Heath Care Fraud: What You Do Not Know Can Harm You
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Healthcare fraud cost billions per year. Some cases are blatant but others are subtle. Many cases are found by someone seeing something and saying something. The Office of the Inspector General (OIG) investigates cases of fraud and abuse. Learn about the health care laws to protect against fraud and abuse such as the False Claims Act. Learn about cases from the OIG across the country, who was involved, what constitutes fraudulent activity, what transpired during the investigations and outcomes with respect to fines and jail time. This session will teach the NP skills to question, identify and learn the ways to identify fraudulent practices. Learn how to protect yourself for becoming an unwitting participant.
*Due to rapidly changing clinical knowledge, once purchased, you have 90 days access to complete this education.
Credits: 1.0 contact hours; 0.17 are pharmacology
Expiration Date: December 31, 2024
$25
LEARNING OBJECTIVES
After taking part in this educational activity, participants should be better able to:
-Participants will compare the different types of fraudulent activity identified by the OIG.
-Participants will identify the consequences of fraudulent practices
-Participants will formulate an action plan to minimize their risk.
Lynn Rapsilber, DNP, APRN, ANP-BC, FAANP
Owner
NP Business Consultants, LLC
Dr. Rapsilber has been educating colleagues on the nuances of coding and billing for years. She is a sought-after speaker at local, state and national conferences. In our education and training, the focus is on mastering clinical aspects of the role, Lynn recognized the need to provide business education as well. She explains the complex process of billing and coding into an easy to understand, user-friendly exercise. She is the owner of NP Business Consultants, LLC educating NPs about the fiscal responsibility we all have to our practices. She published articles, contributed to book chapters, and is a resource on Reimbursement for NP Services. She has presented on a variety of topics related to health care fraud, health policy, business development, payment models and NP value in changing reimbursement models. Dr. Rapsilber is a Founder of the National Nurse Practitioner Entrepreneur Network (NNPEN) started by NPs to accelerate NP business ownership with the goal to preserve the benefits of nurse-led care to grow substantially and operate sustainably
CE INFORMATION
Obtain Your Credits
To earn credits for this activity, navigate to the Content(s) tab and complete all course components in the following order: 1) watch the course presentation video; 2) complete the course evaluation; 3) pass the post-test with a score of 2/3 (66.7%) or higher. You may retake the post-test until a passing score is achieved, at which point you will be able to view/print a copy of your certificate of completion. This online certificate will also be saved within your profile 'My Courses/Certificates' -> 'Transcript/Certificates Earned' for future access.
Designation Statement
NPACE designates this educational activity for a maximum of 1.00 contact hours, of which 0.17 is pharmacology credit. Participants should claim only credit commensurate with the extent of their participation in the activity.
Accreditation Statement
Nurse Practitioner Associates for Continuing Education is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
In addition to ANCC, NPACE is approved as a provider of continuing education in nursing by: the California Board of Registered Nursing, Provider Number CEP8720 and Florida CE Broker #50-1476.
DISCLOSURES
Faculty
Contributing faculty, Lynn Rapsilber, DNP, APRN, ANP-BC, FAANP have disclosed:
1. Name of Commercial Interest/Company: Gilead
Relationship with Commercial Interest: Speaker
Clinical Area: Hepatitis C
Name of Drug, Test, Device or Other Product Made by Commercial Interest: Eplcusa
2. Name of Commercial Interest/Company: NP Business Consultants, LLC
Relationship with Commercial Interest: Owner
Clinical Area: Business
Name of Drug, Test, Device or Other Product Made by Commercial Interest: Documenting, coding, reimbursement
3. Name of Commercial Interest/Company: Nationa Nurse Practitioner Entrepreneur Network
Relationship with Commercial Interest: Co-founder & CEO
Clinical Area: Business
Name of Drug, Test, Device or Other Product Made by Commercial Interest: Practice start up, education
Planners
All planners and contributors involved in this educational activity have disclosed no relevant financial relationships.
Disclaimer
The material presented in this continuing education program is being made available for educational purposes only and is not intended to represent the best or only methods, medications and/or guidelines appropriate for the medical situation discussed. Rather the material is intended to present an approach, view, statement, or opinion of the presenter(s), which may be helpful, or of interest to other practitioners and should not be used by clinicians without the evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. NPACE disclaims any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any information given in a presentation.
Disclosure of Unlabeled Use
This educational activity may mention the uses of products that are not approved by the FDA for the indication(s) being discussed. The presenter(s) are instructed to notify participants when they are discussing unapproved uses or investigational agents. The opinions related to unapproved uses of products are solely those of the presenter(s) and are not endorsed or recommended by NPACE. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Commercial Support
There is no commercial support for this activity.
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