HHS OIG Issues Report on EFT Fraud in Medicaid and Medicare
Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued a report on rampant electronic funds transfer (EFT) fraud in the Medicaid and Medicare programs.
Medicare and Medicaid Payments to Providers Are at Risk of Diversion Through Electronic Funds Transfer Fraud Schemes (OEI-07-23-00180) OIG designed this evaluation to gather insights into the potential scope of electronic funds transfer (EFT) fraud and vulnerabilities to EFT fraud in Medicare and Medicaid. Two-thirds of surveyed entities that process payments for Medicare and Medicaid (i.e., payors) reported that they were aware of being targeted by electronic funds transfer fraud schemes, some of which were frequent or recurring. Payors most frequently reported using verified communication channels or knowledge-based methods to confirm electronic funds transfer changes, and some Medicare and Medicaid payors described employing security measures that align with recommendations from expert groups. The Centers for Medicare and Medicaid Services (CMS) took steps to mitigate threats from electronic funds transfer fraud schemes in Medicare. |
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