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OIG Statistics

The OIG Statistics page contains monthly figures that pertain to how fraud and abuse cases effect AHCCCS' bottom line. The following definitions explain some of the amounts displayed for the different areas of fraud and abuse.

Recoveries: The amount recovered from all cases for the month.
Program Savings: What AHCCCS actually saved for fraud/abuse recovery cases for the month.
Fraud Prevention Savings: The amount AHCCCS would have paid out if fraud/abuse was not detected.
Total Savings and Cost: Savings that were realized and costs that would have been spent had fraud/abuse not been detected.

Jan Feb Mar Apr May June
July Aug Sept Oct Nov Dec

(Member fraud)
Recoveries:	$144,420.37
Program Savings:	$7,050.96
Fraud Prevention Savings:	$2,061,509.00
Civil/Administrative Actions:	4
Pima County Prosecutions:	3
Pending Prosecutions:	3

(provider fraud)
Recoveries:	$46,082.00
Civil/Administrative Actions:	3
Pending Prosecutions:	4

(audit division)
Recoveries:	$20,760.92

(fiscal year-to-date)
Total Savings and Cost:	$34,505,917.96
Cases Excepted for Prosecution	12
Number of Convictions	12