Health Care Fraud and Abuse Control was established by which act?

• A. HIPAA
• B. HCQIP
• C. HITECH
• D. HHS

Answer: (A)

The question tests which legislation created the Health Care Fraud and Abuse Control Program. The Health Insurance Portability and Accountability Act (HIPAA) established this program, designating a coordinated effort between the Department of Health and Human Services and the Department of Justice to combat fraud and abuse in health care programs like Medicare and Medicaid. HIPAA provides the framework and authority for multi-agency enforcement, ensuring federal, state, and local efforts work together.

HCQIP isn’t a recognized act, so it doesn’t fit. HITECH, passed later, focuses on expanding health information technology adoption and strengthening privacy and security rules, not on creating the fraud-and-abuse control program. HHS is the department that administers these programs, not an act that established them.