FWA Training for You and Your Employees
Fraud and Abuse
Fraud and abuse are widespread problems and very costly to America’s healthcare system. Although no precise dollar amount can be determined, some authorities contend that insurance fraud constitutes a $100-billion-a-year problem. HNS is committed to reducing fraud, waste and abuse (FWA) and to providing tools to help you detect and prevent fraud, waste and abuse.
What is Fraud and Abuse?
Fraud involves intentional deception or misrepresentation intended to result in an unauthorized benefit. Abuse involves charging for services that are not medically necessary, do not conform to professionally recognized standards, and/or are unfairly priced. Abuse, while similar to fraud, occurs when it is not possible to establish that the acts were done with the intent to deceive.
Our training modules are intended to help you gain a better understanding of the types of fraud and abuse, applicable federal laws, and your responsibilities regarding detection, prevention and reporting fraud, waste and abuse.
HNS’ FWA training is intended to help you gain a better understanding of healthcare fraud and abuse, applicable federal laws, and your responsibilities regarding detection, prevention and reporting.
If you have questions about FWA or our training modules, please contact your HNS Service Representative.
FWA Training for Providers Click here
FWA Training for Staff Members Click here