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Documents - Fraud Compliance Manual Series
Results:  16 Documents
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Fraud Module 1: Compliance Program Oversight - I'm Responsible for What? (001039-20210101) (LMS Course)
Description: Ensure proper documentation of services and the prevention, prompt detection, and appropriate corrective action to detect, address, and prevent fraud, waste, and abuse. Identify the components of the Fraud Compliance Program. State the role of the compliance officer and compliance committee. Course run time 25 minutes.
Published: August 03, 2023
Fraud Module 10-Vendor Contracts (001040-20210101) (LMS Course)
Description: Adhere to the Company vendor contracting policy. Discuss key points of Medicare Part B consolidated billing. Identify elements for Federal government contracting. Course run time 37 minutes.
Published: August 03, 2023
Fraud Module 11-Business Practices (001041-20210101) (LMS Course)
Description: Adhere to Company business practices that support vendor relations; identify Company protocol related to accepting gifts from vendors or residents. Course run time 17 minutes.
Published: August 03, 2023
Fraud Module 12-Employee Licensing (001042-20210101) (LMS Course)
Description: Maintain current licensure and provide appropriate proof to the Company. Identify protocol for verifying excluded entities from employment and conducting Company business. Course run time 9 minutes.
Published: August 03, 2023
Fraud Module 13 - Enforcing Disciplinary Standards (001043-20210101) (LMS Course)
Description: Discuss elements of the Company disciplinary policy. State the range of possible disciplinary actions. Discuss the impact of the non-retaliation policy. Course run time 7 minutes.
Published: August 03, 2023
Fraud Module 14 - Quality Care and Improvement (001044-20210101) (LMS Course)
Description: Summarize elements necessary for providing quality care. Identify elements of Quality-of-Life compliance that relate to resident’s rights. Discuss the Company’s quality improvement program. Course run time 20 minutes.
Published: August 03, 2023
Fraud Module 15 - Resident Rights and Elder Justice (001045-20210101) (LMS Course)
Description: Promote the rights of each resident consistent with applicable legal requirements and standards of practice. Summarize key points of the Elder Justice Act. Course run time 30 minutes.
Published: August 03, 2023
Fraud Module 9-Independent Contracting (001054-20210101) (LMS Course)
Description: Learn to adhere to the Company Contracting Policy; identify Company referral requirements; and discuss key points of the anti-kickback law. Course run time 35 minutes.
Published: August 03, 2023
Fraud Module 16 - Financial Integrity (001046-20210101) (LMS Course)
Description: Submit claims for reimbursement that are accurate, based upon medically necessary items and services rendered or costs incurred, and substantiated by verifiable documentation. Discuss elements of the Company protocol for demonstrating contractual financial compliance. Identify Company protocol for protecting resident personal need accounts. Course run time 42 minutes.
Published: May 18, 2023
Fraud Module 2: Key Reporting and Communicating Concepts (001047-20210101) (LMS Course)
Description: Articulate the principles of the compliance reporting system. Handle external communication requests. Course run time 13 minutes.
Published: May 18, 2023
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