CMS General Compliance and Fraud, Waste & Abuse Training
30 min
5 sections
10 quiz questions
Annual compliance and fraud, waste, and abuse training aligned to CMS requirements for Medicare Advantage organizations, Part D sponsors, and their first tier, downstream, and related entities. Covers who must be trained and when, the distinction between fraud, waste, and abuse, the federal laws that prohibit them, exclusion screening, reporting and non-retaliation protections, corrective action, and role-specific warning signs. Includes completion tracking and certificates for FDR attestation.
Course Content
1
Who Must Take This Training, and When
6 min
2
Fraud, Waste, and Abuse Defined
5 min
3
The Laws That Prohibit FWA
7 min
4
Preventing, Reporting, and Correcting
6 min
5
Recognizing FWA in Your Role
6 min
What You'll Learn
Core HIPAA regulations and requirements
Protected Health Information (PHI) handling
Privacy and security best practices
Breach notification procedures
Real-world scenarios and applications
Compliance documentation requirements
Administrative SafeguardsPhysical SafeguardsTechnical SafeguardsAccess ControlsAudit ControlsEncryptionIntegrity ControlsePHI (Electronic)Paper RecordsVerbal DisclosuresMinimum NecessaryDe-identificationLimited Data SetsDesignated Record SetPHI Disposal / DestructionRight to AccessRight to AmendRight to AccountingRight to RestrictFront Desk / Check-InPhone ConversationsFamily & VisitorsLaw Enforcement RequestsMedia InquiriesWorkers' CompensationPublic Health ReportingResearch Uses