Fraud Waste and Abuse in the Medical Profession
20 min! Run Time
Employees
only
of Completion
Friendly
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What you'll learn
Skills covered in this course
Description
Every year, billions of dollars are lost to fraud, waste, and abuse (FWA). This 20-minute course helps medical professionals recognize and prevent it.
What this course covers:
- What fraud, waste, and abuse look like in the medical profession and billing
- Compliance training requirements set by the Centers for Medicare and Medicaid Services (CMS)
- Responsibilities of Medicare Parts C and D plan Sponsors' employees and governing body members
- Obligations for first-tier, downstream, and related entities (FDRs)
- An optional section for adding your organization's specific policy for signoff
Built for mobile playback with optional narration and short segments, so learners can complete FWA training in any location.
System Requirements
See System Requirements in the Coggno Knowledge Base
Author
Fraud Waste and Abuse in the Medical Profession
Frequently Asked Questions
Three distinct problems. Fraud is intentional deception for gain, waste is the careless overuse of resources, and abuse sits between them — practices inconsistent with sound medical or business standards.
Medical professionals and staff involved in billing, coding or claims, particularly anyone working with Medicare Parts C and D where the reporting expectations are specific.
The Centers for Medicare and Medicaid Services set compliance training expectations for organisations in these programmes. The course covers what those expectations mean for individual staff.
Recognising fraud, waste and abuse when you encounter it, understanding your obligation to report it, and knowing the routes available for raising a concern.
It is a separate subject. HIPAA governs the privacy and security of health information; fraud, waste and abuse concerns the integrity of billing and claims. Most medical staff need both.
Every year billions of dollars are improperly spent because of fraud, waste, and abuse (FWA). This 20 minute course is designed to meet the Centers for Medicare & Medicaid Services (CMS) compliance training requirements for certain medical professionals. This course was authored so that an organization can include their specific policy for signoff at the end of the course. Designed for mobile playback in any location, narration is optional and information is presented in short segments. This course is intended for Medicare Parts C and D plan Sponsors’ employees, governing body members, and their first-tier, downstream, and related entities (FDRs).
Course Result:
This course is designed to meet Centers for Medicare & Medicaid Services CMS compliance training requirements for medical professionals.