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The Centers for Medicare & Medicaid Services (CMS) has developed two web-based training (WBT) courses. The courses are: Part C Organization Determinations, Appeals, and Grievances, and. Part D Coverage Determinations, Appeals, and Grievances.
To detect FWA, you need to know the law. The following screens provide high-level information about the following laws: Civil False Claims Act, Health Care Fraud Statute, and Criminal Fraud; \u2022 Stark Statute (Physician Self-Referral Law); \u2022 Health Insurance Portability and Accountability Act (HIPAA).
All FDR employees who provide health or administrative services for Medicare members must take at least annually CMS' general compliance training as well as fraud, waste, and abuse (FWA) training. The compliance program training must be part of the orientation for an FDR's new employees and annually thereafter.
Types and examples of content management systems. There are three broad types of CMS software: open source, proprietary and Software-as-a-Service CMS, including cloud-based solutions.
All employees of Medicare Advantage Organizations (MAOs) and Prescription Drug Plans (PDPs) (collectively referred to in this course as \u201cSponsors\u201d) must receive training for preventing, detecting, and correcting FWA. FWA training must occur within 90 days of initial hire and at least annually thereafter.
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A content management system (CMS) is a software application that enables users to create, edit, collaborate on, publish and store digital content. CMSes are typically used for enterprise content management (ECM) and web content management (WCM).
The development and implementation of a compliance program is voluntary, but CMS believes that an effective compliance program is a cost-effective investment.
The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS).
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.
Types and examples of content management systems. There are three broad types of CMS software: open source, proprietary and Software-as-a-Service CMS, including cloud-based solutions.

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