Participants will learn about fraud, waste, and abuse as it applies to submitting claims to the Government. They will also learn about a variety of related laws and how both organizations and employees can prevent, detect, correct, and report fraud, waste, and abuse, as well as noncompliance with these regulations.

Participants will be able to understand the following: 

1) Fraud, Waste & Abuse (FWA)

2) Medicare Advantage and Medicare Part D - Exclusions

3) Federal False Claims Act: Violations & Examples; Knowledge Requirement; Penalties & Damages; Whistleblower Provisions & Protection

4) State False Claims Act - CA

5) Federal Anti-Kickback Statue

6) Stark Law

7) HIPAA Privacy & Info Security Requirements

8) Responsibilities of Organizations

9) Preventing, Detecting, Correcting, and Reporting FWA and Noncompliance

10) Non-Intimidation & Non-Retaliation Policy

Paraprofessionals and Professionals