Reporting Possible Medicare Fraud 2018



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Reporting Possible Medicare Fraud 2018

PDF download:

Combating Medicare Parts C and D Fraud, Waste, and … – CMS.gov

www.cms.gov

When you complete this course, you should be able to correctly: • Recognize
FWA in the Medicare Program;. • Identify the major laws and regulations
pertaining to FWA;. • Recognize potential consequences and penalties
associated with violations;. • Identify methods of preventing FWA;. • Identify how
to report FWA; and.

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 Parts C and D General Compliance Training – CMS.gov

www.cms.gov

Completing this training module satisfies the Medicare Parts C and D plan
Sponsors annual general compliance training requirements in the regulations
and ….. These are examples of issues that can be reported to a Compliance
Department: suspected Fraud, Waste, and Abuse (FWA); potential health privacy
violation, and …

MLN Connects for October 26, 2017 – CMS.gov

www.cms.gov

Oct 26, 2017 SNF Value-Based Purchasing Program FY 2018 Final Rule Call — November 16
. Comparative … Medicare Fraud & Abuse: Prevention, Detection, and Reporting
Web-Based Training Course — … CMS is conducting a field test for eight episode
-based cost measures before consideration of their potential.

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 …

CMS Quality Reporting Programs under the 2016 Medicare – CMS.gov

www.cms.gov

Jul 16, 2015 2016 Medicare Physician Fee Schedule (MPFS) Proposed. Rule. ‒ Medicare
Access and CHIP … Study and report on fraud related to APMs under the
Medicare program ….. satisfactory reporting for the 2018 PQRS payment
adjustment via EHR without CAHPS for PQRS, since both criteria address a 3 …

Medicare Learning Network® (MLN) – CMS.gov

www.cms.gov

Medicare Learning Network® (MLN) Medicare Parts C and D. Compliance and
Fraud, Waste, and Abuse (FWA) Trainings. Available Trainings. Training Title.
Summary and Downloads. Medicare Parts C and. D General Compliance.
Training (FREE). Learn about how a compliance program operates and how to
report …

HHS OIG Work Plan Fall 2017 – OIG .HHS .gov

oig.hhs.gov

Nov 15, 2016 potential fraud. OI's investigative efforts often lead to criminal convictions,
administrative sanctions, or civil monetary penalties (CMP). The Office of Counsel
to the Inspector General (OCIG). … OIG posts its Work Plan online at http://oig.hhs
.gov/reports-and-publications/workplan/index.asp. Because we make …

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

www.gao.gov

Dec 5, 2017 MEDICARE AND. MEDICAID. CMS Needs to Fully. Align Its Antifraud. Efforts with
the Fraud. Risk Framework. Report to Congressional Addressees. December
2017. GAO-18-88. United States Government Accountability Office …

newsletter – DHS Division of Aging and Adult Services

www.daas.ar.gov

detect, and report health care fraud, errors, and abuse through outreach,
counseling, and education. SMPs are … $10.8 billion in fraud. Many of these
charges have resulted from coordinated, multi-district national takedowns. In
June 2016, the. Medicare Fraud Strike Force …. received, some starting as soon
as April 2018.

National Medicare & You Handbook 2018 – CalPERS

www.calpers.ca.gov

Medicare. You 2018. This is the official U.S. government. Medicare handbook.
Learn about your new Medicare card. (inside front cover). What Medicare covers
(page 29) … 2018 and April 2019, we'll be removing Social Security numbers
from Medicare cards and …… Medicare takes all reports of suspected fraud
seriously.

CMS Region 7 Updates – 09/15/2017 – Missouri Department of …

health.mo.gov

Sep 14, 2017 CMS Announces Updates to eCQM Value Sets for Q4 2017 Reporting, and 2018
Reporting and … Hurricane Harvey – Disaster Exceptions/Exemptions for
Medicare Certified Providers Affected by Severe …. potential Qualified Registry
and Qualified Clinical Data Registry (QCDR) vendors to self- nominate to …

OMB Sequestration Report – Whitehouse.gov

www.whitehouse.gov

May 23, 2017 As required by statute, the Preview Report, the first of the three required
sequestration reports for 2018, sets forth estimates for the current year and each
subsequent year through 2021 of the applicable discretionary spending limits for
each category. This includes adjustments that are calculated in the OMB …

New York State Medicaid Update September 2017 Volume 33 …

www.health.ny.gov

Sep 1, 2017 Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 directing the
Centers for Medicare & Medicaid. Services … 2018 in advance of meeting the
Congressionally-mandated deadline. ….. result of inaccurate or improper cost
reporting, improper claiming, unacceptable practices, fraud, abuse or.

A Look Back at 2017 – Ohio Department of Insurance

www.insurance.ohio.gov

20 hours ago Medicare. Good News Stories. OSHIIP Road Show. 2018 Medicare Webinars.
2018 Volunteer Trainings. 2018 Goals. The Ohio Senior Health Insurance
Information Program (OSHIIP). Published by the Ohio Department of Insurance to
serve our dedicated. OSHIIP volunteers throughout Ohio. January 2018.

Medicaid and CHIP Managed Care Final Rule (CMS … – Medicaid.gov

www.medicaid.gov

fiscal year starting on or after July 1, 2018. – Applicability dates/Relevance of
some 2002 provisions … screening conducted by Medicare contractors or other
State. Medicaid agencies (see 42 CFR 455.410(c)) …. 438.608(a)(7): Mandatory
referral of any potential fraud, waste, or abuse to the State Medicaid program
integrity …

2012 annual report of the boards of trustees of the federal hospital

www.treasury.gov

Apr 23, 2012 We have the honor of transmitting to you the 2012 Annual Report of the Boards of
Trustees of the. Federal Hospital ….. fraud and abuse, and initiating a major
program of research and development to identify …. potential understatement of
Medicare costs and other projection results by reference to these …

Medicare's Open Enrollment Period – Alaska Department of Health …

dhss.alaska.gov

January 1, 2018. Point 1: Know the changes you can make during Medicare's
Open Enrollment Period. During Open Enrollment, you can make changes to
your Medicare coverage, including adding, dropping, or … If you have Original
Medicare, look for benefits changes or possible increases to premiums,
deductibles, and.