What are the two agencies that the Healthcare Fraud and Abuse Control program requires to coordinate federal, state, and local healthcare law enforcement activities?

Study for the HCCA Certified in Healthcare Compliance (CHC) Exam. Practice with interactive questions and detailed explanations. Get ready to excel in your field!

The Healthcare Fraud and Abuse Control program is designed to combat healthcare fraud and to coordinate the enforcement efforts across various levels of government. The correct answer highlights the roles of the Department of Health and Human Services Office of Inspector General (HHS-OIG) and the Department of Justice (DOJ).

HHS-OIG plays a pivotal role in overseeing compliance, investigating fraud, and enforcing regulations within the healthcare sector. It is responsible for protecting the integrity of HHS programs, including Medicare and Medicaid, by detecting and preventing healthcare fraud.

The DOJ, on the other hand, is involved in the prosecution of healthcare fraud cases. When there are sufficient grounds for criminal action, the DOJ steps in to bring cases against individuals or organizations that defraud government healthcare programs.

The collaboration between these two agencies is essential for effectively addressing healthcare fraud, as they leverage their respective expertise to share information, conduct investigations, and implement penalties against violators. This coordination is crucial for ensuring that healthcare laws are enforced and that the integrity of healthcare programs is maintained.

In contrast, the other options do not represent the correct agencies involved in this vital program.

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