BC Advantage - 2019 Issue 5

An Update on the DHS OIG's Effort to Combat Fraud & Abuse

Every year, the Department of Health and Human Services (DHS) Office of Inspector General (OIG) is required by law to release a report detailing the amounts deposited and appropriated to the Medicare Trust Fund, and the source of such deposits [1]. The law requiring this report is better known as 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 and "required the establishment of a national Health Care Fraud and Abuse Control Program (HCFAC), under the joint direction of the...

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