Which of the following is included among laws governing Medicare Parts C and D Fraud, Waste, and Abuse?

• A. HIPAA; False Claims Act; Anti-Kickback Statute; LEIE; and the Health Care Fraud Statute
• B. HIPAA; False Claims Act; Anti-Kickback Statute
• C. LEIE; Health Care Fraud Statute
• D. HIPAA only

Answer: (A)

Understanding the framework of laws and enforcement tools that govern Medicare Parts C and D fraud, waste, and abuse. HIPAA sets privacy and security standards for protecting patient information, which Medicare programs must follow to prevent misuse of data. The False Claims Act provides a powerful mechanism to recover funds and impose penalties for false claims submitted to Medicare. The Anti-Kickback Statute prohibits payments or incentives intended to influence referrals for Medicare services, helping to curb abusive referral practices. LEIE, the List of Excluded Individuals/Entities, is used to screen and bar providers who are excluded from participating in federal health care programs, a critical safeguard in preventing involvement of ineligible entities. The Health Care Fraud Statute criminalizes fraudulent activities that affect federal health care programs. All of these elements are part of the legal and enforcement landscape governing Medicare Parts C and D fraud, waste, and abuse. Other choices omit at least one of these essential components, making them incomplete.