Fraud, Waste, and Abuse for Home Health Billing and Field Staff


One of the most important educational programs your home health agency is required to provide is one that ensures you gain a thorough understanding of healthcare fraud, waste, and abuse. Fraud, waste, and abuse remain a significant problem in federally funded healthcare programs and the recognition and reporting of suspected illegal practices will assist your agency with maintaining a high quality of care. Directed towards home health billing and field staff, this short, non-accredited course focuses on what constitutes fraud, waste, and abuse, and to whom you should report such activities. *Additionally, this course is offered in Spanish


Hours: 0.50


Certificates provided by accrediting body (0 Match)

Course Details

Hours: 0.5
Type: Online Course
Content Expiration Date: 9/30/2020
Learning Objectives:
Recognize and report suspected fraud, waste, and abuse
Explain the Mission of the Office of Inspector General
Summarize the False Claims Act

Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Fraud, Waste, and Abuse A. Case Studies B. Defining Fraud, Waste, and Abuse C. The OIG D. The False Claims Act E. Responsibility to Report F. Review Section 3: Conclusion A. Summary B. Congratulations

Staff Writer: Rachel O’Connor, RN, BSN, M.Ed., Content Writer / Editor, Relias Learning
Ms. O’Connor has held positions as staff nurse, charge nurse, educator, and clinical instructor with over 25 years of clinical practice in a broad range of specialties: medical/surgical, public health, and the operating room environment. She also was a clinical and didactic educator for a community college healthcare program. Prior to becoming a Registered Nurse, Ms. O’Connor successfully challenged the Practical Nursing Boards in WV. As a Surgical Services Educator, Ms. O’Connor created and implemented a Surgical Technician program for non-licensed operating room employees in a highly respected community hospital. She also has been a nurse planner, with experience in planning, developing, implementing, and evaluating continuing education courses for nursing personnel through the continuing education process. A veteran of the U.S.A.F., Ms. O’Connor is committed to creating relevant and intelligent continuing education courses for healthcare professionals throughout the continuum of care. Disclosure: Rachel O’Connor, RN, BSN, M.Ed., Content Writer / Editor, Relias Learning has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Sarah Zimmerman
Sarah Zimmerman, RN, BSN, MS. AEd, Client Success Manager, Relias Learning has her BS in Nursing from the University of Akron in Ohio and a MS in Adult Education from Kansas State University. Her clinical experience includes intensive care nursing, teaching medical/surgical, critical care and nursing leadership to student nurses along with various management positions. Sarah’s post-acute experience includes the startup of a Continuing Care Retirement Community (CCRC) and over 20 years in the home health industry where she held positions of Clinical Supervisor, Quality Manager, Director of Operations, Administrator, Regional Director, and Area Vice President of Operations. In 2000 she received her Certificate in Legal Nurse Consulting and has used this further education many times in her administrative positions.  Disclosure: Sarah Zimmerman has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level General Staff; in the following settings: Home Health.
G Tags:
G436, G710, G968, G982, G984
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.
If you require special accommodations to complete this module, please contact Relias Customer Support by calling (800) 381-2321 or emailing