HCFACHealth Care Fraud and Abuse Control
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This is the highest three-year average return on investment in the 17-year history of the HCFAC Program.
While HHS and DOJ sang the praises of their fraud-fighting efforts, others have questioned whether the HCFAC program deserves as much credit for the successes.
Levinson testified that from 1997 through 2009, the HCFAC program has returned more than $15.6 billion to the government through audit and investigative recoveries, with a return on investment of more than $4 for every $1 invested.
During fiscal years 2003 through 2005, CMS received almost $46 million from the HCFAC account that it used to help fund programs related to its oversight of the Medicaid program, including about $12 million for the funding specialists for fiscal years 2004 and 2005.
The HCFAC program was established by Congress in the Health Insurance Portability and Accountability Act of 1996 to provide more federal dollars to anti-fraud efforts by HHS and DOJ.
Because of the susceptibility of the program to fraud and abuse, Congress enacted the Health Care Fraud and Abuse Control (HCFAC) Program as part of the Health Insurance Portability and Accountability Act of 1996.