Medicare Fraud, Waste and Abuse Training Requirements

Independent Health is committed to ensuring its entire provider network meets all regulatory requirements set forth by the Centers for Medicare & Medicaid Services (CMS).

CMS requires that all providers and their appropriate staff participate in Fraud, Waste and Abuse (FWA) training annually as mandated by 42 C.F.R §§ 422.503 (b)(4)(vi) and (C)(1).

Who must complete the training?

Independent Health requires each of its participating provider organizations complete an electronic attestation to confirm all workforce members of your organization/practice have completed this CMS training. Workforce members include medical doctors, mid-levels, ancillary providers, registered nurses, licensed practical nurses, administrative and office staff, technicians, coders, etc.

Any new employee who joins your team in the future will also be required to complete the training within 90 days of hire.

How does your practice complete this training?

There are three ways to meet this CMS requirement:

  1. Complete the Independent Health training available online HERE.

    This presentation may be reviewed as a team at a formal training or may be distributed to associates who attest internally to reviewing and understanding the material within.

  2. Complete these two training modules through the Medicare Learning Network (MLN):

    a. Medicare Parts C and D General Compliance Training
    b. Combatting Medicare Parts C and D Fraud, Waste, and Abuse

  3. If your group completed other vendor training, a roster or spreadsheet that shows the dates the training was completed will provide the necessary confirmation, if requested.

Attesting to the completion of this training with Independent Health

Upon completing this training, Independent Health requests your practice submit a Fraud, Waste and Abuse Attestation for 2017. This attestation is available below.

This training must be completed annually for all providers. The attestation must be completed by an authorized representative on behalf of their entire organization and all individuals encompassed under their Tax Identification Number (TIN). Since the attestation should be completed at the organizational TIN level, each individual physician, practitioner, midlevel, employee, etc. does NOT need to complete the attestation individually.

Questions?

For additional information about this CMS requirement, resources regarding compliance and FWA training, please visit the CMS website here: http://www.ecfr.gov/cgi-bin/text-idx?rgn=div8&node=42:3.0.1.1.9.11.5.4

If you have questions regarding this requirement,, please contact Independent Health Provider Servicing at providerservice@servicing.independenthealth.com (preferred method) or call (716) 631-3282 or 1-800-736-5771, Monday through Friday from 8 a.m. to 6 p.m.