Fraud, Waste, and Abuse Training

Course Features:

This course is certified by the registration governing board and satisfies part of the formal training requirements for individuals and employees seeking how to approach of FWA and benefits of a sustained FWA program Training Requirements: Plan Employees, Governing Body Members, and First-Tier, Downstream, or Related Entity (FDR) Employees under the Scheme.

Learning Objective:

● Learn about Medicare Part C (Medicare Advantage)
● Learn about Medicare Part D (Prescription Drug Benefits)
● Who Needs to Comply with Medicare/Medicaid Fraud Waste and Abuse
● Recognize FWA in the Medicare Program
● Identify the major laws and regulations pertaining to FWA
● Recognize potential consequences and penalties associated with violations
● Identify methods of preventing FWA
● How to Prevent Fraud, Waste and Abuse?
● Identify how to report FWA
● Recognize how to correct FWA

Course Content:

By the end of this module, participants will be able to Identify the elements of FWA
● Discuss why FWA is considered a foundational element for Medicare Institutions
FWA Approaches
● How to Prevent Fraud, Waste and Abuse?
● Medicare/Medicaid Fraud Waste and Abuse Training and Certification for Individuals
● Medicare Compliance and Fraud, Waste and Abuse
● MAO / PDP PLAN – FWA
● Civil False Claims Act (FCA), Anti-Kickback Statute, DHS/ Stark (Physician Self-Referral Law), Civil Monetary /Misc Penalties (CMP) Law
● Health Insurance Portability and Accountability Act (HIPAA)

Who Should Attend?

● Anyone who is or aspires to be:
● An FWA Assessor or FWA Implementer
● Responsible for undertaking effective FWA within the organization.
● Responsible for implementing FWA programs
● Medicare compliance among Medicare Advantage Organizations (MAO) and Medicare Prescription Drug Sponsors
● Medicare compliance among First Tier, Downstream and Related Entities (FDR’s)
● Penalties and Consequences of FWA
● Who wants to develop a Secure FWA culture within the organization.

Course Structure:

The course is highly participative and will enable delegates to build on existing skills. Emphasis is placed on knowledge and skills. Realistic examples allow delegates to apply skills and knowledge to all stages of the implementation process. This course has been designed with input and feedback internationally from a number of trainers, customers and training consultants.

How To Apply?

To apply for this course, please send us an email at trainings@alvinintegrated.com. Course confirmation will be given after receiving the advance payments from the interested participants. To learn more about our cancellation and refund policy, please visit the following link: cancellation-and-refund-policy/