2016 Provider Medicare Training
Date: 12/11/15
In July 2015, CMS published CMS-4159-F which creates changes to the current process for General Compliance (Compliance) and Fraud, Waste & Abuse (FWA)* trainings. Effective January 1, 2016, First-Tier, Downstream, and Related Entities (FDR), as well as delegated groups, are required to complete trainings via the Medicare Learning Network (MLN) website. These trainings must be completed by each individual provider/practitioner within the group rather than one person representing the group collectively. The updated regulation requires providers/practitioners to complete the training within 90 days of contracting with the plan and then annually thereafter. Once training is complete, each provider will need to complete the certificate of completion, or attestation when applicable, and provide the health plan with a copy of the completed form(s). Additional information on where to send certificates of completion will be provided in a January 2016 communication to network practitioners/providers.
The link below will take you to the MLN website where you will find the General Compliance and FWA Trainings within the Downloads section of the webpage:
* Note: CMS participating providers are exempt from the FWA training and attestation requirement of the health plan due to their participation in CMS’ Medicare fee-for-service program.