Medicare Compliance: Fraud and Abuse.
Financial losses from fraud and abuse cost approximately $300 billion annually. This course provides an overview of the principle laws used to combat fraud against government healthcare programs; the False Claims Act, Anti-kickback statute, and the Stark Law and also the communication mandates from The Deficit Reduction Act.
The course also details employer responsibilities in preventing fraud through establishment of compliance programs and employees’ responsibilities in identifying and preventing fraud and abuse in the workplace including whistleblower activities and protections.
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At the end of this course students will be able to:
|Describe the differences between healthcare fraud and abuse.|
|Describe the principle laws that are used to combat fraud and abuse against federal government healthcare programs.|
|Identify the elements of healthcare fraud.|
|Describe a compliance plan so employers can prevent false claims.|
|Describe how employees can avoid False Claims Act violations.|
|List the role of whistleblowers in False Claims Act suits and how they are protected.|
|Lesson 1 - Introduction and Objectives|
|Lesson 2 – Defining Fraud and Abuse|
|Lesson 3 – Law Combating Healthcare Fraud|
|Lesson 4 - Compliance Plans and how Employees Can Prevent False Claims Act violations|
|Lesson 5 - Role of Whistleblowers in False Claims Act suits|
|Clear Course Objectives|
|Engaging & Relevant Animated Scenarios|
|Section Review Questions|
|End of Course Assessment - 80% passing score|
|Test questions randomly pulled from test question pool|
|Certificate of Completion|
Training Reports Multiple on-demand training reports are available for managers to review learner and organization training status.
Certificates of Completion can be printed by learners and administrators after courses are completed. The certificates can optionally be customized with your organization's colors, name and logo.
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