2012 Compliance: Fraud, Waste and Abuse (training - Ubhonline.com
2012 Compliance: Fraud, Waste and Abuse (training - Ubhonline.com
2012 Compliance: Fraud, Waste and Abuse (training - Ubhonline.com
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Overview, cont.<br />
• If you or your organization has contracted with other entities or persons to<br />
provide health care <strong>and</strong>/or administrative services on behalf of your patients<br />
covered by UnitedHealthcare or another Plan Sponsor you service on behalf of<br />
Optum, you must provide this <strong>training</strong> material to your subcontractor for <strong>training</strong><br />
<strong>and</strong> ensure that records confirming <strong>training</strong> are maintained by the subcontractor<br />
<strong>and</strong> any other entity that they may have contracted with to perform the services.<br />
• All contracted entities should have policies <strong>and</strong> procedures to prevent, detect,<br />
<strong>and</strong> correct fraud, waste, <strong>and</strong> abuse – including effective <strong>training</strong>, reviews for<br />
excluded or debarred status, reporting mechanisms, <strong>and</strong> methods to respond to<br />
detected offenses.<br />
Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.<br />
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