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Fraud and Abuse Prevention Simplified
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Laws governing Medicare and Medicaid participation are complicated and confusing … while state and federal governments are doubling down on enforcement. This publication explains the laws and regulations related to Medicare and Medicaid fraud and abuse and how the government is enforcing them.
Upon reading the publication, you will be able to implement a compliance plan that ensures adherence to the laws, regulations, and guidelines that control business activities in solo and small-group practices.
Released: Aug. 6, 2012
Revised: Aug. 6, 2018
Expires: Aug. 6, 2021
Target Audience
This program has been developed for physicians in all specialties.
ACGME/ABMS Competencies
This program addresses the following desirable physician attributes:
Professionalism
Course Objectives
Upon completion of this enduring material, readers should be able to:- Explain the definition, history, laws, and penalties associated with health care fraud and abuse;
- Discuss fraud and abuse detection and education efforts employed by the Medicare and Medicaid programs; and
- Identify and implement an appropriate compliance plan/program that ensures adherence to the laws, regulations, and guidelines that control business activities in solo and small-group practices.
Teaching Methods
The participant is required to read the course in its entirety and complete a post-test and course evaluation to obtain credit.
Return Policy
No refunds or exchanges will be processed for this product.
Sponsored by
TMLT — Earn a 3-Percent Professional Liability Discount
TMLT policyholders who complete this program may earn a 3-percent discount that will be applied to their next eligible policy premium.
4 AMA PRA Category 1 Credits™ (Enduring)
The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Texas Medical Association designates this enduring activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
On select courses, the Texas Medical Association requires physician to complete 70-percent of the test questions correctly to receive credit for this course.
See TMA’s Web Site Privacy Statement
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4 ETHICS
This course has been designated for 4 credit(s) of education in medical ethics and/or professional responsibility.
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1 TMLT
TMLT policyholders who complete this program may earn a 3-percent discount that will be applied to their next eligible policy premium.
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