Comprehensive Medicare Fraud & Abuse Training for Every Healthcare Role

Healthcare organizations face unprecedented scrutiny from federal enforcement agencies investigating Medicare fraud, waste, and abuse. From False Claims Act violations to Anti-Kickback Statute breaches and Stark Law infractions, a single compliance failure can result in millions in penalties, exclusion from federal programs, and criminal prosecution. Our comprehensive Medicare compliance training library addresses every critical requirement, ensuring your staff understands the laws, recognizes red flags, and protects your organization while meeting CMS compliance program expectations.

Medicare & Corporate Compliance Course Options

Whether you need foundational fraud and abuse awareness for new hires, specialized training for billing and coding staff, or comprehensive compliance programs for clinical and administrative teams, our courses deliver expert content that transforms complex federal regulations into practical, workplace-ready compliance skills. Explore our complete Medicare compliance training solutions below:

  • Medicare Compliance: Fraud and Abuse

  • Anti-Bribery & Corruption

Bundle Courses and SAVE

License both Medicare Compliance: Fraud & Abuse and HIPAA Privacy and Security for Covered Entities training courses for a reduced license fee over individual course purchase. Give your staff the tools they need to protect your organization from the disclosure of protected health information and to reduce the risk of fraud and abuse.

Bundle Benefits

  • Comprehensive compliance coverage for healthcare providers
  • Reduced per-learner pricing
  • Coordinated training administration
  • Printable certificates for both courses

Course Features and Benefits

🎯

Crystal-clear learning objectives set expectations up front and guide learners through the course—so they stay focused, understand what matters most, and finish with confidence.

🎬

Engaging Videos and Professional Narration bring content to life with dynamic visuals and natural-sounding audio—making training more interactive, modern, and easier to absorb.

➡️

Guided, step-by-step navigation keeps learners on track and ensures every required section is completed—supporting consistency and better compliance outcomes.

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Smart bookmarking automatically saves progress so learners can pick up exactly where they left off—no rewatching or hunting for their last page.

✅

Built-in practice that sticks with non-graded knowledge checks, scenarios, and exercises that reinforce key concepts and strengthen retention without pressure.

🔀

Randomized final assessments pulled from a question bank to keep testing fair, consistent, and resistant to answer-sharing—while still measuring the right learning outcomes.

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Flexible LMS Integration Options SCORM-compliant courses work seamlessly with your existing LMS. Alternatively, use our enterprise-level Workplace LMS designed specifically for healthcare compliance training.

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Unlimited retakes to mastery so learners can reattempt the assessment until they meet the passing score—supporting learning, confidence, and completion without unnecessary roadblocks.

HIPAA Certification

Differences Between “Fraud” and “Abuse”.

There are differences between fraud, waste, and abuse. One of the primary differences is intent and knowledge.

  • Fraud requires intent to obtain payment and the knowledge the actions are wrong.
  • Waste and abuse may involve obtaining improper payment or creating an unnecessary cost to government healthcare programs but do not require the same intent and knowledge
Organization Will Learn

Laws Combatting Fraud & Abuse.

Principal laws that are used to combat fraud & abuse against government healthcare programs:

  • False Claims Act – 31 USC § 3729 (FCA)
  • Anti- Kickback Statute – 42 USC §1320-7b(b)
  • Physician Self-Referral (“Stark”) Statute – §42 USC 1320-7b(b)
  • United States Criminal Code
  • Fraud Enforcement and Recovery Act of 2009 (“FERA”)

What Consequences Can Organizations Face for FCA, Stark Law or Anti-Kickback Violations?

There can be significant legal and financial consequences for violations of the laws that combat fraud against government healthcare programs.  These legal and financial penalties can include fines, imprisonment, and exclusion from participating in Federal government healthcare programs.

Conduct Training
Corporate Compliance

Compliance Programs Help with Legal Compliance.

Healthcare organizations must implement a compliance program, which is a set of internal policies and procedures that healthcare organizations put into place to help the organization comply with the law.  An effective compliance program has seven basic elements and should encompass not just employees but also personnel working as agents and contractors.  These written policies and procedures serve as the standard of conduct and must be updated as needed as the organization grows

HIPAA Certification Cost

Employee’s Obligation to Report Improper Activities to Employer.

All employees have an obligation to report improper activities to their employer.   In the event that employees discover a compliance error that could lead to a violation of the False Claims Act or other law that combat healthcare fraud, they should bring it to the attention of their immediate supervisor or compliance officer to investigate and rectify problems.

Protect Your Healthcare Organization with Medicare: Fraud & Abuse Training from Evolve e-Learning Solutions.

With Evolve e-Learning Solutions, your team receives high quality training to ensure their understanding of the laws that combat fraud and abuse against government healthcare programs such Medicare and Medicaid.  Our Medicare: Fraud & Abuse training course is crucial for your employees to understand the laws and work within the laws. We offer the proper tools and resources to provide your employees with the knowledge of the Medicare: Fraud & Abuse laws to maintain compliance.  This course can be bundled with other OSHA Safety for Healthcare, HIPAA, and HR/EEO courses to ensure a fully compliant workplace at discounted pricing.

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