Healthcare Fraud, Waste and Abuse (2019)
This course incorporates the required elements from the two CMS Part C and D plans courses-Medicare Parts C and D General Compliance Training and Fraud and Abuse: Prevention, Detection and Reporting and Combating Medicare Parts C and D Fraud, Waste and Abuse. It is NOT intended to replace Medicare Provider Agreement compliance program and training requirements for Parts C and D plan sponsors and their administrative services contractors and subcontractors.
- Definitions of health care fraud, waste and abuse.
- Examples of FWA
- The major health care fraud, waste and abuse laws and regulations, corresponding penalties associated with violations and examples of violations.
- The role of healthcare entities, employees and contractor in FWA prevention, detection and reporting.