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Full Length

Healthcare Fraud Prevention: Avoiding Improper Referrals, Kickbacks and Claims

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At a glance

Course Length
11-30
Course Types
Full Length
Category
Compliance Training
Regulation
Anti-Kickback Statute (AKS)
FCA - False Claims Act
Healthcare Fraud Statute
Stark Law
Audience
All Learners
Topics
Healthcare Fraud
Fraud
Format
Rich Media

Course Details

All Learners

Key concepts covered in this course:

  • Definitions of fraud, waste and abuse – and what they can look like
  • Correction and corrective planning that may be involved if fraud, waste or abuse is detected
  • Key indicators of fraud, waste and abuse
  • A brief overview of the Physician Self-Referral Law, or Stark Law
  • Key terms under the law, including designated health service, immediate family member, financial relationship and exception
  • Penalties for improper referrals
  • Brief overviews of key laws, like the Anti-Kickback Statute and the Stark Law
  • Examples of safe harbors
  • Penalties for involvement with kickbacks
  • A brief overview of the False Claims Act
  • Common types of false claims
  • Best practices for accurate certifications
  • The importance of making reports of suspected misconduct
  • Understanding and following policies and procedures
  • Ensuring complete and accurate medical and billing records
  • Documenting financial relationships
  • Seeking clarification as necessary
  • Reporting suspected misconduct
  • Review of the critical role employees play in speaking up about illegal or unethical behavior
  • An opportunity to review key policies and certify