Fraud, Waste & Abuse Training 

Fraud, Waste & Abuse Training Requirement

As required by the Centers for Medicare & Medicaid Services (CMS) all employees, contractors and offices of organizations providing Medicare Part C and D services must complete a Fraud, Waste & Abuse general training program. We ask that an authorized individual attest to the completion of this requirement.

The training completed by my organization consisted of the learning points listed below and has fulfilled the requirement for Fraud, Waste & Abuse General Training.

1. Identify general fraud, waste and abuse and understand when and how to report fraud, waste and abuse to your employer’s compliance staff or the Medicare program
2. Describe your protections as an employee when reporting fraud, waste and abuse
3. Explain the general federal health care fraud standards, laws and policies
4. Identify up coding, unbundling and non-rendered and/or medically unnecessary services: the most prevalent forms of fraud and abuse related to coding
5. Identify various types of enrollee fraud
6. Identify your organizations’ health care fraud policies and procedures, and explain the procedure for reporting fraud
7. Describe the consequences for non-compliance