Fraud, Waste, and Abuse

Fraud, Waste, and Abuse 

As an employee in a senior care community, you have the responsibility to act in a way that is ethical and complies with the law and your community's policies and procedures. Further, if you observe something you believe is improper or potentially illegal, you are required to report this behavior so that it can be addressed in a timely manner. It is important for you to understand the legal and ethical standards required of you and recognize your responsibility to comply with these standards. This course has been prepared with those objectives in mind.

$15.00

Hours: 0.50
REL-PAC-0-FWA

Certificates

Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PAC-0-FWA
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Differentiate between fraud, waste, and abuse.
Identify types of fraud, waste, and abuse in the long-term care setting.
Describe actions to take if fraud, waste, or abuse are identified.

Outline:


Section 1: Introduction
About This Course
Learning Objectives
Section 2: Compliance
Medicare Programs
Corporate Compliance Programs
Laws Preventing Fraud, Waste, and Abuse
Review
Summary
Section 3: Fraud, Waste, and Abuse (FWA)
Fraud
Waste
Abuse
Reference Table
Clinical Scenario
Summary
Section 4: Medical Records and Billing
Medical Records
Billing and Cost Reporting
Review
Summary
Section 5: Reporting and Preventing Fraud, Waste, and Abuse
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References

Instructor: Ann Elsasser-Root, PT DPT
Ann Elsasser-Root holds a Doctor of Physical Therapy degree from the University of Pittsburgh. She has experience working as a physical therapist in multiple care settings, including skilled nursing, independent living, inpatient rehab, and outpatient orthopedic and neurology. Ann has a strong manual therapy background and has completed additional training in geriatric care, kinesiotaping, vestibular rehabilitation, and McKenzie MDT for the lumbar spine. She is most passionate about treating the older population to improve quality of life and maximize functional independence. As a curriculum designer for Relias, Ann enjoys being able to combine her clinical knowledge with her interest in research and staying up-to-date with changes and advances in the field of rehabilitation. Disclosure: Ann Elsasser-Root, PT DPT has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.