The Office of State Comptroller increased its recovery of Medicaid fraud funds by 12 percent in 2015, to a total of $87.26 million. The comptroller’s Medicaid fraud division uses a number of techniques to ferret out abuses, including audits, data mining, investigations that result from tips, and recoveries from overpayments.
Last year, an audit of the New Jersey Drug Rebate program scored big, with the state discovering that it was due $63 million from drug manufacturers.
The office said it was also responsible for proactively preventing fraud, saving the state $771 million in possible abuses. Additionally, the office referred 193 cases of possible fraud to state and federal authorities.