HIPAA Training Course – Fraud and Abuse
$99.00
A self-paced HIPAA course on how to spot, report and prevent fraud, waste and abuse in US healthcare, with a focus on Medicare. It suits medical staff, coders, health plan workers and healthcare students.
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- Self-paced. Study on any device
- StemBoss Certificate of Completion
- 14-day refund promise
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HIPAA Training Course: Fraud and Abuse is a short, self-paced course on how to spot, report and prevent fraud, waste and abuse in US healthcare, with a focus on Medicare. It is for medical staff, coders, health plan and insurance workers, and students starting a healthcare career. You will also cover the HIPAA privacy and security basics that protect patient data.
What you will learn
- Explain what HIPAA requires to protect patient privacy
- Describe the safeguards and controls that keep health data secure
- Tell the difference between fraud, waste and abuse
- Name the main laws that apply to Medicare fraud and abuse
- Spot common schemes such as billing fraud, kickbacks and false claims
- Understand your own role in stopping fraud, waste and abuse
- Detect, correct and prevent problems before they grow
- Put together an effective compliance plan
Course outline
- HIPAA and Privacy: privacy rules, security safeguards and controls, with examples and cases
- Fraud, Waste, and Abuse: what each term means, with case examples and the law behind them
- Compliance and Prevention: how to prevent problems and run a compliance programme
The course starts with HIPAA privacy and the safeguards that protect patient data, using real examples and cases. It then explains fraud, waste and abuse, with case examples and the laws behind them. The final module turns this into action, showing how to prevent problems and keep a compliance programme on track.
Who this course is for
- Doctors, nurses and other medical professionals
- Medical coders and billing staff
- Employer group health plan and health insurance staff
- Healthcare administration and support staff
- Students entering a healthcare career
- Consultants, accountants and bookkeepers who work with healthcare clients
Before you start
You do not need any prior knowledge. It will help if you already work with patient records, claims or billing, as you can relate the cases to your own job. The course is based on US law, including HIPAA and Medicare rules.
All lessons are on-demand videos, so you can learn at your own pace, pause and replay any part, and come back to a topic whenever you need it.
Jobs this course supports
- Medical coder
- Medical billing specialist
- Healthcare administrator
- Healthcare consultant
- Bookkeeper or accountant for healthcare clients
| Skill level | Beginner |
|---|---|
| Prerequisites | None. Helpful if you work with patient records or billing. |
| Best for | Medical staff, medical coders, health plan staff, healthcare administrators, healthcare students |
| Topics covered | HIPAA privacy, security safeguards and controls, fraud waste and abuse, Medicare fraud laws, case examples, compliance plans, prevention |
| Format | Online video lessons, self-paced |
| Language | English |
| Closed captions | Yes |
| Certificate | StemBoss Certificate of Completion |
What is inside this course
3 modules and 6 lessons. Here is the full outline.
Module 1: HIPAA and Privacy3 lessons
- HIPAA and Privacy
- Security, Safeguards, and Controls
- Examples and Cases
Module 2: Fraud, Waste, and Abuse2 lessons
- Fraud, Waste, and Abuse
- Case Examples and Law
Module 3: Compliance and Prevention1 lessons
- Compliance and Prevention
Your learning path
Where HIPAA Training Course - Fraud and Abuse fits. Build your skills one step at a time.
Frequently asked questions
What is the difference between fraud, waste and abuse?
Fraud is a deliberate act to gain money you are not owed. Waste and abuse cover misuse of resources or practices that lead to wrong payments. The course explains each one with case examples.
Does this course focus on Medicare?
Yes. It covers the main laws that apply to Medicare fraud and abuse and your role in detecting, correcting and preventing it.
Is this course relevant outside the United States?
The rules covered are US laws, such as HIPAA and Medicare regulations. The ideas on privacy, controls and compliance plans are useful anywhere, but the legal detail is American.
Will it help me build a compliance plan?
Yes. The final module looks at compliance and prevention, including what an effective compliance plan should contain.
Is it suitable for medical coders?
Yes. Coders and billing staff are a key audience because billing fraud and false claims are covered in detail.
Do I get a certificate?
Yes. You get a StemBoss Certificate of Completion when you finish the course.
Can I get a refund?
Yes, within 14 days if you have completed less than 20% of the course. See our refund policy for details. Read the refund policy.
