Certified Coding Associate (CCA) Practice Exam

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Which agency's office is responsible for reviewing and providing compliance guidance?

FBI

HHS

CMS

OIG

The Office of Inspector General (OIG) is responsible for reviewing and providing compliance guidance within the healthcare sector. This office plays a critical role in overseeing the management of federal healthcare programs and ensuring the integrity of services provided by healthcare entities. The OIG conducts audits, evaluations, and investigations to identify and prevent fraud and abuse, develop compliance guidance, and promote efficiency in health programs. Their resources assist healthcare providers in understanding compliance requirements and adhering to federal laws and regulations.

In contrast, while the other agencies focus on areas such as law enforcement (FBI), health and human services policy (HHS), or Medicare/Medicaid services (CMS), they do not specifically focus on compliance guidance in the same manner as the OIG. The OIG’s mission is directly aligned with ensuring compliance and accountability within the healthcare system, making it the appropriate choice in this context.

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