decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Justice Department / Overview
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Article Overview
This article explains the Department of Justice’s role in health care fraud enforcement and how that role fits alongside other federal oversight bodies. It is aimed at readers who want a high-level understanding of the agencies, legal authorities, and enforcement structure involved in fraud-and-abuse matters.
Why This Topic Matters
Understanding which federal entities handle health care fraud and abuse helps compliance, billing, legal, and auditing professionals know where enforcement activity may originate and how oversight responsibilities are divided.
What You Will Learn
- The Department of Justice’s role in health care fraud enforcement
- How civil and criminal enforcement functions are organized
- How DOJ relates to other federal oversight entities
- The general structure used to coordinate health care fraud matters
Who Should Read This
- Medical coders
- Compliance professionals
- Health care administrators
- Billing staff
- Health care attorneys
- Auditors
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