Fraud prevention, admission and physician-order logs, and Medicare tracking.
Fraud & Ops covers fraud prevention, admission and physician-order logs, and Medicare tracking.It also holds your automation workflows, which is why the module is broader than its name suggests.
Medicaid fraud, waste, and abuse programmes require agencies to demonstrate active monitoring, not
just a policy. This module is where that evidence accumulates: monitoring entries, compliance scores,
staff training records, and audit results.
Fraud prevention records are evidence of an active programme. Gaps in monitoring or training
records are themselves a finding, separate from any actual fraud.
