OIG certifies CMS’s fraud savings

Thursday, July 16, 2015

WASHINGTON – The Office of Inspector General has certified $133.2 million of actual and projected savings from CMS’s Fraud Prevention System, a return of investment of $2.84 for every dollar spent on the system. The OIG also certified $454 million in unadjusted savings identified by the system. The Small Business Jobs Act of 2010 requires the OIG to certify the actual and projected savings related to the system for each of its first three years. This most recent report fulfills the OIG’s responsibilities for the third year. To help identify and better report savings from the system, the OIG recommends that CMS provide its contractors with improved written instructions on how to attribute savings accurately and better document the contribution of the system toward achieving administrative actions. CMS agreed and has outlined steps for making these improvements. Earlier this month, the agency announced that the system identified and prevented $820 million in inappropriate payments in three years of use.