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Goals and Learning Outcomes

Healthcare fraud is a crime. There are economic, financial, and legal impacts involved with fraudulent activity within the health system. Fraud has the potential to occur in any healthcare setting and it can be committed by anyone involved in the process, including clinicians, patients, or others. As a clinician, you are at the forefront for combatting fraud, and in a unique position to advocate for the patient. This course will help prepare you in recognizing and avoiding fraud within your own practice, as well as empower you in reporting suspicious activity. 

The goal of this course is to equip clinicians with the knowledge of how to recognize, avoid, and report healthcare fraud. 
 


After taking this course, you should be able to:

  • Describe healthcare fraud and the problems identified with fraud control
  • Identify the key federal laws that are used to investigate and prosecute healthcare fraud
  • Describe the healthcare professionalÂ’s role in recognizing, avoiding, and reporting healthcare fraud
  • Define healthcare fraud and the problems identified with fraud control.
  • Recall key federal laws that are used to investigate and prosecute healthcare fraud.
  • Identify the clinician’s role in recognizing, avoiding, and reporting healthcare fraud.

Course Termination Date: Not yet determined

Content Expiration Date: 12/31/26

Course Originally Released On: 03/01/22

Course Authors

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Course Reviews

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Accreditation Information

NURSES

In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Provider approved by the California Board of Registered Nursing, CEP#13791

Disclaimer: Not all courses will provide California Board of Registered Nursing approval. Per California Assembly Bill No. 241, continuing education courses related to direct patient care shall address at least one or a combination of the following:(1) Examples of how implicit bias affects perceptions and treatment decisions of licensees, leading to disparities in health outcomes; or (2) Strategies to address how unintended biases in decision-making may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics.

 

CEBroker

Relias LLC reports to CEBroker for the following boards (Provider # 50-1489): Arkansas State Board Of Nursing, District Of Columbia Board Of Nursing, Florida Board Of Nursing, Georgia Board Of Nursing, Kansas State Board of Nursing, Kentucky Board of Nursing, Michigan Board of Nursing, Mississippi Board of Nursing, New Hampshire Board of Nursing, New Mexico Board Of Nursing, North Dakota Board of Nursing, South Carolina Board Of Nursing and West Virginia Board Of Registered Nurses

 

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid license number. This information is required for correct reporting of your course completions to CE Broker.

 

Disclosures

None of the planners/faculty, unless otherwise noted, for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.