Counterfeiting, fraud and related crimes pose significant challenges to virtually every industry. Listed below are facts and figures that highlight specific challenges that face the healthcare sector.
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It is estimated that healthcare fraud contributes to approximately 10 percent of the overall healthcare costs nationwide.
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The Cincinnati Police Department’s Pharmaceutical Diversion Squad reported that, in nine years, over 2 million doses of prescription drugs had been diverted illegally in the city.
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The Deficit Reduction Act signed in 2006 mandates that any company doing $5 million or more in Medicaid business annually must educate all employees on how to detect fraud, waste and abuse.
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Between four and eight percent of all health care claims are fraudulent, adding up to nearly $50 billion each year.
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National health spending has increased from $28 billion per day in 1960 to an estimated $2 trillion per day in 2006. Fraud costs the United States approximately $51 billion annually.