RISK 136

Course overview

*Be able to identify the definitions of Fraud, Waste and Abuse and how they may show up in day-to-day practice. *Become aware of the source of overpayments, including not-medically necessary care, maintenance care, and active treatment. *Apply the guidance from the OIG to your state and carrier regulations since they are a resource to these groups. *Recognize insufficient documentation and incorrect coding before the billing takes place. *Implement the action steps recommended by the OIG to eliminate incorrect documentation, billing and coding practices to reduce compliance risk.