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Health Care Fraud & Abuse Control Report for Fiscal Year 2012

The Fiscal Year 2012 Health Care Fraud and Abuse Control (HCFAC) Program Report to Congress was recently published. The national Health Care Fraud and Abuse Control Program (HCFAC) was established under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Program is carried out jointly at the direction of the Attorney General and the Secretary of the Department of Health and Human Services (HHS), acting through the Inspector General.

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NHCAA Statement on Initiative to Protect Medicare and Seniors from Fraud

The National Health Care Anti-Fraud Association (NHCAA) Chief Executive Officer Louis Saccoccio released the following statement regarding the U.S. Department of Health and Human Services (HHS) announcement awarding $9 million to the Centers for Medicare & Medicaid Services (CMS) to help Senior Medicare Patrol (SMP) programs across the nation continue their work fighting Medicare fraud.

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Health Care Fraud and Organized Criminal Groups

In South Florida alone, government programs and private insurers have lost hundreds of millions of dollars in recent years to criminal rings that fabricate claims from non-existent clinics, using genuine patient-insurance and provider-billing information that the perpetrators have bought and/or stolen for that purpose.

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