Author Question: Describe one fraud enforcement program listed in your textbook.[br][br][b][color=#566D7E]Question ... (Read 79 times)

AEWBW · **on:** Jul 12, 2018

Describe one fraud enforcement program listed in your textbook.

Question 2

List three main laws that address fraud and abuse.

Indicate whether the statement is true or false

Zack0mack0101@yahoo.com · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

Fraud and abuse control program- operated jointly by the Department of Justice and the Office of the Inspector General to control health care fraud and abuse and conduct investigations relating to the delivery of health care services
Medicare Integrity Program- directs the DHHS to enter into agreements with private companies to carry out fraud and abuse protections.
Beneficiary Incentive Program- encourages Medicare beneficiaries to report suspected cases of fraud and abuse
Health care fraud and abuse data collection program- designed to create a national health care fraud and abuse database in coordination with the NPDB.

Answer to Question 2

False claims act
Qui tam actions
Anti-kickback statutes
Physician self referral prohibitions
Mail and wire fraud statutes
HIPAA
Deficit Reduction Act of 2005