Federal Fraud and Abuse Laws

This course provides an introduction to federal fraud and abuse laws.

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About this Course

This video-based course explores the Physician Self-Referral Law (Stark Law), Anti-Kickback Statute, Civil Monetary Penalties Law, and the False Claims Act. Ideal for healthcare professionals across settings, this course guides learners through federal fraud and abuse laws and provides case studies for consideration.

This course is not intended to provide legal counsel. Organizations and learners are advised to seek legal counsel in relation to the information presented in the course.

Language Availability: English

Suggested Audiences: Administrators, Compliance Professionals, General Counsel, Healthcare Professionals, Institutional Leadership, Lawyers, Physicians, Staff

Organizational Subscription Price: $675 per year/per site for government and non-profit organizations; $750 per year/per site for for-profit organizations
Independent Learner Price: $99 per person

Demo Instructions

Course Content

Physician Self-Referral Law (Stark Law)

This module sets the foundation for this course by introducing the Physician Self-Referral Law (also known as Stark law).  The module provides an overview of Stark law prohibition, including when Stark law is triggered.  Learners will review the Stark law exceptions and their importance.  The module concludes with a framework to analyze Stark law non-compliance.

Recommended Use: Required
ID (Language): 21088 (English)
Author(s): Joanna L. Cohen, Esq - Yale University

Anti-Kickback Statute (AKS)

In this module, learners explore the federal Anti-Kickback Statute (AKS). The module provides an overview of the AKS prohibition as well as when AKS is implicated.  An overview of the AKS safe harbors and a framework for evaluating a potential AKS issue conclude the module.

Recommended Use: Required
ID (Language): 21089 (English)
Author(s): Joanna L. Cohen, Esq - Yale University

Beneficiary Inducements Civil Monetary Penalties Law (CMP)

This module provides learners with a review of the federal beneficiary inducement civil monetary penalties law (CMP). It includes an overview of the CMP prohibition, including the types of impermissible remuneration under the CMP. The module concludes with a structure for analyzing a potential CMP issue and identifying CMP exceptions to permit otherwise impermissible remuneration.

Recommended Use: Required
ID (Language): 21090 (English)
Author(s): Joanna L. Cohen, Esq - Yale University

False Claims Act (FCA)

This module focuses on the federal False Claims Act (FCA). It provides an overview of the FCA, including when it is implicated, who may bring an FCA action, and potential penalties of FCA liability. The module also explains the relationship of a Stark law and/or AKS violation with FCA liability. Information about responding to an FCA investigation is provided.

Recommended Use: Required
ID (Language): 21091 (English)
Author(s): Joanna L. Cohen, Esq - Yale University

Compliance

In this last module, learners explore examples of cautionary takes of non-compliance as well as a framework for structuring compliance. The module provides tools to establish an effective compliance program and address non-compliance.

Recommended Use: Required
ID (Language): 21092 (English)
Author(s): Joanna L. Cohen, Esq - Yale University

FAQs

Who should take the Federal Fraud and Abuse Laws course?

The suggested audience for this course includes healthcare professionals and others in healthcare settings where these laws may be implicated. This includes individuals at academic and non-academic institutions, such as physicians, staff, institutional leaders, and administrators.  Individuals at academic medical centers may also find the course meaningful.

How long does it take to complete the Federal Fraud and Abuse Laws course?

Each module takes approximately 20 minutes to complete.

What are the standard recommendations for learner groups?

This course is designed such that learners should complete all the modules in sequence.

Is this course eligible for continuing medical education credits?

This course does not currently have CE/CME credits available.

Why should an organization subscribe to this course?

Organizational subscriptions provide access to the organization's affiliated members. This allows organizations to train individuals across the organization on conflicts of interest in healthcare.

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