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Medicare Fraud & Abuse: Legal Perspectives
Presented by Al Kushner
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Course Description
Length: 1h 16min Published: 7/21/2026 
This course delves into the intricacies of Medicare fraud and abuse, highlighting the significant financial and ethical implications for the healthcare system. It provides a comprehensive overview of fraudulent practices, such as billing for services not provided, falsifying medical records, and kickbacks, along with the legal ramifications under federal statutes like the False Claims Act and Anti-Kickback Statute. The course emphasizes the importance of early detection and prevention strategies, including the use of data analytics, whistleblower reports, and routine audits, to safeguard Medicare's integrity and ensure sustainable healthcare for future generations.
Learning Objectives
* Understand the definitions and differences between Medicare fraud and abuse.
* Recognize the financial and ethical impacts of fraudulent activities on the healthcare system.
* Learn about the legal frameworks governing Medicare fraud, including the False Claims Act and Anti-Kickback Statute.
* Explore various forms of Medicare fraud, such as billing for services not provided and falsifying medical records.
* Identify strategies for preventing and detecting Medicare fraud, including data analytics and whistleblower protections.
* Understand the role of healthcare providers and policymakers in combating fraud and abuse.
* Recognize the broader impact of Medicare fraud on beneficiaries, taxpayers, and healthcare access.
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Presented By:
Al Kushner
(888) 810-9725
media@virtualmedi.care
