Reporting Medicaid Fraud and Abuse 2018



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Reporting Medicaid Fraud and Abuse 2018

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Combating Medicare Parts C and D Fraud, Waste, and Abuse

www.cms.gov

INTRODUCTION PAGE 2. This Web-Based Training (WBT) course was current at
the time it was published or uploaded onto the web. Medicare policy changes
frequently so links to the source documents have been provided within the WBT
for your reference. This WBT course was prepared as a service to the public and
is …

Medicare Learning Network (MLN) Fraud & Abuse Products – CMS.gov

www.cms.gov

Learn about major laws and regulations pertaining to Fraud. Waste & Abuse (
FWA) potential consequences and penalties associated with violations;
preventing, reporting and correcting FWA. (This training is Part 1 of 2 of the. CMS
Parts C and D Fraud, Waste, and Abuse and General Compliance training
requirement.).

Medicare Open Enrollment Partner Toolkit – CMS.gov

www.cms.gov

2018 Open Enrollment. 1. Partner Social Media Toolkit for Medicare Open
Enrollment. October 15 – December 7. Sample Social Media Posts. Help spread
the word about Medicare Open Enrollment! Paste the posts below on social
media platforms such as Facebook and Twitter to encourage your followers to
visit …

Medicaid Oversight: Existing Problems and Ways to Strengthen the …

oig.hhs.gov

Jan 31, 2017 rely on from fraud, waste, and abuse, and promoting efficient and effective
program operations. Protecting Medicaid from fraud, waste, and abuse is an
urgent priority because of its impact on the health …. Recovery Act of 2010, an
agency must report an improper payment error rate that is at or less than the.

Medicare Parts C and D General Compliance Training – CMS.gov

www.cms.gov

Establishes clear lines of communication for reporting non- compliance. An
effective compliance program is essential to prevent, detect, and correct
Medicare non-compliance as well as Fraud, Waste, and. Abuse (FWA). It must, at
a minimum, include the seven core compliance program requirements. For more
information …

Semiannual Report – OIG .HHS .gov

oig.hhs.gov

Sep 30, 2017 about $1.3 billion in false billings to Medicare and Medicaid—protected the
programs and sent a strong signal that …. administrative fraud and abuse cases
involving HHS programs, including False Claims Act. (FCA) … As delineated in
OIG's Strategic Plan for 2014-2018, OIG's approach to protecting the.

CMCS Informational Bulletin – Medicaid.gov

www.medicaid.gov

Dec 13, 2016 www.oig.hhs.gov/reports-and-publications/portfolio/portfolio-12-12-01.pdf and
Office of Inspector General,. "Investigative … integrity protections that will prevent
fraud and abuse while still maintaining beneficiary … contracts beginning on or
after July 1, 2018).20 A fee-for-service provider is defined as “any.

CMS Needs to Fully Align Its Antifraud Efforts with the Fraud … – GAO

www.gao.gov

Dec 5, 2017 and abuse.4 Although the extent of fraud in Medicare and Medicaid is unknown,
given the large size of the programs even a small percentage of fraud poses
significant risks to the integrity of these programs. This report addresses CMS
fraud risk management efforts in light of. GAO's July 2015 A Framework …

OFFICE OF MEDICAID INSPECTOR GENERAL

www.dfa.arkansas.gov

The mission of the Office of Medicaid Inspector General (OMIG) is to prevent,
detect, and investigate fraud, waste, and abuse within …. General Annual Report.
0. 0.00 … Elizabeth Smith, Medicaid Inspector General. Page 332. Department
Appropriation Summary. Budget. Agency. 2016-2017. 2017-2018. 2015-2016.
Actual.

Medicaid Update November 2017 Volume 33 Number 11

www.health.ny.gov

Nov 19, 2017 Medicaid Director. Office of Health Insurance Programs. The Medicaid Update is
a monthly publication of the New York State Department of Health. ….. 1, 2017 for
FFS and February 15, 2018 for MMC. …. detecting fraud, waste, and abuse in
Federal health care programs (as defined in section 1320a-.

newsline – California Department of Industrial Relations

www.dir.ca.gov

2018-01. Date: January 2, 2018. DWC Suspends 28 Medical Providers for Fraud
or Loss of License. The Division of Workers' Compensation (DWC) last month
suspended … convicted in 2016 of health care fraud for submitting claims to
Medicare totaling …. system, fraud or abuse of a patient, or related types of
misconduct;.

Testimony of Shantanu Agrawal, CMS, Hearing on "Medicaid

democrats-energycommerce.house.gov

Jun 2, 2015 Medicaid Program Integrity: Screening Out Errors, Fraud and Abuse”. House
Committee on Energy …. been instructed to report all "for cause" Medicaid
terminations, as defined in the 2012 guidance, for which state appeal ….
Medicaid program integrity for the FY 2014-2018 period. 8. The current CMIP was
 …

Annual Report – Ohio Medicaid – Ohio.gov

medicaid.ohio.gov

Jun 2, 2016 Annual Report. Submitted August 1, 2016. The Ohio Department of Medicaid.
John R. Kasich, Governor John B. McCarthy, Director … approach;. » conducting
on-site provider visits to identify and combat instances of fraud, waste, and abuse
; ….. ODM anticipates implementing the EVV service in early 2018.

medicaid redesign implementation – Alaska State Legislature

www.akleg.gov

Mar 2, 2017 Fraud and Abuse. Prevention. ($401.9). ($556.2). ($543.7). ($481.2). ($468.7). ($
456.2). Coordinated Care. Demonstration Project. $4.8. $42.6. ($1,457.4) ….
Alaska Medicaid False Claim and Reporting Act. – http://www.akhealthreform.org/
medicaid-redesign/. FY2017. FY2018. On Track? ($401.9). ($556.2).

model contract – Illinois.gov

www.illinois.gov

Jul 16, 2017 2018-24-001 (Rev. 2). Page 2. Update of enrollment information. 52. Enrollee
welcome packet. 52. Change of Managed Care Organization. 52 …. the Medicaid
Fraud Control Unit of the Illinois State Police, DHHS, the Illinois …. Disabilities
services in Illinois and for seeking ways to prevent such Abuse.

Department of Health and Human Services FY 2018 Administration …

www.acl.gov

May 9, 2017 I am pleased to present the Administration for Community Living's (ACL) FY 2018
President's Budget request, totaling $1.9 billion. While maintaining funding levels
for the majority of its core direct services programs, ACL has reprioritized
spending, consolidating programs to enable greater flexibility and …

November 2017 – Alaska Department of Health and Social Services

dhss.alaska.gov

Nov 1, 2017 Below is a joint report from the Department of Law (DOL) and Department of
Health and Social Services (DHSS) as required by Senate Bill 74 (SB 74). This
report provides a high level review of the efforts of both departments to combat
fraud, abuse, and waste in the Medicaid program. Additional details or …

concurrent resolution on the budget— fiscal year 2018 report

www.gpo.gov

Jul 24, 2017 FISCAL YEAR 2018. R E P O R T. OF THE. COMMITTEE ON THE BUDGET.
HOUSE OF REPRESENTATIVES. TO ACCOMPANY. H. Con. Res. 71.
ESTABLISHING THE BUDGET FOR ….. Medicaid, the American Health Care Act,
and Related Programs …….. 153 …. Government Waste, Fraud, and Abuse .