PPT-Part 2: Medicare Parts C & D Compliance Training

Developed by the Centers for Medicare amp Medicaid Services This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 CFR 422503b4vi and 423504b4vi and in Section 503 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. Overview and Updates for 2014 .      . . Sarah Pitsoulakis. sarah.pitsoulakis@drwi.org. Kate Schilling. kate.schilling@gwaar.org. Pamela . Franke. pjf@legalaction.org. Ginger . Rogers . ginger.rogers@drwi.org. Developed by the Centers for Medicare & Medicaid Services . Issued. : February, 2013. This training module consists of two parts: (1) Medicare Parts C & D Fraud,. Waste, and Abuse (FWA) Training and (2) Medicare Parts C & D General . Developed by the Centers for Medicare & Medicaid Services. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 C.F.R. §§ 422.503(b)(4)(vi) and 423.504(b)(4)(vi) and in Section 50.3 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. APPROVED. To ensure Quality is “built in” to HYG lift trucks, it is important for suppliers to confirm supplied parts comply to published standards and requirements. Since the implementation of our Supplier Quality Manual is 2001 it has been expected that all suppliers utilize a comprehensive Part Approval procedure to facilitate proof of compliance, when applicable new releases or changes occur. This enables HYG to process parts more effectively and efficiently and avoid delays and costs due to non-conformances identified upon receipt.. Medicare Prescription Drug . Coverage Under Part A, Part . B, . and Part D. July 2015. Lesson . 1—Inpatient Prescription Drug Coverage. Inpatient . s. tatus. Medicare prescription drug coverage in hospitals, skilled nursing facilities, and hospice care. Fraud, Waste and Abuse. . (FWA). Training. 12/11/2013. FRAUD, WASTE AND ABUSE (FWA). EXECPTION-NOTICE. There is one exception to the FWA training and education requirement. Regulations effective June 7, 2010 implemented a “deeming” exception which exempts FDRs who are enrolled in Medicare Parts A or B from annual FWA training and education. Therefore, if an entity or an individual is enrolled in Medicare Parts A or B, the FWA training and education requirement has already been satisfied. If you are unsure if this “deeming” exception applies to you please contact an IEHP Compliance Manager at . Fraud, Waste, and Abuse. HIPAA. Copyright © 2017, Jade Health Care Medical Group, Inc. . Medicare . Parts C and D General Compliance Training . Copyright © 2017, Jade Health Care Medical Group, Inc. . Medicare Plan Finder Tool. Rajul A. Patel, PharmD, PhD. University of the Pacific . School . of Pharmacy & Health Sciences. Session Objectives. This session . should:. Give you an overview of Medicare Part D. Vol. 1, CKD, . Ch. . 6. 2. Data source: Medicare 5 percent sample. Abbreviations: CKD, chronic kidney disease; CHF, congestive heart failure, DM, diabetes mellitus.. v. ol 1 Table . 6.1 Point prevalent distribution of Medicare fee-for-service patients aged 65+ and total annual costs of Medicare Parts A and B services, by DM, CHF, and/or CKD, 2012. New Hire and Annual Employee Compliance Training. CTS Introduction. Coordinated Transportation Solutions, Inc.. CTS is a 501(c)(3) not-for-profit entity founded in Connecticut in 1997. We manage non-emergency transportation programs for government agencies, managed care organizations, school districts and businesses throughout the northeast and mid-Atlantic region. We do not have drivers and vehicles of our own that perform trips. Rather, we coordinate transportation using a network of credentialed and contracted, local transportation companies. . What is Medicare?. Medicare is government sponsored health care for seniors and those with disabilities. . Medicare is often confused with Medicaid, which was created to provide . medical care for those in poverty.. Wisconsin SHIP: 1-800-242-1060. Grant Funding Disclaimer. 2. This project was supported by the Wisconsin Department of Health Services with financial assistance, in whole or in part, by grant number 90SAPG0091, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.. 2016 Annual Data Report, Vol . 2, ESRD. , . Ch. . 12. 2. a. The . catastrophic coverage amount is the greater of 5% of medication cost or the values shown in the chart above. In 2014, beneficiaries were charged $2.55 for those generic or preferred multisource drugs with a retail price less than $51 and 5% for those with a retail price over $51. For brand name drugs, beneficiaries paid $6.35 for those drugs with a retail price less than $127 and 5% for those with a retail price over $127. Table adapted from http://www.q1medicare.com/PartD-The-2014-Medicare-Part-D-Outlook.php. Annual Compliance Training. Disclaimer: This module has been modified from the CMS and McLaren Health Care Corporation training for the . McLaren High Performance Network learning module. Hyperlinks have remained functional. .