Fraud, Waste, and Abuse in Healthcare

Fraud, waste, and abuse (FWA) refers to illegal actions that lead to unnecessary costs, misuse of resources, or deceitful practices within the healthcare system. These actions can significantly compromise the integrity of healthcare services, resulting in inflated costs for patients, insurers, and providers.

This microlesson helps learners identify and report instances of fraud, waste, and abuse, including medical identity theft, which occurs when someone’s identity is used to obtain healthcare services or file claims fraudulently.

• Definitions and distinctions between fraud, waste, and abuse in the healthcare sector.
• Understanding the impact of FWA on healthcare costs and resource allocation.
• Recognizing signs of medical identity theft and its damaging effects on victims.
• Best practices for reporting suspected FWA violations to protect patients and the healthcare system.
• Importance of adhering to organizational policies to prevent and address FWA.

Microlesson Features

• Employee sentiment pulsing questions that provide leaders with insights into their workforce's core cultural competencies
• Emtrain's Expert Answers tool, enabling employeees to submit anonymous questions about sensitive issues.

• Rich, contemporary video scences illustrating key concepts through realistic scenarios
• A data driven, skill-based approach to eLearning that establishes a shared language for employees.

Preview Microlesson