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Risk Management Blog

Browse our collection of Risk Management articles and resources

Medicare Fraud, Waste, and Abuse Explained: Risks, Red Flags, and Enforcement Actions
Risk Management Nov 07, 2024

Medicare Fraud, Waste, and Abuse Explained: Risks, Red Flags, and Enforcement Actions

Definitions of Fraud, Waste, and Abuse. Fraud. Medicare fraud is an intentional deception or mi...

Fraud, Waste, and Abuse Training Explained: CMS Standards, Examples, and Enforcement
Risk Management Nov 07, 2024

Fraud, Waste, and Abuse Training Explained: CMS Standards, Examples, and Enforcement

If you touch Medicare claims—whether as a clinician, coder, biller, or leader—Fraud, Waste, and A...

Medicare Fraud, Waste, and Abuse Program Checklist: OIG Requirements and Training
Risk Management Nov 07, 2024

Medicare Fraud, Waste, and Abuse Program Checklist: OIG Requirements and Training

Medicare Fraud Waste and Abuse Training Requirements. Your fraud, waste, and abuse (FWA) program...

How to Prevent Medicare Fraud, Waste, and Abuse: Controls, Monitoring, Examples
Risk Management Nov 07, 2024

How to Prevent Medicare Fraud, Waste, and Abuse: Controls, Monitoring, Examples

Medicare fraud, waste, and abuse drain scarce resources and put patients and providers at risk. T...

Medicare Fraud, Waste, and Abuse Requirements: Policies, Training, and Reporting Best Practices
Risk Management Nov 07, 2024

Medicare Fraud, Waste, and Abuse Requirements: Policies, Training, and Reporting Best Practices

CMS eLearning Solutions. CMS eLearning Solutions provide structured modules that explain Medicar...

What Is Fraud, Waste, and Abuse? Definitions, Red Flags, and Reporting
Risk Management Nov 07, 2024

What Is Fraud, Waste, and Abuse? Definitions, Red Flags, and Reporting

Fraud Definition. Fraud is intentional deception used to obtain an unauthorized benefit—money, p...

Fraud, Waste, and Abuse in Healthcare: Compliance Requirements and Real-World Examples
Risk Management Nov 07, 2024

Fraud, Waste, and Abuse in Healthcare: Compliance Requirements and Real-World Examples

Fraud Definition and Indicators. Fraud in healthcare is an intentional deception or misrepresent...

FWA Reporting Methods Explained: Internal Hotlines, OIG, CMS, Anonymous Options
Risk Management Nov 06, 2024

FWA Reporting Methods Explained: Internal Hotlines, OIG, CMS, Anonymous Options

If you suspect fraud, waste, or abuse (FWA), you have multiple, clearly defined channels to repor...

How to Report Potential Fraud, Waste, and Abuse (FWA): Approved Channels
Risk Management Nov 06, 2024

How to Report Potential Fraud, Waste, and Abuse (FWA): Approved Channels

Knowing how to report potential fraud, waste, and abuse empowers you to protect patients, program...

Best Practices for Reporting FWA: Examples, Documentation, and Escalation Requirements
Risk Management Nov 06, 2024

Best Practices for Reporting FWA: Examples, Documentation, and Escalation Requirements

Strong FWA Compliance Best Practices help you detect concerns early, report accurately, and resol...

FWA Reporting Checklist for Healthcare Organizations: Steps, Contacts, and Timelines
Risk Management Nov 06, 2024

FWA Reporting Checklist for Healthcare Organizations: Steps, Contacts, and Timelines

Compliance with Regulations. Build your FWA reporting framework on clear, current rules. Align p...

Healthcare Fraud, Waste, and Abuse: Definitions, Risks, and Prevention Best Practices
Risk Management Nov 06, 2024

Healthcare Fraud, Waste, and Abuse: Definitions, Risks, and Prevention Best Practices

Fraud Definition and Characteristics. What is fraud?. Healthcare fraud is an intentional decept...

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