What is considered to be fraud, waste, or abuse?
What is considered fraud, waste, or abuse?Fraud includes false representation of fact, making false statements, or by concealment of information.Waste is defined as the thoughtless or careless expenditure, mismanagement, or abuse of resources to the detriment (or potential detriment) of the U.S. government.
What defines fraud, waste and abuse?
Fraud is defined as the wrongful or criminal deception intended to result in financial or personal gain. Fraud includes false representation of fact, making false statements, or by concealment of information. Waste is defined as the thoughtless or careless expenditure, mismanagement, or abuse of resources to the detriment (or potential detriment) of the U.S. government.
Who is required to undergo compliance and FWA training?
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 Compliance Training. All persons who provide health or administrative services to Medicare enrollees must satisfy general compliance and FWA training requirements. This module may be used to …
What is waste fraud?
Civil money penalty of $15,000 per service billedCivil money penalty of $100,000 and exclusion for arrangements or schemes to circumvent the statuteExclusion from the Medicare, Medicaid, and other federally funded health care programs and/orRefund of amounts collected in violation of the statute
