Healthcare Fraud, Waste and Abuse

Each year, billions of dollars are wasted because of Healthcare Fraud, Waste and Abuse (FWA). Healthcare FWA affects everyone in the United States. The Centers for Medicare & Medicaid Services (CMS) require annual training for Healthcare providers (HCP). All HCP must be trained to identify the signs of FWA in order to prevent it from occurring in the workplace. This course is designed to satisfy Federal Government CMS requirements in the Healthcare industry. HCP are required to satisfy Federal Government CMS requirements in the Healthcare industry for billing and coding with Fee-For-Service providers. What you will learn:Definitions of fraud, waste, and abuseIntroduction to Medicare fraud, waste, and abuseExamples of fraud, waste, and abuseFraud, waste, and abuse lawsFederal Civil False Claims Act (FCA)Physician Self-Referral Law (Stark Law)Exclusion StatuteCivil Monetary Penalties Law (CMPL)Anti-kickback Statute (AKS)Considerations regarding physician relationshipsPhysician relationships with payersPhysician relationships with vendorsCompliance programs for physiciansThe information contained in these trainings was derived from publications of CMS, OSHA, OCR, FDA, CDC, NIAID, ATSDR, HHS or WHO (Government Sourced Material). None of the planners, authors, or instructors for this activity have any relevant financial relationships to disclose. The Government Sourced Material used by AMC is available for no charge on their associated websites. The use of the Government Sourced Material by AMC does not imply endorsement or recommendation by CMS, OSHA, OCR, FDA, CDC, NIAID, ATSDR, HHS or WHO or by the United States Government, of AMC, its enterprise, its facility, its services or its products.© 2023 American Medical Compliance, no copyright claimed in Government Sourced Material.