Fraud, Waste & Abuse Training
Fraud, Waste & Abuse deals with compliance, billing and other related issues. What you need to know is:
- - that the government enforces several laws and rules in this area with penalties including fines and/or imprisonment;
- - that the government now requires training for participants in any Medicare Advantage plan;
- - that some state rules require training for all physicians and
- - the definitions and rules governing fraud and abuse, anti-kickback statutes and the Stark law.
- Implementing compliance and practice standards;
- Designating a compliance officer or contact;
- Conducting appropriate training and education;
- Conducting internal monitoring and auditing:
- Responding appropriately to detected offenses and developing corrective action;
- Developing open lines of communication; and
- Enforcing disciplinary standards and rewards through well-publicized guidelines.
Who must participate?
All staff members for all Medicare Part C (Medicare HMO) participating providers are required to participate in Fraud, Waste & Abuse training and to provide proof of same as of 12/30/09.
