What federal entity is involved in the direction of the healthcare fraud and abuse control program?

Explore the Healthcare Compliance Test. Enhance your learning with flashcards, multiple choice questions, detailed hints, and explanations. Get expertly prepared for your exam today!

The Department of Health and Human Services (HHS) plays a crucial role in the direction of the healthcare fraud and abuse control program. This program was established under the Health Insurance Portability and Accountability Act (HIPAA) and is key to combating fraud and abuse within the healthcare sector. HHS, through its various agencies, is responsible for setting policies, coordinating efforts, and implementing strategies aimed at the prevention and prosecution of healthcare fraud.

Specifically, within HHS, the Office of Inspector General (OIG) is involved in oversight and enforcement activities related to healthcare fraud. The OIG conducts investigations, audits, and evaluations to identify and address fraudulent practices, ensuring compliance with healthcare laws and regulations.

While the other options listed do have roles concerning law enforcement and public health, their primary functions do not specifically center around the direction and coordination of the healthcare fraud and abuse control program. For example, the Department of Justice is involved in prosecuting fraud cases, but it does not lead the program itself. The FBI investigates healthcare fraud, while the Centers for Disease Control and Prevention focuses on public health issues rather than fraud and abuse in healthcare systems.

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