What fraud and abuse did HIPAA create?
the Health Care Fraud and Abuse Control ProgramThe Social Security Act Section 1128C(a), as established by the Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191, HIPAA or the Act), created the Health Care Fraud and Abuse Control Program, a far-reaching program to combat fraud and abuse in health care, including both public and private health ...
What organization investigates fraud waste and abuse in the Medicare system?
The Office of Inspector General (OIG)The Office of Inspector General (OIG) Hotline accepts tips and complaints from all sources on potential fraud, waste, and abuse.
What is the fraud and abuse Control Program What is the HHS OIG and what is its major concern?
The Health Care Fraud and Abuse Control Program Protects Consumers and Taxpayers by Combating Health Care Fraud. Since inception in 1997, the Health Care Fraud and Abuse Control (HCFAC) Program has been at the forefront of the fight against health care fraud, waste, and abuse.
What is Hfpp?
The Healthcare Fraud Prevention Partnership (HFPP) is a voluntary public-private partnership that helps detect and prevent healthcare fraud through data and information sharing.
What is the OIG Work Plan?
The Work Plan The OIG Work Plan sets forth various projects including OIG audits and evaluations that are underway or planned to be addressed during the fiscal year and beyond by OIG's Office of Audit Services and Office of Evaluation and Inspections.
Was created under Hipaa as a means for combatting fraud and abuse in healthcare and health insurance?
Efforts to combat fraud were consolidated and strengthened under Public Law 104-191, the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Act established a comprehensive program to combat fraud committed against all health plans, both public and private.
Who established the Healthcare Fraud prevention and Enforcement Action Team?
the U.S. Department of Health and Human ServicesThe Health Care Fraud Prevention and Enforcement Action Team is an organization that was created in May of 2009 by the U.S. Department of Health and Human Services, the U.S. Department of Justice, and the Office of Inspector General to address healthcare fraud and its prevention.
What is OIG SSA?
The Office of the Inspector General (OIG) is directly responsible for meeting the statutory mission of promoting economy, efficiency and effectiveness in the administration of Social Security Administration (SSA) programs and operations and to prevent and detect fraud, waste, abuse, and mismanagement in such programs ...
Which organization is responsible for protecting the integrity of HHS programs?
OIG protects the integrity of HHS programs as well as the health and welfare of the program participants.
What is the responsibility of CMS?
The Centers for Medicare and Medicaid Services (CMS) is the U.S. federal agency that works with state governments to manage the Medicare program, and administer Medicaid and the Children's Health Insurance program.
What does the National Benefit Integrity Medicare Drug Integrity Contractor do?
National Benefit Integrity (NBI)-Medicare Prescription Drug Integrity Contractor (MEDIC), General Support System(GSS) is used to perform fraud and abuse investigation, support benefit integrity efforts, provide medical review support, national and regional data analysis, and law enforcement support.