Revenue Cycle Compliance and Fraud

Healthcare fraud costs the nation nearly $70 billion per year, according to the National Health Care Anti-Fraud Association. One way to avoid fraud and remain compliant in your medical practice is by training staff on compliance and fraud risks that occur throughout the revenue management cycle. 

To ensure the practice is compliant, this course will provide an overview of the annual revenue cycle, what compliance means as it relates to revenue cycle management, and the major laws and organizations that define and enforce revenue cycle compliance. 

This course will provide you with the knowledge to:

• Recall the annual revenue cycle as it relates to medical practices and service providers
• List how various practice roles factor into the compliance process  
• Select the organizations that define and enforce revenue cycle compliance  

Delivery method: Self-Paced Study | Enduring
Learning level: Basic – Education designed to provide a general understanding of a topic or knowledge area.
Learning format: Traditional
Prerequisites: None
Advance preparation: None
Duration: 30 minutes

Claiming credit: If you wish to claim continuing education credit for this online course, participants must successfully complete all modules and the knowledge check and evaluation.

• ACMPE, medical practice administrators in certification and Fellowship through ACMPE
• CME, licensed physicians (MD/DO)
• CEU, generic continuing education credit

For detailed continuing education credit information, click here.

Please contact the MGMA Service Center at service@mgma.com or toll-free at 877.ASK.MGMA (275.6462) for issues or concerns with this course.