The Health Plan Medicare Fraud, Waste and Abuse Training

All healthcare practitioners/providers or staff who render healthcare services to Medicare Advantage enrollees or who administer the Medicare Part D Prescription Drug benefit, should complete Fraud, Waste and Abuse (FWA) annually.

The training should be documented by the healthcare providers and captured by The Health Plan as well as other health plans with Medicare Advantage plans.

The training should be completed once per year by December 31. The training will be accepted if taken on the CMS MedLearn website, or FWS training provided through your organization. If you or your staff have completed Fraud, Waste and Abuse Training through another healthcare provider or entity, this will suffice. All healthcare practitioners/providers and employees that have taken the training should attest to the completion of the training by completing The Health Plan Attestation Form.

Once you and your staff have completed your training, complete The Health Plan - Fraud, Waste and Abuse Training Attestation Form

• Fraud, Waste and Abuse Tool provided online by CMS 
  Please visit CMS; locate "Related Links Inside CMS" within the CMS website and select "Web Based Training (WBT) Modules". You will then need to select "Medicare Fraud and Abuse (February 2010)" and being the CMS online training course.
•  The Health Plan Attestation Form - Participating Provider Only

We have also included a Slide Presentation on FWA, a testing tool and answer key if you choose to measure the training by you and your staff. This is NOT a requirement and does not need to be returned to The Health Plan. Please access the Additional Educational Tools to see these additional tools.

To report a suspected inceident, please call The Health Plan's Fraud Hotline at 740.699.6111 or 1.877.296.7283 or one of the following organizations: The Office of Inspector General (OIG); Dpeartment of Health and Human Services; Department of Justice; Centers for Medicare and Medicaid (CMS).