Healthcare Fraud - CMEZ158

Healthcare Fraud

by Laura Morgan, MSN, RN, CCRP, NEA-BC
(4.6 / 55 ratings )

This course is credentialed for:
Medicine (1.00 Credits)
Physician (1.00 Credits)

Price: $15.00
CE-PRO Price: $7.50


Healthcare fraud continues to drain billions of dollars from the U.S. healthcare system annually and depletes the system of valuable and limited resources. Healthcare professionals, as patient advocates, are in a unique position to support patients in obtaining and keeping the healthcare services they need by helping to combat fraud. Nearly every healthcare service type has been involved, or has the potential to be involved, in fraudulent activity that healthcare professionals can help eliminate. Often, they have access to information that enables them to identify fraud long before investigators or law enforcement officers do. As advocates, healthcare professionals can help patients to recognize and report fraud, and help employers avoid fraud.


The goal of this continuing education module is to enhance healthcare providers’ ability to recognize, avoid, and control healthcare fraud. After studying the information presented here, you will be able to:
  • Describe healthcare fraud and the problems identified with fraud control
  • Identify the key federal laws that are used to investigate and prosecute healthcare fraud
  • Describe the healthcare professional’s role in recognizing, avoiding, and reporting healthcare fraud

Approval Information
This course is intended for multiple professions, including nurses, certified medical assistants, and physicians.
Physicians: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Jointly Accredited Provider logoIn support of improving patient care, OnCourse Learning (a Relias LLC company) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
OnCourse Learning is also approved by the Florida Board of Medicine, Florida Board of Osteopathic Medicine, and Florida Physician Assistants (provider # FBN 50-1489).
Physician Continuing Education Credit
OnCourse Learning designates this enduring activity for a maximum of 1.0 AMA PRA category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Physician Assistant Continuing Education Credit
American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.0 hour of Category I credit for completing this program.
There is no commercial support provided for this online educational activity.

Course Originally Released on: 8/22/2012
Date of Most Recent Review: 1/4/2018
Course Termination/Update Date: 1/4/2021

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Tiffany R - Maricopa, AZ  ·  May 14, 2019
the overall course was excellent.
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Michael L - Las Vegas, NV  ·  Apr 01, 2019
good refresher course
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Annette C V - Chicago, IL  ·  Dec 09, 2018
great overview/summary
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Amarin A - Rockledge, FL  ·  Sep 12, 2018
Course was informative.
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Kellyn P - Warrenton, OR  ·  Aug 29, 2018
I appreciated the way it was formatted.
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Price: $15.00
CE-PRO Price: $7.50