Medicare Compliance: Fraud and Abuse Training

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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Course Objectives

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.

Course Agenda

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

Key Course Features

Clear Course Objectives
Engaging & Relevant Animated Scenarios
  • Audio Narration
    • Relevant Use of Graphics and Text
Section Review Questions
End of Course Assessment - 80% passing score
Test questions randomly pulled from test question pool
Certificate of Completion
iPad Compatible

Training Courses

Healthcare & Compliance Courses

Professional Development

Reporting & Certificates

  • Training Reports Multiple on-demand training reports are available for managers to review learner and organization training status.HIPAA Training Certification  

  • 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.HIPAA Training Certification  

  • Additional Information

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