Fraud and Abuse Awareness

<p>Fighting fraud and abuse within a health plan is important, and associates are valuable assets in anti-fraud efforts. This course describes how an increased awareness of fraud and abuse will help in the prevention and detection of fraud and abuse. Topics in this course include: The Fight against Fraud, Problem Providers, Suspect Subscribers, Victims, Fighting Back, and Responding. After completing this course, learners will be able to identify how to report common types of fraud and abuse. In addition, learners will be able to recognize the negative effects fraud and abuse have on business and our customers. </p>

After this course learners will be able to identify the most common types of fraud and abuse. recognize the negative effects that fraud and abuse have on the healthcare business and its customers. recognize how to report cases of suspected fraud and abuse. identify how our organization responds to those cases we confirm.