Preventing Fraud, Abuse, and Waste: A Primer for Physical Therapists

The federal government and other payers have enacted laws, written regulations, and introduced policies to crack down on the prevalence of health care fraud, abuse, and waste. While the vast majority of physical therapists provide patients with appropriate services and submit proper claims for payment with accurate information, the payment system and regulatory environment is complex and lack of knowledge can put therapists at risk for billing errors that could be considered fraud, waste, or abuse. This self-directed reading course explains the difference between fraud, waste, and abuse and provides the information necessary to comply with relevant laws and regulations that affect payment. Topics covered include laws governing a PTs relationships with payers, referral sources, and patients, evidence-based practice and ethics/professionalism, and the basic elements of a compliance program.

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Course Code:

LMS-661

APTACategory

Category1

cert_CA approval

CPTA2016-17

cert_Insert Up To

No

cert_No IACET

No

cert_NV credit value

0.1

cert_NY approval

Yes

cert_OH approval code

17S1014

cert_OH hours

1

cert_OK category

B

cert_OK hours

1

cert_PA DA hours

0

cert_PA Ethics hours

1

cert_PA Gen hours

0

cert_Transcript stmt

No

cert_TX approval

1909019TX

Completion Instructions

In order to complete this course you should: View all handouts (available on the Course Information and Materials page). Complete the online posttest with a 70% score or better (You will have unlimited attempts to pass). Once you have successfully completed the posttest, you can print a CEU certificate from the My Courses page.

Course level

Intermediate

Date published

03/16/2015

Delivery method

Online

Instructor(s)

Gayle Lee, JD

Learning objectives

After completing this activity, the learner will: 1. Distinguish between fraud, abuse, and waste 2. Identify the 5 federal fraud and abuse laws important for physical therapists to know 3. Identify inappropriate billing, coding, and documentation practices 4. Identify improper relationships with physicians and other referral sources 5. Recall the 7 core elements that form the basis for developing a compliance program 6. Locate resources to help them take action if there is a problem.

Other

This course does not meeting Texas ethics requirements.

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APTA

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2Assessment_Preventing Fraud_A Primer for Physical Therapists
Overview
Type:E-Learning Course
Credits:0.1
Credit Categories
Tags:Gayle Lee
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