Practice Brief
2010 Audit Monetary Returns
DURING FISCAL YEAR 2010, the federal government won or negotiated approximately $2.5 billion in healthcare fraud judgments and settlements. The Medicare Trust Fund received transfers of approximately $2.86 billion during this period as a result
of the federal government’s auditing efforts. 1
In addition, the federal government recovered more than $850 million in restitution and compensatory damages through various federal agencies. More than $300 million in funds were also awarded to private persons who filed suits on behalf of the
federal government under the qui tam provisions of the False Claims Act.
The table below outlines the funds the federal government recovered during fiscal year 2010.
AMOUNT
Department of the Treasury Deposits to the Medicare Trust Fund, as required by HIPAA
Gifts and Bequests
Amount Equal to Criminal Fines
Civil Monetary Penalties
Penalties and Multiple Damages
Subtotal Centers for Medicare and Medicaid Services
$49,477
$1,205,600,509
$21,739,469
$611,786,212
$1,839,175,667
HHS/OIG Audit Disallowances—Recovered
Restitution/Compensatory Damages
Subtotal
Grand Total of Amounts Transferred to the Medicare Trust Fund
$687,124,220
$336,253,422
$1,023,377,642
$2,862,553,309
Restitution/Compensatory Damages to Federal Agencies
TRICARE
Veterans Administration
HHS/OIG Cost of Audits, Investigations, and Compliance Monitoring
Office of Personnel Management
Other Agencies
Federal Share of Medicaid
Subtotal
Funds awarded to private persons who file suits on behalf of the federal government
under the qui tam provisions of the False Claims Act, 31 U.S.C. 3730(b)
$57,129,312
$33,215,359
$11,717,923
$46,492,777
$19,789,193
$683,209,512
$851,554,076
$307,620,401
TOTAL
$4,021,727,786
Note
1. Office of Inspector General, Department of Health and Human Services. “The Department of Health and Human Services
and the Department of Justice Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2010.” January
2011. http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2010.pdf.
