Fraud, Waste, and Abuse

Course Code: REL-PAC-0-FWA

Hours: 0.5

Type: Online Course

Content Expiration Date: 12/31/2026

Learning Objectives:
Differentiate between fraud, waste, and abuse.
Identify types of fraud, waste, and abuse in the long-term care setting.
Describe actions to take if fraud, waste, or abuse are identified.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Compliance

Medicare Programs

Corporate Compliance Programs

Laws Preventing Fraud, Waste, and Abuse

Review

Summary

Section 3: Fraud, Waste, and Abuse (FWA)

Fraud

Waste

Abuse

Reference Table

Clinical Scenario

Summary

Section 4: Medical Records and Billing

Medical Records

Billing and Cost Reporting

Review

Summary

Section 5: Reporting and Preventing Fraud, Waste, and Abuse

Review

Summary

Section 6: Conclusion

Summary

Course Contributors

Resources

References

Instructor: Ann Elsasser-Root, PT, DPT

Ann Elsasser-Root holds a Doctor of Physical Therapy degree from the University of Pittsburgh. She is a Geriatric Clinical Specialist with experience in multiple care settings, including skilled nursing, independent living, inpatient rehab, and outpatient orthopedic and neurology. Ann is most passionate about treating older adults to improve their quality of life and maximize functional independence. As a curriculum designer for Relias, Ann enjoys being able to combine her clinical knowledge with her interest in research and staying up-to-date with changes and advances in the field of rehabilitation.

Subject Matter Expert: Ron Orth RN, CHC, CMAC

Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for the Acute and  Post-acute Care verticals at Relias. Ron has also successfully completed the Infection Control Officer training through the AHCA.

Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.