Medicare Fraud, Waste and Abuse (FWA) 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of Entity' at the top of the form. This identifies the organization responsible for compliance.
3. In the section labeled 'Training Information Provided to', list each attendee's name, title, date of hire, and date of training. Ensure accuracy as this information is crucial for compliance.
4. An authorized representative must sign and date the form. This signature confirms that all training has been completed as required by CMS guidelines.
5. Finally, print the name and title of the authorized representative below their signature to maintain clear records.

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