Online Healthcare Fraud and Abuse Course

According to the Government Accounting Office, healthcare fraud and abuse account for three to ten percent of all healthcare costs — well over $100 billion annually. Whatever the cost, fraud and abuse waste much-needed resources and seriously undermine our healthcare system.

The healthcare industry is subject to many different laws that concern fraud, including the False Claims Act, the Stark Law, the Anti-Kickback Statute, HIPAA and the Prescription Drug Marketing Act. On top of this legislative infrastructure, government agencies and trade organizations have created a patchwork of guidelines and codes. Together, these laws, guidelines and codes present a significant compliance challenge.

Online Healthcare Fraud and Abuse Training Course Summary

This 35-minute course explains the basic rules regarding healthcare fraud and abuse in simple, understandable terms. It includes pop quizzes, news clippings and a final quiz highlighting real-world compliance issues that employees should learn to recognize and deal with appropriately. The topics covered in the course include —

• Fraud and abuse overview
• Possible penalties
• Fraud and abuse contexts
• Gifts and business courtesies
• Free goods and services
• Discounts and rebates
• Price reporting
• Administrative fees to GPOs
• Purchasing from customers
• Preceptorships
• Educational grants
• Support of scientific research
• Sponsorships of charitable activities