Curriculum
Curriculum module 02: Medicare and Medicaid billing fraud
- Identifier
AYENI-2026-0002 - Version1
- Published2026-06-30
- AccessTier 1: public
Description #
A 45 minute reusable teaching module on Medicare and Medicaid billing fraud, written to be delivered by a trained volunteer with no clinical or technical background. Covers how a beneficiary's number is misused to generate false claims, the specific signals in the approach and in the paperwork afterward, the single action to take, and where to report. Includes delivery timing, a specimen Medicare Summary Notice exercise, facilitator notes for handling disclosures, and a derivation table showing that each recognition cue is a direct restatement of a measurement from the provider level claims anomaly detection work in Initiative 1.
Files #
| Path | Size | SHA-256 |
|---|---|---|
files/module-02-medicare-and-medicaid-billing-fraud.pdf |
157,461 bytes | c671bf58c5f5f3f76291794ee84d1c987eb4ffa314b163ade9befdf4878fbb5e |
Each file's SHA-256 is listed above. To confirm a download is unmodified: shasum -a 256 filename
Licence: CC BY 4.0