decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Justice Department / Fraud and Abuse Control Account
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Article Overview
This article explains the HIPAA-created Fraud and Abuse Control Account and how it supports federal fraud and abuse enforcement efforts. It is relevant to health care compliance, auditing, investigations, and legal/accounting professionals who need a high-level understanding of the account’s purpose, the agencies involved, the types of program activities it funds, and the annual reporting framework.
Why This Topic Matters
The article helps readers understand the federal infrastructure that supports health care fraud and abuse enforcement, including where the account’s resources come from and how they are tracked. That context is important for compliance programs, enforcement monitoring, and governance awareness.
What You Will Learn
- The purpose of the Fraud and Abuse Control Account under HIPAA
- Which federal agencies participate in or benefit from the account
- What broad categories of enforcement and oversight activities the account supports
- What general types of monetary sources may add to the account
- How annual reporting to Congress fits into the program structure
Who Should Read This
- Health care compliance professionals
- Medical billing and coding professionals
- Health care attorneys
- Audit and compliance teams
- Revenue cycle professionals
- Health care administrators
Codes Discussed
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