JERICHO, N.Y., Dec. 5, 2013 /PRNewswire/-- Health Care Compliance Strategies, Inc. (HCCS), the leading provider of online healthcare compliance and competency training, today announced the release of a new online training course, Health Plan Compliance: Fraud, Waste, and Abuse. The new course educates health plan employees, contractors and vendors on detecting, correcting, and preventing fraud, waste, and abuse.
Every year, millions of dollars are improperly spent because of fraud, waste, and abuse. All health plans that pay claims for beneficiaries of government healthcare programs are required to complete compliance training as part of an effective compliance program. The consequences of committing fraud, waste or abuse include civil money penalties, criminal convictions and fines, civil prosecution, imprisonment, loss of provider license, and/or exclusion from Federal healthcare programs.
The Centers for Medicare & Medicaid Services (CMS) requires all Medicare Advantage and Part D plan sponsors to provide annual compliance training to all staff, as well as first tier or downstream entities they partner with to provide services.
Various government programs vulnerable to fraud, waste and abuse
What constitutes a violation of the False Claims Act?
Existence of state False Claims Acts
Prohibition against employer retaliation against whistleblowers
Anti-Kickback Statute and penalties
Stark / Physician Self-Referral Law and penalties
Health plans and identity theft
Recognizing fraud, waste, and abuse
Prescription fraud indicators and other potential fraud indicators
The course features highly engaging and interactive elements with case examples. Content can be customized to include your own logo, company contact information, and links to your policies and procedures. The course is SCORM and AICC compliant for easy integration with HCCS' SimPL Learning Platform or your organization's own Learning Management System. Completion of the course and final assessment provides learners with a certificate of completion.
"Fraud, waste, and abuse adds roughly 3 to 10% to all healthcare spending, costing taxpayers billions of dollars every year," says Ben Diamond, President of HCCS. "CMS has taken steps to require training as part of an effective compliance plan for health plans. With this course, HCCS provides effective training that will help staff comply with complex regulations."
HCCS is the leading provider of effective online training courses and learning management systems to healthcare facilities. HCCS has provided over 7 million hours of compliance and competency training courseware to hospitals, teaching facilities, medical schools, health plans, nursing facilities and other healthcare entities. Courses address critical compliance issues for all staff and administrators in Medicare, Medicaid, HIPAA, Quality Improvement, Research Compliance, Conflicts of Interest, OSHA, Patient Experience, ICD-10 and many other areas.
For more information about HCCS products, contact HCCS at (877) 933-4227, by email at firstname.lastname@example.org, or via the web at www.hccs.com.