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Anti-Fraud

Job aids

  • Before you approve that invoice, did you check for red flags?

    Before you approve that invoice, did you check for red flags?

    Your finance team isn’t conducting a forensic review of every invoice they receive; they’re just trying to keep the business running. Make it easy for them to spot red flags in invoices by showing them what they actually look...

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  • Contract Execution Checklist

    Contract Execution Checklist

    Distill down the critical elements for your company's contracts with this simple, customizable tool. Avoiding surprises after a deal closes requires your team to check for more than commas in the agreement. Before execution, use this powerful tool to...

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  • Invoice red flags checklist

    Invoice red flags checklist

    Help your folks reviewing invoices with this handy checklist of red flags for fraud or bribery—they'll love you for making it easy for them do their work compliantly! The people required to sign off on invoices aren’t compliance experts, so...

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  • Managing a Third Party?

    Managing a Third Party?

    The risk of working with third parties is actually working with them, not starting the relationship. Show your team how to manage third-party relationships—and their potential red flags. This piece breaks down the basics of handling day-to-day...

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  • How can I ethically interact with Health Care Professionals?

    How can I ethically interact with Health Care Professionals?

    Make interacting with HCPs easier for your employees by laying out what they can and can’t do in a simple—yet powerful—chart. If your G&E policy can’t be distilled into a chart, it’s too complicated. We’ve done...

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  • Expense approval checklist

    Expense approval checklist

    Give your team an easy-to-understand checklist for walking through the major issues when approving expense reports. Proper approval of expenses requires thoughtful reflection about what, exactly, your organization is paying for—something not...

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  • Got a funny feeling about fraud?

    Got a funny feeling about fraud?

    Help your employees sniff out that funky fraud smell with this highly visual piece setting out red flags. Your team needs to feel empowered to use the “f” word—fraud. This guide provides solid examples of behaviors that just...

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  • Business disruptions or other major events can be unsettling: routines are out the window and there’s a lot of change for everyone to process and manage all at once. Show your leaders how to lead, cut through the chaos, and help your managers find their inner zen with this piece that neatly lays out five things they need to do to ensure a smooth transition to the “new normal.” Namaste

    Leading a team after a major event?

    Business disruptions or other major events can be unsettling: routines are out the window and there’s a lot of change for everyone to process and manage all at once. Show your leaders how to lead, cut through the chaos, and help your managers find...

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  • Contract terms checklist (2-page version)

    Contract terms checklist (2-page version)

    Want your transactional teams to think like compliance? Show them how with this thorough checklist for key terms required for every company contract. In the hurry to finish a deal, even the sharpest of transactional lawyers can miss important compliance...

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  • Contract terms checklist (1-page version)

    Contract terms checklist (1-page version)

    Want your transactional teams to think like compliance? Show them how with this thorough checklist for key terms required for every company contract. In the hurry to finish a deal, even the sharpest of transactional lawyers can miss important compliance...

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  • Before a service provider starts work

    Before a service provider starts work

    Show your team the basics—and importance—of vetting service providers and obtaining proper documentation before work begins. Whether it be control for anticorruption, fraud, or sanction screening, it’s the same idea: don’t have...

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  • Your folks need to be thoughtful when collecting health information, but they may not know everything they need to consider. This infographic guides your teams through critical questions to help them plan and communicate how they’ll collect, use and protect patient data. It wraps up with a simple reminder to reach out to the Privacy Team when they need to talk through a specific situation. Looking for the customer data version? Check it out, here.

    Want to collect health information?

    Your folks need to be thoughtful when collecting health information, but they may not know everything they need to consider. This infographic guides your teams through critical questions to help them plan and communicate how they’ll...

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  • Received a request for funding?

    Received a request for funding?

    Anyone at your org might pick up the phone or receive an email asking for funding. Ensure they know exactly how to navigate those requests and avoid downstream issues with this job aid. Covering donations, grants, sponsorship and access programs, this...

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  • Submitting a Timesheet?

    Submitting a Timesheet?

    Getting creative at work is usually a good thing, but not when it comes to timekeeping. Incorporate this checklist into the time tracking process, so both your hourly employees and managers are crystal clear on the rules. This way, small adjustments can...

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  • Finding out about a deal-breaker weeks into the negotiation process is no bueno. Be the hero and save your organization time and dinero with this clever checklist. Broken into two sections, this tool guides your people through evaluating the arrangement (should we even be doing this?) and documenting the essentials (cross those Ts!). This way, you can be sure your deals are good for business and your reputation. ¡De nada!

    Reviewing a physician agreement?

    Finding out about a deal-breaker weeks into the negotiation process is no bueno. Be the hero and save your organization time and dinero with this clever checklist. Broken into two sections, this tool guides your people through evaluating the arrangement...

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  • Has someone come to our ER seeking emergency care?

    Has someone come to our ER seeking emergency care?

    Healthcare laws are complicated—we’re looking at you, EMTALA!—but this decision tree is not. Use this tool to help your employees follow appropriate ER procedures: should the person seeking care receive emergency care or be transferred,...

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  • How to complete the CMS Certificate of Medical Necessity

    How to complete the CMS Certificate of Medical Necessity

    Need to complete the CMS Certificate of Medical Necessity? Use these elegant job aids to help your team do it properly. Government instructions, amirite?! We’ve taken the government’s confusing form-completion directions and transformed them...

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  • How to complete the CMS Advance Beneficiary Notice of Noncoverage (ABN)

    How to complete the CMS Advance Beneficiary Notice of Noncoverage (ABN)

    Help your representatives navigate confusing government instructions for completing the CMS Advance Beneficiary Notice of Noncoverage (ABN) with this straightforward job aid. We’ve simplified seven (seven!!) full pages of dense government...

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  • Instructions to review a Detailed Work Order (DWO)

    Instructions to review a Detailed Work Order (DWO)

    Use this graphic job aid to prevent your sales team from running afoul of CMS requirements when they review DWOs. Who knew reviewing DWOs were so complicated?! (Those in the medical field, obvs.) Broken down into a two-step process covering both...

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  • Referrals involving Medicare or Medicaid

    Referrals involving Medicare or Medicaid

    Use this decision tree to help your employees navigate the Stark Law’s requirements regarding referrals involving payment by Medicare or Medicaid. Covering the essentials of most day-to-day situations and the requirements that physician...

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  • Managing a Joint Venture Partner?

    Managing a Joint Venture Partner?

    Help your team know how to navigate day-to-day JV issues with this handy guide that hits all the key areas of corruption, trade compliance, conflicts, confidentiality and more—all so your team doesn’t have to do it from memory. It’s...

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  • Before you send that shipment, make sure it won't come back

    Before you send that shipment, make sure it won't come back

    This checklist helps sales staff evaluate whether an order is legit—or potentially channel stuffing. The incentive to sell as much product as possible is great for your business … until sales folks get too eager to get stuff out the door...

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  • Petty cash red flags checklist

    Petty cash red flags checklist

    Give your managers and finance team a roadmap of proper petty cash procedures. Small amounts of money can create huge problems, but it’s still natural to be tempted to ignore something literally called “petty.” This piece gets your...

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  • New Account Red Flags

    New Account Red Flags

    This checklist assists your on-the-ground folks as they determine whether new accounts are legit and viable. There’s no point in making a “sale” when it wasn’t real to begin with. This walks your team, especially the sales folks,...

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