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Waste, Fraud & Abuse Training

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Multnomah County Health Dept.
Multnomah County Health Dept.

Review of regulations for avoiding and reporting waste, fraud and abuse of public healthcare funds.

Health & Medicine
1 of 9
ICS.01.39, Waste, Fraud & Abuse Training This module will present education concerning False Claims Liability, Anti-retaliation Protections as well as detecting and responding to Fraud, Waste and Abuse. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Deficit Reduction Act (DRA) ,[object Object],[object Object],[object Object],[object Object],The DRA indirectly mandates a compliance program which requires that staff must be informed about the False Claims Act, Administrative remedies under the Act, relevant State Laws and Whistleblowers’ protection.
False Claims Act (FCA) ,[object Object],[object Object],[object Object],[object Object],The full text of the False Claims Statutes is located at: http://www.oregon.gov/DHS/healthplan/tools_prov/dra-guide0608.pdf
Some Examples of Healthcare Fraud ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policies & Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Education on the Fraud and Abuse Program ,[object Object],[object Object],[object Object],[object Object]
The Reporting Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-Retaliation ,[object Object],Retaliation directed at reporters of fraud, waste and abuse is unlawful; see ORS 659A.203 – http://www.leg.state.or.us/ors/659a.html
This completes the Fraud, Waste & Abuse Training Module ,[object Object],[object Object],[object Object],[object Object]

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