US government recovered $2.5B from Medicare, Medicaid fraud in 2018: 3 things to know

The U.S. Department of Justice recovered $2.5 billion from healthcare fraud for the 2018 fiscal year, according to the agency.

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Here are the key details to know:

1. The DOJ recovered money from Medicare, Medicaid and Tricare fraud.

2. The largest recoveries were from the drug and medical device industries, including cases involving the AmerisourceBergen Corporation, Alere and Pfizer.

3. DaVita Medical holdings was also mentioned in the DOJ’s report for providing inaccurate information, which led Medicare Advantage Organizations to receive inflated Medicare payments.

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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