Which legislative provision is cited as the reason for HIPDB revision?

Which legislative provision is cited as the reason for HIPDB revision?

• A. Section 5(b) of the Medicare and Medicaid Patient Program Protection Act of 1987
• B. Section 101
• C. Section 7
• D. Section 42

Answer: (A)

The reason HIPDB was revised comes from a specific mandate that authorizes creating and updating a data bank on fraud and abuse in Medicare and Medicaid. Section 5(b) of the Medicare and Medicaid Patient Protection Act of 1987 gives the Secretary the authority to establish and maintain such a data bank and to share pertinent information to protect patients and program integrity. That statutory authority is what underpins revisions to HIPDB. Other sections do not provide the same basis for updating the data bank, so they aren’t the reason for the revision.

The reason HIPDB was revised comes from a specific mandate that authorizes creating and updating a data bank on fraud and abuse in Medicare and Medicaid. Section 5(b) of the Medicare and Medicaid Patient Protection Act of 1987 gives the Secretary the authority to establish and maintain such a data bank and to share pertinent information to protect patients and program integrity. That statutory authority is what underpins revisions to HIPDB. Other sections do not provide the same basis for updating the data bank, so they aren’t the reason for the revision.