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The Essentials of FWA Training in Healthcare

Compliancy Group

Compliance with Medicare and other programs requires relevant staff to take regular fraud, waste, and abuse (FWA) training. Components of Medicare FWA Training An essential learning outcome of FWA training is differentiating fraud, waste, and abuse. Importance of FWA Training First and foremost, training in FWA compliance is the law.

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Everything You Need To Know About NPI Numbers

Verisys

All individuals and organizations that meet the definition of healthcare provider as described in 45 CFR 160.103 and conduct HIPAA transactions or use health records must obtain an NPI. In addition to the primary and selected taxonomies, the NPPES search will also return the state code and license number associated with the taxonomy.

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Health Law Blog - Untitled Article

Health Law Blog

Generally, Michigan requires a controlled substance license to prescribe controlled substances in the state. A holder of a controlled substance license may administer or dispense a schedule 2 to 5 controlled substance without a separate controlled substance license covering those substances.

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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

Healthcare Law Blog

Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 The only changes made to the final definition were to include “individuals” as potential TPMOs, and to clarify that agents and brokers are TPMOs. and 422.107).

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Is your Medicare Advantage Organization Ready for Compliance with Regulatory Changes in 2023?

Innovaare Compliance

The purpose of these audits is to evaluate a plan sponsor’s efforts to prevent, detect, and correct fraud, waste, and abuse (FWA) in the Medicare Part C and Part D programs. Plan sponsors will be notified in advance of the upcoming audit schedule and targeted universes under review for each audit type.

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Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 

YouCompli

Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents. Regarding exclusions, an individual or entity or an employee with an invalid license can have a significant negative impact on a small entity. As the compliance industry evolves, the OIG is right on track again.

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Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 

YouCompli

Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents. Regarding exclusions, an individual or entity or an employee with an invalid license can have a significant negative impact on a small entity.