What is the difference between fraud, waste, and abuse in healthcare?

Fraud involves intentional deception or misrepresentation, waste refers to inefficient practices that result in unnecessary costs, and abuse is the unreasonable or improper use of resources that falls outside accepted standards.

Which laws are covered in the FWA training course?

The course covers the False Claims Act, Anti-Kickback Statute, and Stark Law, focusing on their requirements and implications for healthcare professionals.

How should suspected FWA be reported?

Suspected fraud, waste, or abuse should be reported promptly through internal compliance channels, such as the Compliance Officer or hotline, and external reporting options like the OIG or Medicare hotlines if necessary.

What protections exist for whistleblowers who report FWA?

Individuals who report concerns in good faith are protected from retaliation under the False Claims Act, supporting a culture of compliance and patient safety.

When will I have access to the lectures and assignments?

To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.

What will I get if I purchase the Certificate?

When you purchase a Certificate you get access to all course materials, including graded assignments. Upon completing the course, your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.

Is financial aid available?

Yes. In select learning programs, you can apply for financial aid or a scholarship if you can’t afford the enrollment fee. If fin aid or scholarship is available for your learning program selection, you’ll find a link to apply on the description page.

Preventing Fraud, Waste, and Abuse (FWA) in Healthcare

Ce cours n'est pas disponible en Français (France)

Nous sommes actuellement en train de le traduire dans plus de langues.

Preventing Fraud, Waste, and Abuse (FWA) in Healthcare

Instructeurs : Kriti Kamra

Inclus avec

2 modules

Obtenez un aperçu d'un sujet et apprenez les principes fondamentaux.

niveau Débutant

Expérience recommandée

4 heures à compléter

Planning flexible

Apprenez à votre propre rythme

2 modules

Obtenez un aperçu d'un sujet et apprenez les principes fondamentaux.

niveau Débutant

Expérience recommandée

4 heures à compléter

Planning flexible

Apprenez à votre propre rythme

Ce que vous apprendrez

Evaluate healthcare transactions and relationships to identify potential fraud, waste, and abuse
Implement compliance strategies to prevent FWA violations in daily operations
Analyze scenarios to determine the applicability of the False Claims Act, Anti-Kickback Statute, and Stark Law
Develop effective reporting and corrective action plans for suspected fraud, waste, or abuse incidents within healthcare organizations

Compétences que vous acquerrez

Catégorie : Law, Regulation, and Compliance
Catégorie : Compliance Management
Catégorie : Risk Management Framework
Catégorie : Patient Safety
Catégorie : Health Care Procedure and Regulation
Catégorie : Regulatory Compliance
Catégorie : Health Care
Catégorie : Legal Risk
Catégorie : Case Studies
Catégorie : Healthcare Ethics

Outils que vous découvrirez

Catégorie : Fraud detection

Détails à connaître

Certificat partageable

Ajouter à votre profil LinkedIn

Récemment mis à jour !

mars 2026

Évaluations

3 devoirs

Enseigné en Anglais

91%

of learners achieved a positive career outcome

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Il y a 2 modules dans ce cours

Preventing fraud, waste, and abuse (FWA) is critical to protecting patients, safeguarding healthcare resources, and maintaining trust across the healthcare system. Fraud, waste, and abuse drive up costs, undermine care quality, and expose organizations and individuals to serious legal and financial consequences. This course provides a clear, practical foundation for understanding FWA and its impact on healthcare operations.

You will learn how to distinguish between fraud, waste, and abuse, recognize common schemes and red flags, and understand the core requirements of key federal laws, including the False Claims Act, Anti-Kickback Statute, and Stark Law. The course explains how these laws apply to real-world healthcare scenarios and what compliance looks like in daily practice. Through real enforcement examples and interactive activities, you’ll develop practical skills to identify potential FWA risks, apply prevention strategies, and follow proper reporting procedures. You’ll also explore the essential elements of an effective compliance program and understand your role in supporting ethical, lawful healthcare practices. Designed for healthcare professionals, payers, and administrators, this course equips you with the knowledge and confidence to help prevent FWA and promote a culture of accountability and compliance.

Détails du module

This module establishes the foundational knowledge learners need to understand and comply with federal healthcare fraud laws. It defines the distinctions between fraud, waste, and abuse, then provides an in-depth examination of the False Claims Act, Anti-Kickback Statute, and Stark Law—including their intent requirements, common violations, and applicable safe harbors or exceptions. Enforcement case studies ground these concepts in real-world consequences, and practice activities reinforce accurate classification of healthcare scenarios.

Inclus

1 lecture2 devoirs16 plugins

1 lectureTotal 2 minutes

Reading: Course Overview2 minutes

2 devoirsTotal 40 minutes

Practice Quiz: FWA Definitions, Laws, and Consequences20 minutes
Practice Quiz: Recognizing, Preventing, and Reporting FWA20 minutes

16 pluginsTotal 119 minutes

Activity: What are Fraud, Waste, and Abuse5 minutes
Activity: Classifying FWA Scenarios6 minutes
Activity: The False Claims Act8 minutes
Activity: Anti-Kickback Statute (AKS)6 minutes
Activity: Stark Law: Physician Self-Referral Rules8 minutes
Activity: Understanding the Three Laws6 minutes
Activity: Real-World FWA Enforcement Cases8 minutes
Activity: Is This a Violation?10 minutes
Activity: Common FWA Schemes in Healthcare8 minutes
Activity: Red Flags and Warning Signs10 minutes
Activity: Spotting FWA in Practice7 minutes
Activity: Building an Effective Compliance Program8 minutes
Activity: Prevention Strategies for Your Role6 minutes
Activity: How to Report Suspected FWA8 minutes
Activity: Your Reporting Responsibilities9 minutes
Activity: FWA Prevention and Reporting Checklist6 minutes

This module measures learner mastery of the full course through scenario-based assessment. Using realistic healthcare situations, learners demonstrate their ability to classify FWA, apply the False Claims Act, Anti-Kickback Statute, and Stark Law, identify red flags, select appropriate reporting channels, and apply compliance program principles. A minimum passing score confirms readiness to meet annual FWA training requirements.