Fraud, Waste and Abuse in Healthcare

Whether you’re reviewing your response policy, preparing to brief leadership, or training staff on escalation, this guide gives you a clear framework for what to do when a potential FWA offense is detected.

What’s inside:

• Understand the gravity of the situation: Recognize the potential impact on patients, your reputation, and your legal standing.
• Conduct a thorough investigation: Gather evidence and assess impact with input from audit, compliance, and legal.
• Engage legal and compliance professionals early: Get guidance on applicable laws and reporting requirements.
• Implement immediate corrective actions: Contain the issue and reduce ongoing risk.
• Collaborate with regulators and law enforcement: Know when to notify authorities such as the OIG.

Who it’s for: Compliance officers, internal auditors, revenue cycle and HIM leaders, practice administrators, office managers.