In this course, learners will explore the differences between fraud, waste, and abuse and learn how these concerns may appear in everyday healthcare operations. Topics include billing for services not provided, upcoding, unbundling, inaccurate time records, altered care documentation, kickbacks, improper gifts, conflicts of interest, medical identity theft, and misuse of employee login information.
Learners will also examine their responsibility to maintain accurate records, protect patient and organizational information, report suspected misconduct in good faith, cooperate with authorized reviews, and follow corrective actions.
After completing this course, you will be able to:
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