Question

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established what comprehensive national program designed to combat fraud and abuse committed against all health plans, both public and private?

a. National Plan & Provider Enumeration System (NPPES)
b. Health Care Fraud and Abuse Control Program (HCFAC)
c. Local Coverage Determinations (LCDs)
d. Provider Enrollment, Chain, and Ownership System (PECOS)

Answer 1

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established the Health Care Fraud and Abuse Control Program (HCFAC) as a comprehensive national program designed to combat fraud and abuse in all health plans, public and private.

Step-by-step explanation:

The comprehensive national program established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to combat fraud and abuse committed against all health plans, both public and private, is the Health Care Fraud and Abuse Control Program (HCFAC). This program aims to prevent and detect fraudulent activities in healthcare, such as billing scams and kickbacks. It coordinates efforts among various federal agencies, including the Department of Justice, the Office of Inspector General, and the Centers for Medicare & Medicaid Services, to investigate and prosecute individuals and organizations involved in healthcare fraud.