Medicare Fraud & Abuse: Prevent, Detect, Report

This course provides health care professionals with information on how to prevent, detect, and report Medicare fraud and abuse.

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About this Course

Want to know what Medicare considers fraud and abuse? This course provides learners with ways to identify activities that Medicare considers fraud and abuse.  The course also explores provisions and penalties associated with fraud and abuse. It concludes with prevention methods and ways to report fraud and abuse.

Note: This course is a faithful, unchanged (other than reformatting and user experience elements to fit the CITI Program platform) duplication of the Centers for Medicare and Medicaid (CMS) web-based training course Medicare Fraud & Abuse: Prevent, Detect, Report available at no charge at https://www.cms.gov/Outreach-and-Education/MLN/WBT/MedicareFraudandAbuse/FraudandAbuse/story.html.  While the CITI Program and CMS trainings are identical in substantive content, CMS is not responsible for the accuracy of the content reproduction, operation, or record keeping related to this course at the CITI Program and does not endorse CITI Program or any of its products or services.

Course Preview:

Language Availability: English

Suggested Audiences: Clinical Billing Professionals, Healthcare Providers

Organizational Subscription Price: Included in the Fraud, Waste, and Abuse series at no additional cost. The series, which includes CITI Program's Federal Fraud and Abuse Laws course, is available as part of an organizational subscription package or for $675 per year/per site as a subscription add-on for government and non-profit organizations; $750 per year/per site as a subscription add-on for for-profit organizations.
Independent Learner Price: N/A

Demo Instructions


Course Content

Medicare Fraud & Abuse: Prevent, Detect, Report

This audio-visual course teaches learners about the laws used to fight fraud and abuse, government partnerships engaged in fighting fraud and abuse, and where to report suspected fraud and abuse. There are five lessons in this course:

  • Lesson 1: Medicare Fraud & Abuse
  • Lesson 2: Medicare Fraud & Abuse: Laws and Penalties
  • Lesson 3: Physician Relationships with Payers, Other Providers, and Vendors
  • Lesson 4: Medicare Anti-Fraud and Abuse Partnerships and Agencies
  • Lesson 5: Report Suspected Medicare Fraud & Abuse

Recommended Use: Required
ID (Language): 21400 (English)


FAQs

Is there a required setup for the Medicare Fraud & Abuse: Prevent, Detect, Report course?

Yes, in keeping with the requirements of the course as presented by CMS’s training site, learners must complete the course with a minimum passing score of 70%.

Is the Medicare Fraud & Abuse: Prevent, Detect, Report course available elsewhere?

Yes, the Medicare Fraud & Abuse: Prevent, Detect, Report course is available at no cost from the CMS website.

Why use the Medicare Fraud & Abuse: Prevent, Detect, Report course via CITI Program?

The Medicare Fraud & Abuse: Prevent, Detect, Report course, included at no additional cost as part of the Fraud, Waste, and Abuse series, allows organizations to easily track the completion of this course by their learners.

How long does the Medicare Fraud & Abuse: Prevent, Detect, Report course take?

The Medicare Fraud & Abuse: Prevent, Detect, Report course takes approximately 88 minutes.


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