Medicare Part D: Fraud, Waste and Abuse Prevention

After completing this course, you should be able to:

• Define and give examples of fraud, waste and abuse
• Identify the obligations of first tier, downstream, related entities and plan sponsors
• Recall federal laws applicable to fraud, waste and abuse
• Recognize whistleblower protections
• Identify communication channels and methods to report potential cases of fraud, waste and abusecation channels and methods to report potential cases of fraud, waste, and abuse

Students, aspiring professionals, Interns, executives etc.

Basic English and computer literacy required

Contributes to Professional and technical skill development in this area

IACET endorsed printable certificate on scoring 80% pass

The Center for Medicare and Medicaid Services known as CMS has released the 9th and final chapter for the Prescription Drug Benefit Manual regarding a program to control fraud, waste and abuse. This course provides both interpretative rules and guidelines for Part D plan sponsors on how to implement the regulatory requirements to have in place a comprehensive fraud and abuse plan to detect, correct and prevent fraud, waste, and abuse as an element of their compliance plan. 

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