Preventing Fraud, Waste, and Abuse (FWA) in Healthcare

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Preventing Fraud, Waste, and Abuse (FWA) in Healthcare

Coursera · Intermediate ·📊 Data Analytics & Business Intelligence ·1mo ago
Preventing fraud, waste, and abuse (FWA) is critical to protecting patients, safeguarding healthcare resources, and maintaining trust across the healthcare system. Fraud, waste, and abuse drive up costs, undermine care quality, and expose organizations and individuals to serious legal and financial consequences. This course provides a clear, practical foundation for understanding FWA and its impact on healthcare operations. You will learn how to distinguish between fraud, waste, and abuse, recognize common schemes and red flags, and understand the core requirements of key federal laws, including the False Claims Act, Anti-Kickback Statute, and Stark Law. The course explains how these laws apply to real-world healthcare scenarios and what compliance looks like in daily practice. Through real enforcement examples and interactive activities, you’ll develop practical skills to identify potential FWA risks, apply prevention strategies, and follow proper reporting procedures. You’ll also explore the essential elements of an effective compliance program and understand your role in supporting ethical, lawful healthcare practices. Designed for healthcare professionals, payers, and administrators, this course equips you with the knowledge and confidence to help prevent FWA and promote a culture of accountability and compliance.
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