2012 Compliance: Fraud, Waste and Abuse (training - Ubhonline.com

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CMS MLN FWA Training Module • As announced in the 05/08/2012 CMS HPMS Memo entitled, ‘Fraud, Waste, and Abuse Training and Education Guidance’, CMS has developed a webbased, standardized fraud, waste and abuse training module that can be used by first tier, downstream, and related entities to satisfy the fraud, waste, and abuse training and education requirements. • Using CMS’ training and education module is optional however this training meets CMS’ fraud, waste, and abuse training requirements and Optum will accept the use of this training option by first tier and downstream entities. – The module is available through the CMS Medicare Learning Network at http://www.cms.gov/MLNProducts – From the MLN Products page follow this path: • Click the “Provider Compliance” link listed within the left side navigation panel • Under “Downloads”, choose the “Medicare Parts C and D Fraud, Waste, and Abuse Training” zip file • Choose “Open’” or “Save’” to access the training module which is provided in both PDF and PowerPoint formats. • Documentation demonstrating completion of training at the employee level must be retained for a minimum of ten years and made available upon request to Optum, CMS, or agents acting on behalf of CMS. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 18
Optum FWA Training Materials
Page 1 and 2: 2012 Compliance Fraud, Waste and Ab
Page 3 and 4: Overview, cont. • In regulations
Page 5 and 6: Overview, cont. • If you or your
Page 7 and 8: Compliance Expectations
Page 9 and 10: CMS Role and Definition • The Cen
Page 11 and 12: Seven Elements of an Effective Comp
Page 13 and 14: Effective Lines of Communication
Page 15 and 16: Exclusion and Debarment Review Requ
Page 17: CMS MLN FWA Training Materials
Page 21 and 22: Fraud, Waste, and Abuse Policies
Page 23 and 24: Pertinent Laws and Regulations •
Page 31 and 32: Examples of Fraud, Waste, and Abuse
Page 33 and 34: Examples of Fraud, Waste, and Abuse
Page 35 and 36: Additional Resources • CMS’ Pre
Page 37 and 38: ANSWERS - Quiz and Self Assessment
Page 39: Documentation Requirements Attentio

2012 Compliance: Fraud, Waste and Abuse (training - Ubhonline.com

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