PPT-Chapter 3 Health Fraud Health Fraud

an intentional act perpetrated to be deceptive in order to gain something of value services or articles of unproven effectiveness that are promoted to improve health well being or . Protecting Organizations and Their People. Presenter’s Name. Presenter’s Title. Presenter’s Contact Info. Overview. The Facts . Fraud Defined. Why’d They Do It?. Who Did It?. Policy. Red Flag Hotline. Developed by the Centers for Medicare & Medicaid Services . Issued. : February, 2013. This training module consists of two parts: (1) Medicare Parts C & D Fraud,. Waste, and Abuse (FWA) Training and (2) Medicare Parts C & D General . MPA Winter CE + Ski . January 12. th. , 2014. Jason Walker-Crawford, R.Ph. – PAAS National®, Inc.. Learning Objectives. Discuss the Medicare Part D requirements for Fraud, Waste & Abuse Compliance (FWAC).. INTRODUCTION.  . DISCUSS . ADOPTION OF FRAUD AND THEFT . POLICY. ASSIGNS . RESPONSIBILITY FOR REPORTING FRAUD AND . THEFT. PROVIDES . GUIDELINES FOR INVESTIGATIONS OF SUSPECTED . FRAUD . OR . Roselli, Clark and Associates . Certified Public Accountants. 2. Introduction. Presenters:. Tony Roselli, CPA, Partner. Chad Clark, CPA, Partner. Cash handling. Frequency of fraud. Detection of occupational . Neil . Versel.  . ,. Information Week, November 15, 2011. Shipi. . Kankane. Prashanth. . Nakirekommula. Applying analytics and risk- management capabilities to health insurance through LexisNexis data platforms. . LESSONS LEARNED. ETHICS . . FIRST. Richard M. Scrushy. $100,000 Coffee Mug. SUCCESS. In 1806 Webster’s Dictionary defined success as “being generous, prosperous, healthy and kind.”. Today, Webster’s defines success as “the attainment of wealth, fame and rank.”. Senior Medicare Patrol. LTC Ombudsman Program . 2014-2015. . Funded by the U.S. . Department of . . Health & Human Services – . Administration on Community Living. Administration on Aging established 12 demonstration projects . 2016 National Training Program. Session Objectives. This session should help you . Define fraud and abuse . Identify causes of improper payments. Discuss how CMS. fights fraud and abuse. Explain how you can fight fraud and abuse. Charity Fraud Charity Fraud Has anyone ever asked you to donate to charity? Real Fundraising Many charities get in touch: By phone By mail By email Charity Fraud Here’s how it works: Phone call Charity name sounds familiar Common Denominators, Universal Challenges. and. Perspective for CEOs. William J. Mahon. The Mahon Consulting Group, LLC. 2016 National Training Program. Session Objectives. This session should help you . Define fraud and abuse . Identify causes of improper payments. Discuss how CMS. fights fraud and abuse. Explain how you can fight fraud and abuse. kindly visit us at www.examsdump.com. Prepare your certification exams with real time Certification Questions & Answers verified by experienced professionals! We make your certification journey easier as we provide you learning materials to help you to pass your exams from the first try. Professionally researched by Certified Trainers,our preparation materials contribute to industryshighest-99.6% pass rate among our customers.Just like all our exams. EXCEL MSO seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of health plans, federal, and state authorities in their enforcement of prohibitions of fraudulent practices by providers, members, or other entities dealing with the provision of health care services..