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Course Description

While healthcare involves a noble mission, it is nonetheless a business, and just like any other business operation, there is a potential for fraud. In this course, you will focus on what are commonly called fraud and abuse laws. You will discover the legal protections for the doctor-patient relationships in state law, such as doctor-patient confidentiality, as well as the doctor's fiduciary duties to the patient. At the federal level, you will examine fraud and abuse statutes that carve out particular types of transactions with profit motives to penalize. These are transactions where providers submit false claims to the government for payment and where providers receive kickbacks in exchange for ordering care or making referrals.

As you progress, you will examine the liability your organization can face under the False Claims Act, including medical billing and physician contracting. You will also examine the definition of a kickback and the penalty for receiving one. In addition, you will explore safe harbors that allow practices that could be construed as anti-kickback violations but are protected from penalty because they could benefit a patient's healthcare overall.

Faculty Author

Kristen Underhill

Benefits to the Learner

  • Examine False Claims Act liability
  • Identify possible risks and safe harbors for Anti-Kickback Statute activities
  • Analyze physician relationships giving rise to Stark Law liabilities

Target Audience

  • Healthcare professionals and executives
  • Healthcare providers and administrators
  • Health policy makers
  • Public health department employees
  • Patient advocates
  • Lawyers
  • Doctors
  • Medical research professionals
  • Compliance and risk management professionals

Applies Towards the Following Certificates

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Enroll Now - Select a section to enroll in
Type
2 week
Dates
Jan 01, 2025 to Jan 14, 2025
Total Number of Hours
10.0
Course Fee(s)
Contract Fee $100.00
Type
2 week
Dates
Mar 26, 2025 to Apr 08, 2025
Total Number of Hours
10.0
Course Fee(s)
Contract Fee $100.00
Type
2 week
Dates
Jun 18, 2025 to Jul 01, 2025
Total Number of Hours
10.0
Course Fee(s)
Contract Fee $100.00
Type
2 week
Dates
Sep 10, 2025 to Sep 23, 2025
Total Number of Hours
10.0
Course Fee(s)
Contract Fee $100.00
Type
2 week
Dates
Dec 03, 2025 to Dec 16, 2025
Total Number of Hours
10.0
Course Fee(s)
Contract Fee $100.00
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