What is Fraud Waste and Abuse Training?
In response to the rise in the number of health care fraud and abuse cases and the escalating cost of health care services, the U.S. Centers for Medicare and Medicaid Services (CMS) has instituted compulsory training and compliance programs for individuals and organizations who provide health or administrative services to Medicare or Medicaid enrollees or who receive payments from the Medicare/Medicaid system. These training and compliance programs help establish fundamental expectations for compliance, disclosure, transparency, and quality of care.
FraudWasteAndAbuseTraining.com offers a full range of Fraud Waste and Abuse compliance products from training and certification for an individual to full Fraud Waste and Abuse compliance for organizations. We specialize in helping individuals and small to midsize organizations get Fraud Waste and Abuse compliant in the most affordable, fastest, and easiest way possible.
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Who Needs to Comply with Medicare/Medicaid Fraud Waste and Abuse?
Compliance is required for all Part C and D first tier, downstream, related and delegated entities, including Medicare Advantage providers who administer the Part D drug benefit or provide health care services to Medicare Advantage enrollees such as:
- Network Providers including Hospitals, Primary Care Providers, Ancillary Providers, Specialists, Independent Provider Associations and Medical Groups
- Pharmacy Benefit Managers (PBMs)
- Pharmacies and pharmacists
- Subcontractors (e.g. Claim Processing Firms)
- Etc
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