Title: Explain the role of the Department of Health and Human Services in fraudulent activity.
Course: Medical Coding and Billing II (14151-IV) > Section: Understanding Issues with Fraud and Abuse

Explanation should include that the Department of Health and Human Services investigate all sources of potential fraud for waste, abuse, and mismanagement related to their services and programs (e.g., Medicare and Medicaid).

Process/Skill Questions:

- How much money is lost annually due to fraudulent Medicare and Medicaid claims?
- What are the civil and criminal repercussions of federal fraudulent activity?
- How can a provider lose the privilege to bill Medicare and Medicaid claims?