George Grob  /S/

Deputy Inspector General 

for Evaluation and Inspections 
Three Year Performance Data for the HIPAA-Funded Projects (OEI-02-97-00528) 
Edwin Walker, Director 
Office of Program Operations and Development 
Administration on Aging 
At the request of the Administration on Aging (AoA), we have continued to collect 
performance data from the 18 Health Insurance Portability and Accountability Act (HIPAA)
funded projects.  The attachment presents cumulative performance data for the entire 3 years 
of the projects.  Please note that these data are self-reported and we have not verified their 
accuracy. 
Virtually all of the HIPAA-funded projects have completed their 3-year grant period.  The 
projects as a whole have accomplished the following.  They have trained a total of 25,888 
trainers who have gone on to educate a total of 87,221 beneficiaries, family members, 
caregivers, and others in their sessions.  They have also educated 19,942 aging network staff 
and volunteers about health care fraud, waste, and abuse.  They reached an additional 744,383 
people through forums and other public information presentations.  As a result of these efforts, 
the projects reported receiving 15,127 complaints, 6 percent of which resulted in some action. 
In their final reporting period, only three projects provided documentation of actual 
recoupment totaling $12,928.  The New York project identified another $48 million to be 
recouped primarily in Medicaid funds.  This was due to Medicaid/Medicare computer matches 
that identified double billings.  Further, it should be noted that potentially substantial savings 
may arise from these projects due to a sentinel effect whereby fraud and error are reduced in 
light of Medicare beneficiaries scrutiny of their bills.  Savings will also result from reports of 
fraud and error made to the Medicare contractors and to the OIG fraud hotline.  Tracking of 
these effects, however, has proved difficult. 
If you have any questions, please call me at 202-619-0480 or have your staff call Jack Molnar 
at 212-264-1998. 
Attachment  Attachment 
Three Year Outcomes for the HIPAA-Funded Projects 
Activity  AZ  CA  CO  FL  GA  IL  LA  MA  MO  NJ  NY  OH  OR  PA  TN  TX  VA  WA  TOTAL 
A.  Trainers 
# of training sessions conducted for  99  58  27  36  39  23  47  37  10  0  488  16  13  12  12  426  19  82  1,444 
network agency staff, volunteers, and 
others 
# of network agency staff, including  1,370  1,186  91  570  1,329  787  337  574  70  1  4,972  916  564  417  212  4,159  404  447  18,406 
volunteers, trained 
# of other staff and volunteers trained  591  210  212  42  0  100  479  0  0  0  4,057  10  400  0  121  1,260  0  DK  7,482 
Total trained  1,961  1,396  303  612  1,329  887  816  574  70  1  9,029  926  964  417  333  5,419  404  447  25,888 
B.  Public information 
# of media events conducted  17  138  2  336  90  46  18  9  5  0  217  1  14  8  5  835  83  119  1,943 
# of forums and other public  148  151  27  327  7  25  36  9  24  24  574  72  2  18  95  800  364  482  3,185 
information presentations conducted 
# of persons attending these forums  8,455  1,053  133,000  9,918  731  1,101  1,301  2,420  6,189  2,710  237,997  40,230  184  588  5,681  210,496  45,012  37,317  744,383 
and other public information 
presentations 
C.  Activities of trainers 
# of trainers currently promoting  115  27  91  130  10  85  197  574  3  1  2,352  30  338  417  284  110  259  DK  5,023 
awareness and reporting of health 
care fraud and abuse 
# of education and training sessions  165  28  329  6  11  15  71  80  49  0  0  DK  506  8  20  44  8  DK  1,340 
conducted by trainers for network 
agency or for other staff and 
volunteers 
# of network agency and other staff  6,969  586  720  32  340  670  892  2,780  2,510  0  0  DK  1,265  600  1,934  569  75  DK  19,942 
and volunteers attending these 
sessions 
# of sessions conducted by trainers  156  716  72  178  18  127  359  125  0  0  1,468  DK  1,175  67  21  112  142  DK  4,736 
for beneficiaries, family members, 
care givers, and others 
# of beneficiaries, family members,  13,098  1,549  2,902  22,307  920  5,023  3,105  2,350  0  0  18,672  DK  1,762  2,400  842  4,571  7,720  DK  87,221 
care givers, and others attending 
these sessions 
Please note the following: 
--New York has always been a Senior Medicare Patrol Project grantee.

--The projects in AZ, OR, and VA are now also Senior Medicare Patrol Project grantees.

--The projects in LA, NJ, and OR were incorporated at a later date and are reporting 30-month data.
 Attachment 
Three Year Outcomes for the HIPAA-Funded Projects 
Activity  AZ  CA  CO  FL  GA  IL  LA  MA  MO  NJ  NY  OH  OR  PA  TN  TX  VA  WA  TOTAL 
D. Health care fraud and 
abuse complaint receipt 
and referral activity 
# of complaints received attributable  359  8,976  0  1,480  36  15  33  3,154  DK  39  180  32  16  DK  0  466  268  73  15,127 
to the project 
# of complaints referred for follow-up  56  5,471  0  23  24  15  19  2  DK  15  55  1  15  DK  0  117  165  13  5,991 
# of complaints that resulted in some  8  787  0  DK  DK  4  13  DK  DK  7  37  DK  9  DK  0  45  DK  3  913 
action 
Medicare $ recouped attributable to  0  DK  0  DK  DK  7,551  1,501  DK  DK  3,563 *  3,008 *  DK  DK  DK  0  6,357 *  DK  1,400  23,380 
the project 
Other $ recouped attributable to the  0  DK  0  DK  DK  0  0  DK  DK  39  47,901,200  DK  DK  DK  0  DK  DK  71,036  47,972,275 
project 
Total $ recouped attributable to the  0  DK  0  DK  DK  7,551  1,501  DK  DK  3,602  47,904,208  DK  DK  DK  0  6,357  DK  72,436  47,995,655 
project 
* Documentation of actual recoupments provided 
Please note the following: 
--New York has always been a Senior Medicare Patrol Project grantee.

--The projects in AZ, OR, and VA are now also Senior Medicare Patrol Project grantees.

--The projects in LA, NJ, and OR were incorporated at a later date and are reporting 30-month data.