All Medicare Part D prescription drug providers are required to conduct annual training on fraud, waste, and abuse. Since a PACE, short for Program of All-inclusive Care for the Elderly, operates as a Medicare Part D provider, it must comply with these annual training requirements. In this course, you will learn the laws regarding healthcare compliance specifically related to fraud, waste, and abuse.
Note: Unless otherwise stated, the information in this course was sourced from the Centers for Medicare & Medicaid Services, or CMS, manual for PACE programs last updated 2011.
Section 1: Introduction
A. About This Course
B. Learning Objectives
Section 2: Fraud, Waste, and Abuse
A. The False Claims Act
B. Defining Fraud, Waste, and Abuse
C. Examples of Fraud, Waste, and Abuse
D. Preventing Fraud, Waste, and Abuse
E. Reporting Requirements
Section 3: Conclusion
B. Course Contributor
Ursula Robinson LCSW, MHA is the Executive Director of PACE of Guilford and Rockingham Counties, PACE of the Triad, located in Greensboro, NC. Ursula served on the planning committee to evaluate the feasibility of bring PACE to Greensboro and was hired as the first Executive Director in 2010. Under her leadership, PACE of the Triad is the fourth largest PACE program in NC and the first PACE program in North Carolina to provide an Alternative Care Setting to serve rural participants. PACE of the Triad has grown from a start-up operation with one employee in 2010 to 82 employees, volunteers and over 250 acute, long-term care, and medical specialist providers. PACE of the Triad’s annual budget was $16M in in 2016. The organization has served approximately 400 participants and families since inception. Prior to PACE, Ursula was employed with Hospice and Palliative Care of Greensboro for 18 years in various progressive leadership roles. She currently serves on the following Board of Directors: Greensboro Urban Ministries, NC LeadingAge and North Carolina PACE Association. Ursula has taught at Duke’s Divinity School, UNC-G’s School of Social Work, and The National Hospice and Palliative Care Organization’s Leadership Program. She has a master’s degree in Health Care Administration from Pfeiffer University and a master’s degree in Social Worker from UNC-Chapel Hill. She earned her bachelor degree in Social Work from UNC-G. She is a licensed Clinical Social Worker and National LeadingAge Fellow. Some of Ursula’s awards include The Greensboro Chapter of NAACP’s Community Service Award and The North Carolina PACE Association’s Leadership Award. Disclosure: Ursula Robinson LCSW, MHA has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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