Educational Objectives: Be able to identify the definitions of Fraud, Waste and Abuse and how they may show up in day-to-day practice Become aware of the source of overpayments, including not-medically necessary care, maintenance care, and active treatment Apply the guidance from the OIG to your state and carrier regulations since they are a resource to these groups Recognize insufficient documentation and incorrect coding before the billing takes place Implement the action steps recommended by the OIG to eliminate incorrect documentation, billing and coding practices to reduce compliance risk
