2016 resulted in charges against 87 individuals or entities, 100 criminal actions, and $116.8 million in investigative receivables. The investigated cases resulted in criminal charges or indictments involving 1,892 individuals, including 1,387 for fraud and 505 for patient abuse and neglect, the report said.

To learn more on Fraud and Compliance and OIG 2016 Work Plan, click here to read one of our prior blogs.

Consult with a Health Law Attorney Experienced in Medicare and Medicaid Issues Now.

The attorneys of The Health Law Firm represent health care providers in Medicare audits, ZPIC audits and RAC audits throughout Florida and across the U.S. They also represent physicians, medical groups, nursing homes, home health agencies, pharmacies, hospitals and other healthcare providers and institutions in Medicare and Medicaid investigations, audits, recovery actions and termination from the Medicare or Medicaid Program.

For more information please visit our website at www.TheHealthLawFirm.com or call (407) 331-6620.


OIG Reports Expected Recoveries of $2.77 Billion in First Half of FY 2016.” AHLA. (June 3, 2016). Web.

About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.

KeyWords: The Department of Health and Human Services (HHS) Office of Inspector General (OIG), OIG recoveries, Semiannual Report to Congress, civil monetary penalties, fraud and compliance, strike force efforts, defense lawyer, health law attorney,  potential indicators of fraud, Medicare fraud defense lawyer, Medicare payment flags, health law, The Health Law Firm

The Health Law Firm” is a registered fictitious business name of George F. Indest III, P.A. – The Health Law Firm, a Florida professional service corporation, since 1999.
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