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Pam Bondi, AHCA Release Annual Medicaid Fraud Report

Florida Attorney General Pam Bondi andFlorida Agency for Health Care Administration (AHCA)Secretary Liz Dudek on Thursday jointly released the annual Medicaid Fraud and Abuse Report. A few of the highlights include:

Return on Investment: For every $1 spent to prevent fraud andabuse or to recover Medicaid funds due to fraud and abuse, the state ofFlorida gains $6.80.

Terminated providers: In 2011, the AHCA's Bureau of Medicaid ProgramIntegrity (MPI) revoked the Medicaid prescribing rightsof 437 non-Medicaid providers who were prescribing "pill mill" type drugs.

Total dollars recouped: Last year, the state collected:$44.2 million in overpayments, $200,000 in investigation costs, $5 millionin fines/sanctions and $300,000 in interest. Additionally, Bondi's Medicaid Fraud Control Unitcollected$74.2 million in federal Medicaid overpayments and the AHCA's Third PartyLiability Unit recovered $148.1 million.

Our collaborative efforts with the Agency for Health Care Administrationhave resulted in tremendous financial recoveries on behalf of taxpayers,Bondi said in a press release. We will continue to work steadfastlytoward the shared goal of ensuring that Medicaid dollars go to helping theneedy rather than to those who defraud the system.

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