PPT-Module 10 Medicare and Medicaid Fraud and Abuse Prevention

2016 National Training Program Session Objectives This session should help you Define fraud and abuse Identify causes of improper payments Discuss how CMS fights fraud and abuse Explain how you can fight fraud and abuse. Medicare Fraud & Abuse: . Prevention, Detection, and Reporting. 2. Disclaimers. . This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your reference.. Chicago Regional Office. Centers for Medicare Health Plan Operations. Yolanda Burge-Clark. August 19, 2014. 10 million (aprox) individuals that are enrolled in both Medicare and Medicaid (or “dual eligibles”).. April 2018. What We’ll Cover. What are MSPs?. Why are They Important?. Different Types of Coverage. How MSPs Work. Eligibility Rules. Relationship to Other Benefits. How You Can Help Your Clients. Resources. Debbie Krider, GSIL COO . and Compliance Officer. January 17,2017. What is Medicaid Fraud?. Being paid for services that have not been provided or have not been provided in a reasonable standard of quality care.. The Medicare Rights Center is a national, nonprofit. consumer service organization that works to . ensure access to affordable health care for older . adults and people with disabilities through. Counseling and advocacy. 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 . Washington SHIBA version . – February 2019. For training purpose only – not for distribution to the public. Created Jan. 10, 2019. Learning objectives. January 18, 2019. Medicaid and Medicare working together in Washington state. F program that uses a streamlined patient - centered care model. What will FIDA do for you as a provider?  Provides extra support coordinating care for your patients through a Care Manager. T 2020. Please review the notes section of each slide for additional information and details.. Publicly-funded insurance program. Americans age 65 and over. Disabled Americans. A Medicare plan may include:. 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. . Chiropractor Manual Policy Guidelines Version 2007 – 1 November 1, 2007 SECTION I – REQUIREMENTS FOR PARTICIPATION IN MEDICAID........................................................ROVIDE kindly visit us at www.examsdump.com. Prepare your certification exams with real time Certification Questions & Answers verified by experienced professionals! We make your certification journey easier as we provide you learning materials to help you to pass your exams from the first try. Professionally researched by Certified Trainers,our preparation materials contribute to industryshighest-99.6% pass rate among our customers.Just like all our exams. Projected enrollment rates are calculated from CBO projections of Medicare Advantage enrollment and Part A eligibility (July 2021). 2021 Edition of Centers for Medicare and Medicaid Services . Statistical Supplement for 1990–2009 data. Dr. . Mamta. Patel Associate Professor Department of Criminology and Forensic Science Dr. .