Which of the following laws is not listed as addressing Medicare fraud and abuse in this context?

• A. HIPAA Privacy Rule
• B. False Claims Act
• C. Anti-Kickback Statute
• D. Stark Law

Answer: (A)

The main idea is to identify which law isn’t aimed at stopping fraud and abuse in Medicare/Medicaid payments. The False Claims Act targets submitting false or fraudulent claims to federal programs. The Anti-Kickback Statute prohibits paying or receiving incentives to induce referrals for items or services paid by federal health care programs. The Stark Law forbids physician referrals if there’s a financial relationship that could influence the referral. The HIPAA Privacy Rule, however, focuses on protecting the privacy and security of patients’ health information and not on billing fraud or improper referrals. Therefore, the HIPAA Privacy Rule is not listed as addressing Medicare fraud and abuse.