Medicare Preferred Provider Organization plans

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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.

Follow these steps to complete compliance training. 
2) Log in or create an account
3) Complete these training modules:
  • 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. 

Providers who use their own training program must incorporate the content from the Medicare Parts C and D, fraud, waste and abuse training (PDF) and the Medicare Parts C and D general compliance training (PDF) modules into their training materials. Providers can't modify materials and need to keep a record of completion. 
Regardless of the option you choose, certificates of completion must be kept on file for 10 years. 

You can learn how to report fraud here. 

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