John J. McFee RPh. Investigator-Medicare Prescription Drug Integrity Contractor (MEDIC) Former Investigator Gold Shield Investigations NYS Medicaid Contract Retail Pharmacist Retired NYPD Lieutenant
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Upon Completion of the program, participants will be able to:
- Define and understand examples of fraud, waste and abuse.
- Describe how federal and state laws are applicable to fraud, waste and abuse.
- Describe how allegations of fraud are received, assigned, and the steps taken by the investigative agency to gather information for the investigation.
- Describe the Federal False Claims Act impact on billing irregularities and list examples of Common FCA Violations.
- Define the roles of various agencies to prevent fraud.
- Describe how to initiate communication channels and methods to report potential cases of fraud, waste and abuse.
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