Question

review question 2

select the correct answer.

which of the following entities investigate health care providers suspected of medicare fraud & abuse?

a. office of inspector general (oig)
b. department of justice (doj)
c. unified program integrity contractors (upics)
d. b and c
e. a, b, and c

Explanation:

Identify the roles of the listed entities in Medicare fraud and abuse investigations

• The Office of Inspector General (OIG) is the primary federal agency responsible for investigating Medicare fraud, waste, and abuse.
• The Department of Justice (DOJ) works in partnership with the OIG to prosecute civil and criminal Medicare fraud cases.
• Unified Program Integrity Contractors (UPICs) perform integrity activities, including investigating potential fraud, waste, and abuse for Medicare and Medicaid.

Determine the correct combination

• Since all three entities (OIG, DOJ, and UPICs) actively investigate healthcare providers suspected of Medicare fraud and abuse, the correct choice must include A, B, and C.

Answer:

• (A) Office of Inspector General (OIG)
• (B) Department of Justice (DOJ)
• (C) Unified Program Integrity Contractors (UPICs)
• (D) B and C
• (E) A, B, and C (Correct answer)