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At a Glance

Course type:
Full Length Course
Compliance Training
Anti-Kickback Statute, Stark Law, Safe Harbor
All Learners
Healthcare Fraud
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Helps employees recognize and prevent the most common types of health care fraud: physician self-referrals (Stark law), kickbacks and false claims. Employees learn about risks related to certain activities, and the role of exceptions and safe harbors. They also learn the importance of documenting financial relationships with physicians, the need for accuracy in filing claims with government health programs, the penalties for violations and what to do if a violation is discovered.

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Course Details

  • All Learners
All Learners

Key concepts covered in this course:

  • Impact of health care fraud
  • Types of health care fraud
  • How physician self-referrals are prohibited unless they fit within certain exceptions
  • Penalties for improper referrals
  • Definition and types of kickbacks
  • Penalties for kickbacks
  • Payments and business practices that constitute safe harbors
  • Importance of accuracy in claims for payment submitted to the government
  • Definition and types of false claims
  • Penalties for false claims
  • Best practices for avoiding improper referrals, kickbacks and claims

Reinforce this topic with these two micro learning courses

Get two FREE micro learning courses with the purchase of this full length course. NAVEX Global suggests these courses that pair well:

False Claims Act

Reviews the importance of filing accurate claims with government healthcare programs such as Medicare and Medicaid, explains the consequences of mistakes, and the importance of reimbursing any overpayments promptly.

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Self-Referrals and Kickbacks (Stark and Anti-Kickback)

Describes two of the most common types of healthcare fraud – physical self-referrals and kickbacks – and explains exceptions and safe harbors. Teaches employees how to prevent fraud, types of penalties and what to do if they discover a violation.

More details