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At a Glance
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.
Course Details
- 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 other courses
Reinforce this topic with these other courses
NAVEX Global suggests these courses that pair well:

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