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November 2015

Providers and vendors required to take CMS fraud and compliance training

The Centers for Medicare & Medicaid Services requires providers, vendors and their contractors to complete training for fraud, waste, abuse and compliance.

Providers and vendors should make sure that governing body members, employees, contractors and volunteers who provide health or administrative services, in connection with Medicare Advantage, complete the training within 90 days of being hired or contracted and then annually thereafter.

Make sure you keep the certificate generated by the website as proof you took the training and keep it for 10 years from the end date of your contract with Blue Cross Blue Shield of Michigan or Blue Care Network. You’ll need to provide proof of this compliance to Blue Cross, BCN or CMS upon request.

Click here for information on CMS compliance training.

Blue Cross and BCN will send out renewal and discontinuation notices starting this week.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.