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Session 41 | Preventing Fraud, Waste and Abuse: A Central Responsibility for Compliance

Session Summary

This session will focus on fraud, waste and abuse to address new risk areas and review related compliance topics. The presenter will provide recommended internal audit programs regarding how to address identified areas of risk through Quality Assurance and Performance Improvement (QAPI). The session will incorporate the current Officer of Inspector General (OIG) Work Plan that includes Patient Driven Payment Model (PDPM) audits, COVID-19 related waivers, False Claims Act, No Surprises Act and other key areas of focus. This session will also introduce practical ways to help providers be compliant with policies and aware of programs.

Presenters