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Medicare Health Plan and PDP: Fraud, Waste, and Abuse
This course addresses fraud, waste and abuse laws, regulations, and guidelines that apply to Medicare health plans and Prescription Drug Plans (PDP) also referred to as plan sponsors. It presents information on the False Claims Act, the Federal Anti-Kickback Statute, the Beneficiary Inducement Statute, and the Stark Law. After completing this course, learners will recognize the increased government interest in managed care fraud and abuse including areas of concern and how to combat fraud, waste, and abuse.