Release Date: July 1, 2024
Expiration Date: June 30, 3027
Format: Enduring
Credit: 1.0 CME, 1.0 CDE, or 1.0 CNE

Faculty

Arlene Luu, RN, BSN, JD, CPHRM
Senior Risk Solutions Consultant, MedPro Group

Program Details

Healthcare compliance is a complex topic that involves numerous regulations and layers of oversight. However, at its core, compliance is intended to promote ethical conduct and business practices. By developing and adhering to an effective compliance plan and educating staff, healthcare practices can prevent fraudulent activity, promote ethical behavior and business practices, and support quality care.

This on-demand program will provide a basic understanding of state and federal fraud, abuse, and waste laws; offer guidance on how to comply with these laws and develop an effective compliance plan; and discuss “red flag” actions that could lead to criminal, civil, and administrative enforcement actions.

Educational Objectives

Upon completion of this activity, learners should be able to:

1. Demonstrate understanding of the laws pertaining to fraud, abuse, and waste
2. Understand the seven fundamental elements of an effective compliance program as defined by the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG)
3. Understand examples of fraud and abuse
4. Identify resources to assist in developing a compliance program for a practice setting and for understanding healthcare fraud

CE and Premium Credit Details

MedPro Group is pleased to offer insureds an opportunity to earn continuing education (CE) hours. There is no cost for this test or the corresponding CE credit. Please make sure you have viewed the activity completely before taking this test. If you pass the test with a score of 70 percent or higher, you will be issued 1.0 CE credit(s) and can print a copy of the CE certificate for your education files.

Webinars do not need to be completed in one sitting, but participants should note the time they stop watching so they can restart the video at the appropriate time.

Program Approval

	MedPro Group is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. MedPro Group designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.
	MedPro Group is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. MedPro Group designates this enduring activity for a maximum of 1.0 CNE. Participants must complete all program components, including obtaining a score of 70% or better on the post-test.
	MedPro Group Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement October 1, 2022 to September 30, 2025. Provider ID# 218784 MedPro Group designates this continuing dental education activity as meeting the criteria for up to 1.0 hour(s) of CE credit. Doctors should claim only those hours actually spent in the activity.

Participants should claim only the credit commensurate with the extent of their participation in the activity. Individuals not seeking CME, CDE or CNE may take the test and submit their certificates to their professional CE accrediting bodies for review and consideration.

Premium Credit

This activity offers 1.0 hour(s) of risk education credit with full documented participation. MedPro Group insureds who successfully complete this activity might be eligible to apply earned risk education hours toward a premium credit. To receive a 1-year risk management premium credit, insureds must take two 1-hour on-demand programs.

Approval by MedPro Group does not imply acceptance by a state or provincial board. Premium credit eligibility and amount are subject to state insurance filings and policy type. Completion of a risk management course does not imply or guarantee renewal.

To learn more about premium credit eligibility, please contact us at 800-463-3776.

Commercial Support and Faculty Disclosure

MedPro Group developed this CE activity without commercial support. CE planners, content developers, editors, committee members, and MedPro Group Risk Solutions staff report that they have no relevant financial relationships with any commercial interests or ineligible company.

Legal Disclaimers

The information and guidance provided here should not be construed as medical or legal advice and should not be construed as rules or establishing a standard of care. Because the facts applicable to your situation may vary, or the regulations applicable in your jurisdiction may differ, please contact your attorney or other professional advisors if you have any questions related to your legal or medical obligations or rights, state or federal laws, contract interpretation, or other legal questions.

About MedPro Group

MedPro Group is the marketing name used to refer to the insurance operations of The Medical Protective Company, Princeton Insurance Company, PLICO Inc., and MedPro RRG Risk Retention Group. All insurance products are underwritten and administered by these and other Berkshire Hathaway affiliates, including National Fire & Marine Insurance Company. Product availability is based upon business and/or regulatory approval and may differ between companies.

© 2024 MedPro Group Inc. All rights reserved.

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Contact Us

If you have any comments, questions, or concerns, please email us at riskmanagement@medpro.com or call 800-463-3776 x119649.

Technical Requirements

This activity is best experienced using the most current browser (or its previous version) of Firefox, Chrome, Safari, or Microsoft Edge. For all activities featuring audio, you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

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