Medicare Health Plan and PDP: Fraud, Waste, and Abuse

<p>Healthcare fraud, waste, and abuse are considered a top priority to the US government, second only to terrorism and violent crime. This course addresses fraud, waste, and abuse laws, regulations, and guidelines that apply to Medicare health plans and Prescription Drug Plans (PDP) also referred to as plan sponsors. Topics in this course include: Background, Definitions, Government Oversight, and Data Reporting. After completing this course, learners will be able to recognize the increased government interest in managed care fraud and abuse including areas of concern and how to combat fraud, waste, and abuse.</p>

After this course learners will be able to identify fraud, waste, and abuse risk areas and related laws, regulations, and guidelines that apply to medicare managed care. recognize how to detect, correct, and prevent fraud, waste, and abuse.