Medicare Preferred Provider Organization and Private Fee for Service plans
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Welcome to the Medicare PPO and PFFS health care provider website. You'll find handy tips here that make it simple to bill for our members' treatment.
Fraud, Waste, Abuse and Compliance Training
The Centers for Medicare and Medicaid Services requires annual training to detect, prevent, and correct fraud, waste and abuse. All providers and their employees, contractors, governing bodies and downstream entities who partner with Medicare Advantage organizations and prescription drug plans are required to take the training. New hires need to complete the training within 90 days of being hired and then annually.
Records of the training, including participant names, must be retained and available for inspection upon request for 10 years after the end date of the contract with Blue Cross Blue Shield of Michigan or Blue Care Network.
- Medicare Parts C and D general compliance training
- Combating Medicare Parts C and D fraud, waste and abuse
4) Save a certificate for each module
*If you’re enrolled in Medicare Parts A or B, you’re not required to take additional fraud, waste and abuse training. However, you’re required to take the general compliance training and save the certificate for your records.
You can learn how to report fraud here.