PPT-Protecting Residents from Medicare Fraud

Senior Medicare Patrol LTC Ombudsman Program 20142015 Funded by the US Department of Health amp Human Services Administration on Community Living Administration on Aging established 12 demonstration projects . 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 . Fraud, Waste and Abuse . Part I:. Overview. Objectives. . Convey GuildNet’s commitment to compliance.. Explain obligations of GuildNet’s. . first tier, downstream, and related entities to prevent, detect, and report fraud, waste 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.. and . Part D Fraud. Tanette Downs. Director, Division of Plan Oversight and Accountability. <Subhead to Specific Event>. <Speaker Name>. <Date>. Medicare Fraud costs our country $60 Billion a year . Steps to Avoiding Scams and Fraud. April 24. , . 2014. Kathy Stokes, WISER Senior Fellow. Women’s Institute for a Secure Retirement. Maggie . Flowers, Senior Program Manager, Economic . Security. National . Physician Education. Every . year billions of dollars are improperly spent because of Fraud, Waste, and Abuse (FWA). It affects everyone – including you. This training helps you detect, correct, and prevent FWA. You are part of the solution. Compliance is everyone’s responsibility. As an individual who provides health or administrative services for Medicare enrollees, your every action potentially affects Medicare enrollees, the Medicare Program, or the Medicare . 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 . Module 10. Medicare . and Medicaid Fraud and Abuse Prevention. Session Objectives. This session . should . help you . Define fraud . and abuse . Identify causes of improper payments. Discuss how CMS. 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. Presented by Statewide Health Insurance Benefits Advisors (SHIBA), Washington state’s SMP SMP program funded by the U.S. Administration for Community Living Take Charge… Help Prevent Health Care Fraud and Abuse! Nursing Home Quality Standards . Consumer Voice Member Call. June 21, 2018. Agenda . I. Introductions & Opening Robyn Grant, Consumer Voice. II. Resident story and background Janet Wells, California Advocates for Nursing Home Reform . How PAMA Affects Orders for ImagingCDS automation of evidence-based guidelines enhances quality of care fosters shared What does PAMA mean to youUnder PAMA the Centers for Medicare and Medicaid Servic 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. 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:.