Global Certificate Healthcare Fraud and Abuse Control Strategies
-- ViewingNowThe Global Certificate Healthcare Fraud and Abuse Control Strategies course is a comprehensive program designed to equip learners with the necessary skills to combat fraud and abuse in the healthcare industry. This course is crucial in today's world, where healthcare fraud costs billions of dollars annually, leading to increased healthcare costs and reduced access to care.
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โข Introduction to Healthcare Fraud and Abuse: Definition, types, and impact on the healthcare industry.
โข Understanding False Claims Act: Overview, key provisions, and penalties for violations.
โข Anti-Kickback Statute: Prohibition of kickbacks, bribes, and rebates in exchange for referrals.
โข Stark Law: Self-referral prohibitions and exceptions.
โข HIPAA Privacy and Security Rules: Protecting patient information and preventing unauthorized access.
โข Healthcare Fraud Enforcement Agencies: Roles and functions of HHS-OIG, DOJ, and state Medicaid Fraud Control Units.
โข whistleblower Protections: Encouraging reporting of fraud and abuse without fear of retaliation.
โข Fraud Analytics and Detection Techniques: Using data analysis to identify irregularities and suspicious patterns.
โข Effective Compliance Programs: Developing, implementing, and monitoring compliance programs to prevent fraud and abuse.
โข Responding to Fraud Investigations: Internal investigations, self-disclosure, and cooperation with authorities.
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