Fraud, Waste, and Abuse: Developing an Effective Compliance Program in Office Practice

Release Date: September 1, 2020
Expiration Date: August 31, 2023
Format: Enduring
Credit: 1.0 CME or 1.0 CDE

Faculty/Course Developer

Arlene Luu, BSN, RN, JD
Senior Patient Safety & Risk Consultant, MedPro Group

Program Details

As part of the Patient Protection and Affordable Care Act, healthcare practices and organizations are required to develop effective compliance programs. The purpose of a healthcare compliance program is to prevent and detect illegal activity and provide a roadmap for ethical business practice. This webinar will provide an overview of the essential elements of a compliance program and describe key statutes and regulations that should be considered as part of compliance activities. Participants will have an opportunity to (a) review and analyze actual cases involving violations of the fraud, waste, and abuse laws, and (b) learn how to mitigate the risk of similar allegations in their organizations.  

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. Describe the key roles and responsibilities of a compliance officer.
  4. Identify resources to assist in developing a compliance program for a healthcare practice setting.

CE and Premium Credit Details

MedPro Group is pleased to offer insureds an opportunity to earn continuing education 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.

Program Approval

ACCME Commendation logo

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)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PACE logo

MedPro Group is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by the AGD for Fellowship/Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from October 1, 2018 to September 30, 2022. Provider ID# 218784

MedPro Group designates this continuing dental education activity as meeting the criteria for up to 1.0 hour(s) of continuing education credit. Doctors should claim only those hours actually spent in the activity.

Healthcare providers should claim only the credit commensurate with the extent of their participation in the activity. Osteopathic physicians, nonphysician doctors, and advanced practice healthcare professionals 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.

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, contact MedPro Group's Customer Service Team 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.

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/or may differ between companies.

© 2020 MedPro Group Inc. All rights reserved.

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If you have any comments, questions, or concerns, please email us at or call 800-463-3776.

Technical Requirements

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