Who is primarily responsible for investigating health care fraud?

The Office of Inspector General (OIG) is primarily responsible for investigating health care fraud. This is due to its mandate to protect the integrity of the Department of Health and Human Services (HHS) programs, including Medicare and Medicaid. The OIG conducts audits, evaluations, and investigations into allegations of fraud, waste, and abuse within health care programs. Their work includes identifying and addressing improper billing practices and other fraudulent activities that undermine the trust in health care systems.

This role is crucial because the OIG not only investigates potential violations but also plays a significant role in developing policies and procedures to prevent fraud in the future. Their efforts contribute to maintaining compliance and accountability within the health care sector, making them a key player in ensuring the integrity of health care systems.