Medicare Fraud, Waste and Abuse.
The False Claims Act is the primary tool to combat fraud and abuse against government health care programs. It is estimated that some $67 to $230 billion is lost to fraud, waste or abuse each year.
This course provides an overview of the False Claims Act, Anti-kickback statute, Stark Law the new staff communication mandates from The Deficit Reduction Act. It also details employer and employee responsibilities in preventing and identifying fraud and abuse and includes whistle blower activities and employee protections.
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In this course students will learn:
|The laws that are used to combat fraud and abuse against government health care programs.|
- The False Claims Act
- The Anti-Kickback statute
- Physician Self-Referral ("Stark") Statute
- Deficit Reduction Act
|How employers can prevent false claims|
|How employees can avoid False Claims Act violations|
|The role of whistleblowers in False Claims Act suits|
|How Whistleblowers are protected|
|The key legal steps in filing suits and how the government joins|
|State False Claims Acts|
|Section 1 - Introduction to Fraud and Abuse|
|Section 2 - Combating Health Care Fraud|
|Section 3 - False Claims Act (FCA) Overview|
|Section 4 - How Employers Can Prevent False Claims|
|Section 5 - How Employees Can Avoid FCA Violations|
|Section 6 - Role of Whistleblowers in FCA Suits|
|Section 7 - Government Joining a Suit as a Plaintiff|
|Section 8 - State False Claims Act|
|Section 9 - Summary|
|Section 10 - Assessment|
|Clear Course Objectives|
|Engaging & Relevant Animated Scenarios|
|Learners Must Complete Each Course Page|
|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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