Every year billions of dollars are improperly spent because of fwa it affects everyone including you this training will help you detect correct and prevent fwa you are part of the solution combating fwa is everyone s responsibility as an individual who provides health or administrative services for medicare enrollees every action you take potentially affects medicare. Providers face multiple healthcare fraud and abuse laws at the local state and federal levels complying with the myriad of regulations can be difficult for providers who already focus on a range of priorities including care delivery payer compliance medical billing and revenue cycle management. Health care fraud and abuse compliance manual an immensely practical resource health care fraud and abuse compliance manual provides a comprehensive overview of legislative and regulatory restrictions that affect the way health care providers conduct business and how they structure relationships among themselves this treatise helps providers determine the boundaries of permissible conduct . Fraud and abuse two words that are thrown around in the medicare arena quite regularly but what are fraud and abuse medicare fraud includes knowingly submitting or causing to be submitted false claims or making representations of fact to obtain a federal health care payment for which no entitlement would otherwise exists knowingly soliciting receiving offering and or paying
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