Program Integrity

“Catapult Plays a Role in Uncovering $63 Million in Medicare Fraud”

Catapult’s Healthcare Program Integrity team specializes in the detection and prevention of fraud, waste and abuse in healthcare programs, most specifically in Medicare and Medicaid.  We have teams currently supporting efforts in two ZPIC Zones.

Catapult employees, as part of a larger team of contractors and federal employees, played a role in the investigations that led to the Medicare Fraud Strike Force‘s May 2nd arrests of 107 healthcare providers for cheating Medicare out of $452 million.  One of our most senior investigators was a part of the team whose efforts resulted in the arrest of an individual that submitted $63 million in bogus Medicare claims for community mental health clinics between 2004 and 2011.

Additional information on the May 2nd Medicare Fraud Strike Force activity can be found at:

External Link: http://www.justice.gov/css-gallery/gallery-medicarefraud-strikeforce.html
External Link: http://www.fbi.gov/news/speeches/historic-medicare-fraud-strike-force-takedown

Catapult has extensive experience with both Medicare and Medicaid in identifying hospital and provider potential fraud and abuse cases through predictive analytical tools.  In turn, our SMEs review and develop suspected cases in a timely manner and present the end results to CMS.

Our capabilities include not only interviewing beneficiaries and educating providers on minor offenses, but also working with CMS to further the case to OIG, law enforcement, or administrative hearings.   We provide program oversight support through information gathering and analysis and technical support.

Our audit experience spans provider types, including, physicians, dentists, hospitals, psychiatric institutions, home health agencies and durable medical equipment (DME) providers.