Which act requires providers to be permanently excluded from federal health care programs after being found guilty of fraud three times?

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 correct answer is that providers are required to be permanently excluded from federal health care programs after being found guilty of fraud three times under the Social Security Act section 1128(d). This provision is specifically designed to strengthen the oversight of healthcare providers and ensure accountability. It establishes a system where repeated offenses provide grounds for permanent exclusion, reflecting the government's commitment to preventing fraud and abuse within federal healthcare programs.

The Social Security Act is a comprehensive piece of legislation that addresses a variety of social welfare programs, including those pertaining to Medicare and Medicaid. The focus on permanent exclusion after multiple fraud convictions serves as a deterrent, aiming to protect federal health care resources and maintain the integrity of healthcare services provided to beneficiaries.

Other acts mentioned, while they contain important regulations and provisions for healthcare compliance and fraud prevention, do not specify the requirement for permanent exclusion after three fraud offenses in the same manner as the Social Security Act section 1128(d).

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