decisionhealth Newsletters, Part B News - 2009 Issue 2 (February)
Fraud, waste, abuse training mandated by CMS for 2009
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Article Overview
This article explains a CMS training mandate tied to Medicare Advantage and Part D participation for 2009. It discusses which office personnel are expected to be included, how health plans and provider groups were responding, and why the requirement matters for compliance and auditing. The piece is useful for practices, plan administrators, and billing/compliance staff who need to understand the scope and timing of the training obligation.
Why This Topic Matters
Organizations and provider offices that work with Medicare Advantage or Part D need to know whether their staff are subject to CMS fraud, waste, and abuse training requirements and how those obligations are being implemented. The article also highlights compliance oversight concerns and the role of plan-provided materials and documentation.
Article Sections
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CMS training mandate and who it affects
Introduces the fraud, waste, and abuse training requirement and describes the categories of office personnel and participants it may include.
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Provider and plan responses
Summarizes reactions from providers, Medicare Advantage plans, and professional groups as they begin to address the mandate.
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CMS timing, oversight, and implementation
Covers the effective date, annual timing, documentation expectations, and CMS oversight considerations for the training requirement.
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Future compliance concerns
Notes broader concerns about how fraud, waste, and abuse training may evolve as electronic records and related compliance issues increase.
What You Will Learn
- Which organizations and staff groups may fall under the CMS training requirement
- How Medicare Advantage and Part D training obligations were being handled for 2009
- What types of compliance and audit concerns the article raises
- Why provider offices were advised to pay attention to plan-supplied training materials
Who Should Read This
- Physician practices
- Medicare Advantage plan administrators
- Part D sponsor compliance teams
- Medical office managers
- Billing and coding staff
- Compliance officers
- Physician assistants
- Chiropractic offices
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