Combating Medicare Parts C and D Fraud, Waste, and Abuse Web-Based Training Course 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the course objectives outlined in the document. Familiarize yourself with the key concepts of Fraud, Waste, and Abuse (FWA) as they are crucial for understanding your responsibilities.
  3. Navigate through each lesson by clicking on the respective sections. Ensure you read all content thoroughly to grasp the definitions and examples of FWA.
  4. Complete any interactive elements or assessments provided within each lesson. This may include knowledge checks that reinforce your understanding of FWA.
  5. Once you finish all lessons, proceed to the course evaluation section. Make sure to score at least 70 percent on the Post-Assessment to successfully complete the training.

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There are things you can do to protect yourself from Medicare fraud: Guard your Medicare card like its a credit card. Dont give your Medicare Number or Social Security Number to anyone except your doctor or people you know should have it.
Some of the laws governing Medicare Parts C and D fraud, waste, and abuse (FWA) include the Health Insurance Portability and Accountability Act (HIPAA), the Federal Civil False Claims Act, the Anti-Kickback Statute, and the Criminal Health Care Fraud Statute.
4 RsFour ways to protect your loved ones, yourself, and the Medicare and Medicaid Programs from fraud: (1) Record appointments and services, (2) Review services provided, (3) Report suspected fraud, and (4) Remember to protect personal information, like your Medicare, Medicaid, Social Security, credit card, and bank
Help Fight Fraud by Reporting It The Office of Inspector General (OIG) Hotline accepts tips and complaints from all sources on potential fraud, waste, and abuse. View instructional videos about the OIG Hotline operations, as well as reporting fraud to the OIG.
INVESTIGATIONS AND REFERRALS The most powerful tool to combat fraud is YOU. So far in 2025, 1-800-MEDICARE has received complaints related to fraud, waste, and abuse from over 160,000 beneficiariesthats over 700 calls each day! If you suspect fraud, report it at CMS.gov/fraud or by calling 1-800-MEDICARE.

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All employees of Medicare Advantage Organizations (MAOs) and Prescription Drug Plans (PDPs) (collectively referred to in this course as Sponsors) 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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