What is FWA training?

What is FWA training?

General Compliance And Fraud, Waste And Abuse (FWA) Training.

Who mandates training for FWA?

As part of satisfying the Fraud Waste and Abuse compliance requirements established by the Centers for Medicare and Medicaid Services (CMS), employers are required to provide a Fraud Waste and Abuse awareness training to all employees within 90 day of hiring and annually thereafter.

Which entities are required to provide FWA training to their employees?

Sponsors must provide general compliance and fraud, waste and abuse (FWA) training for all employees of their organization and entities they partner/contract with to provide benefits or services.

What is FWA compliance?

compliance. • An effective compliance program is essential to prevent, detect, and. correct non-compliance, as well as, Fraud, Waste and Abuse (FWA). It. must, at a minimum, include the Seven Core Elements of an Effective Compliance Program.

What are ways to report FWA?

There are several ways to contact the Hotline:

• Toll-free phone: 1-800-HHS-TIPS (1-800-447-8477), 8:00 am – 5:30 pm, Eastern Time, Monday-Friday.
• Fax: 1-800-223-8164 (10 pages or less, please)
• TTY: 1-800-377-4950.
• Mail: HHS TIPS Hotline. P.O. Box 23489. Washington, DC 20026. (Note: please do not send any original documents)

What is the definition of FWA?

▪ Define Fraud, Waste, and Abuse (FWA)

What is CMS compliance?

The CMS National Standards Group, on behalf of HHS, administers the Compliance Review Program to ensure compliance among covered entities with HIPAA Administrative Simplification rules for electronic health care transactions.

What are the seven elements of a compliance program?

Seven Elements of an Effective Compliance Program

• Implementing Policies, Procedures, and Standards of Conduct.
• Designating a Compliance Officer and Compliance Committee.
• Training and Education.
• Effective Communication.
• Monitoring and Auditing.
• Disciplinary Guidelines.
• Detecting Offenses and Corrective Action.

What is a first tier entity?

The term first tier entity means any party that enters into a written arrangement with an MA organization or contract applicant to provide administrative services or health care services for a Medicare eligible individual.

What are the examples of issues that should be reported to a compliance department?

These are examples of issues that can be reported to a Compliance Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy violation, and unethical behavior/employee misconduct.

What is the penalty for any person who knowingly submits false claims to the government?

The FCA provided that any person who knowingly submitted false claims to the government was liable for double the government’s damages plus a penalty of $2,000 for each false claim.

How do you report FWA?

Fraud, Waste and Abuse (FWA)

1. Fraud Hotline: 1-800-488-0134 (Follow the prompts for reporting Fraud)
2. Written Report: Use the Fraud, Waste and Abuse Reporting Form on www.caresource.com or write a letter and send to: