Medical fraud, waste, and abuse

Fraud, Waste, and Abuse Prevention – Online Inservice

Fraud, Waste, and Abuse (FWA) in healthcare undermines patient trust, increases costs, and threatens the integrity of Medicare and Medicaid programs. Certified Nursing Assistants (CNAs) and Home Health Aides (HHAs) play a vital role in protecting patients, employers, and federal healthcare resources through ethical practice, accurate documentation, and timely reporting of concerns.

This course provides CNAs and HHAs with a comprehensive understanding of fraud, waste, and abuse as defined by the Centers for Medicare & Medicaid Services (CMS). Learners will explore real-world examples relevant to long-term care, home health, and community-based settings; understand the legal and ethical implications of FWA; and learn their responsibilities in prevention, detection, and reporting. Emphasis is placed on practical application, professional accountability, and non-retaliation protections for good-faith reporting.

This course is designed to meet annual in-service and compliance training requirements and supports a culture of integrity, patient safety, and regulatory compliance.

Objectives

Upon completion of this course, the participant will be able to:

  1. Define fraud, waste, and abuse as they relate to healthcare services.
  2. Describe how FWA impacts patients, providers, and federal healthcare programs.
  3. Identify common examples of fraud, waste, and abuse relevant to CNA and HHA roles.
  4. Recognize warning signs and high-risk behaviors associated with FWA.
  5. Demonstrate understanding of proper documentation and ethical responsibilities.
  6. Explain the appropriate steps for reporting suspected fraud, waste, or abuse.

Curriculum

Chapter 1: Introduction to Fraud, Waste, and Abuse

Chapter 2: Fraud in Healthcare - Intentional Deception

Chapter 3: Waste and Abuse - Misuse of Healthcare Resources

Chapter 4: Real-World FWA Scenarios for CNAs and HHAs

Chapter 5: Documentation, Ethics, and Professional Accountability

Chapter 6: Preventing, Detecting, and Reporting FWA
 

Price: $10.00

Contact Hour: 1

Medical fraud, waste, and abuse

Course Author

Author photo for Kendall Moore

Kendall Moore

Kendall is a 2022 Magna Cum Laude graduate from Tyler Junior College with an Associate Degree in Nursing. She has a deep passion for nutrition and hormone health, is a member of the American Holistic Nurses Association, and is currently enrolled in Pacific College's RN-to-BSN in Holistic Nursing program. Upon graduation, Kendall intends to begin a Nutritional Therapy Practitioner program to further expand her expertise.

In addition to her academic and professional pursuits, Kendall serves as the Chief Operating Officer of Pedagogy, where she manages the day-to-day operations of the company while simultaneously attending school and authoring educational courses. Her unique blend of leadership, clinical knowledge, and dedication to holistic health reflects her commitment to advancing both patient care and healthcare education.

Read Full Bio

Course Accreditation

Provider approved by the Florida, New Hampshire, and Wyoming Board of Nursing-Certified Nursing Assistants, CE Broker Provider #: 50-13256.

Ready to begin?

Sign in or register for an account.

Not sure what courses you need?

Browse our course catalog!