Free Fraud, Waste, and Abuse Training for Healthcare Staff
This free sample introduces One Guy Consulting's Fraud, Waste, and Abuse course and requires no signup. It walks three rooms to explain each term, highlight billing red flags, and demonstrate how staff can report concerns, then asks three questions from the real knowledge check.
Free sample: what to expect
The sample runs in your browser: walk three rooms of the 3D course, then answer three questions from the real knowledge check. No login, and nothing is saved. Key terms on first mention: fraud (deliberate deception for unlawful gain), waste (overuse or inefficient use of resources), abuse (practices that may lead to unnecessary costs), and upcoding (billing for a higher-level service than provided).
"This free sample walks three rooms: definitions, billing red flags, and how to report a concern."
(Chuck Weiselberg, Founder)
Sample rooms and quick takeaways
Three Doors: fraud, waste, and abuse
- What: fraud requires intent and knowing it is wrong; waste is usually carelessness; abuse is getting paid with no legal right to the payment, without knowingly misrepresenting facts.
- Why: the difference is intent and knowledge, and it decides which law and which penalty applies.
- Next step: when unsure which one you are looking at, report it and let the compliance officer sort it out.
Billing Desk: upcoding and red flags
- What: one red flag is a bill for services the chart does not show.
- Why: every claim counts separately under the False Claims Act, so a pattern adds up fast.
- Next step: tell your compliance officer or Privacy Officer before the claim goes out.
Sample scenario: a supervisor tells billing staff to code every established-patient visit at the highest level, whatever the chart says, because "the payer never checks." The right response: code from the documentation and report the instruction. "My boss told me to" is not a defense, and reporting in good faith is protected.
Hotline Booth: how to report
- What: report to your compliance officer, Privacy Officer or compliance hotline; anonymous reports are accepted.
- Why: confidentiality matters, and retaliation against good-faith reporters is prohibited.
- Next step: outside the practice, submit a concern to the HHS Office of Inspector General (1-800-HHS-TIPS) or Medicare (1-800-MEDICARE).
Official sources
What the full course adds
Every room in the full course, in order. The full course has 17 lessons and ends with the complete 8-question knowledge check; 6 of 8 correct passes, and completion is recorded in the portal.
- Front Office: why it matters
Why fraud, waste, and abuse training matters for anyone who works with Medicare patients. CMS's own course calls for this training within 90 days of hire and at least once a year, and the penalties reach individuals, not just organizations. - Three Doors: fraud, waste, and abuse defined (in this sample)
The three terms and how they differ. The biggest difference is intent and knowledge. - Courthouse: the False Claims Act and whistleblowers
Knowingly submitting a false claim costs three times the government's damages plus $14,308 to $28,619 per claim (2025 figures, per the course). Whistleblowers are protected from retaliation. - The Back Room: the Anti-Kickback Statute, the Stark Law, and a gift card scenario
Why anything of value tied to referrals is a crime, how the Stark Law limits self-referrals, and a lab rep who leaves a $50 gift card per referral. - The Gavel: criminal health care fraud
Executing a scheme to defraud any health care benefit program is a federal crime, with prison terms of up to 10 years under 18 U.S.C. 1347. - Exclusion Gate: exclusions and civil penalties
Why practices check the OIG exclusion list and SAM.gov before hiring or contracting, and the civil penalties OIG can impose without a criminal case. - Billing Desk: upcoding and red flags (in this sample)
Upcoding, the red flags in patient records and billing, and a supervisor who says to bill every visit at the highest level. - Hotline Booth: your role and how to report (in this sample)
Your three duties, and how to report inside or outside the practice, anonymously if you choose. - Repair Shop: overpayments and corrections
An overpayment must be reported and returned within 60 days after it is identified, and a corrective action plan fixes the root cause.
Nothing in this sample is saved.
Questions about this sample
Is this course sample free?
Yes; this is a free sample of the Fraud, Waste, and Abuse course and it requires no signup.
What rooms does the free sample include?
The free sample walks three rooms: definitions of fraud, waste, and abuse; billing red flags; and how to report a concern.
What does the full course cover?
The full course includes every room listed on the page and ends with the complete knowledge check.
Case example (anonymized; from One Guy Consulting's case studies, not specific to this course): a health group with more than 100 offices lifted take-up of its compliance program by about 17% by reading the activity data and reaching out office by office. Read case 03.
Want Training Your Whole Team Will Actually Finish?
Staff training and progress tracking come with Full-Scope. Book a free 30-minute intro call to review how training fits your practice.