Lesson 1: Why the rule exists · 7 min
Explain why FWA programs exist and the cost of non-compliance.
Learners prepare on their own, you answer questions live, and the surveys tell you what stuck. 8 fields to fill in with your own policy, contacts and locations; each one is highlighted inside the course.



What learners can do at the end of each lesson. Minutes are an estimate.
Explain why FWA programs exist and the cost of non-compliance.
Distinguish fraud, waste and abuse with examples.
Apply key laws: FCA, AKS, Stark, exclusion, CMP, criminal fraud.
Recognise FWA red flags among members, providers, pharmacies and plans.
Check exclusion status and avoid conflicts.
Report suspected FWA through internal and external channels; know non-retaliation.
12 questions, 80% to pass. The result is saved to the learner's record.
Based on: 42 CFR §422.503(b)(4)(vi)(C), §423.504(b)(4)(vi)(C) (effective training and education); Medicare Managed Care Manual Ch.…