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About the Course

Medicare Fraud, Waste and Abuse costs the Federal government billions of dollars each year. For nearly a decade now, the Centers for Medicare and Medicaid Services (CMS) has mandated that pharmacies provide verifiable Fraud, Waste and Abuse training annually for their eligible employees. This program uncovers different ways that Medicare Fraud, Waste and Abuse occurs and how to prevent it.

Course Features

Our online Medicare FWA course is a mobile friendly, interactive course, with full audio narration and engaging real-world scenarios for the best user experience and information retention.

Once you create an account, you can login from any computer or mobile device and train anytime, anywhere.

You have 6 months from enrollment to complete the course. Specific completion deadlines may be mandated by your employer. You can log in and out of your training account and your place in the course will be saved.

Course Outline

Our Medicare FWA online training is 45 minutes long and consists of 3 parts, a final exam, and a CEU credit claim.


FWA Introduction

Topics in this Lesson:

  • How the Course Works
  • Why Do I Need Training?
  • Navigating and Completing the Course

FWA Part 1

Topics:

  • Lesson 1 - What is FWA?
    • What is Fraud?
    • What is Waste and Abuse?
    • Understanding FWA
    • Civil False Claims Act
    • Health Care Fraud Statute
    • Anti-Kickback Statute
    • Stark Statute
    • Civil Monetary Penalties Law
    • HIPAA
    • Knowledge Check
  • Lesson 2 - What if FWA?
    • Where Do I Fit In?
    • What Are Your Responsibilities?
    • How Do You Prevent FWA?
    • Stay Informed
    • Reporting FWA
    • Correcting FWA
    • Knowledge Check
  • Part 1 Post Assessment
    • Appendix A
    • Appendix B

FWA Part 2

Topics:

  • Lesson 1 - Compliance Training
    • What is an Effective Compliance Program?
    • Seven Core Compliance Program Requirements
    • Ethics: Do the Right Thing
    • How Do You Know What is Expected of You?
    • What is Non-Compliance?
    • Know the Consequences of Non-Compliance
    • How to Report Non-Compliance
    • Knowledge Check
  • Part 2 Post Assessment

FWA Part 3

Topics:

  • Lesson 1 - Prevention
    • Definitions
    • FWA Prevention Program
  • Lesson 2 - Detection
    • Potential Indicators of FWA
    • Real-World Cases
  • Lesson 3 - Reporting
    • OIG Hotline
    • Medicare Fraud and Abuse Laws
    • Federal False Claims Act
    • Anti-Kickback Statutes
    • Physician Self-Referral Law
    • Criminal Health Care Fraud Statute
    • Exclusion Statute
    • Permissive Exclusions
    • Excluded Providers
    • Civil Monetary Penalty Law
    • Medicare Anti-Fraud and Abuse Partnership
    • CMS
    • Center for Program Integrity
    • Fraud Prevention System
    • Program Integrity Command Center
    • Office of Inspector General
    • H.E.A.T.
    • G.S.A.
    • OIG Website

Final Exam

10 question Final Assessment

Claim Credit

Claim ACPE Continuing Education Credit (Voluntary)

Training Requirements

In 2019 the CMS removed the requirement that employees need to complete the Medicare FWA training specifically created by CMS. However, the requirement to complete FWA training remains. Training must occur within 90 days of initial hire.

FWA training is an annual requirement. An employee must complete FWA training every 'calendar year.' The employee does not have to wait until the anniversary of initial completion—only, complete the training within each calendar year.

Certificate of Completion

Upon successful completion of our Medicare FWA Course and final exam, you will be able to immediately print your completion certificate from your My Account page. It will also be e-mailed to you.

If you lose your certificate of completion and need a replacement, you can log back into you account and print additional copies.

Continuing Education Option

At the end of the course, you will be able to select the option to claim your ACPE Continuing Education credit for this course.

CEU Approval Information

Approved by ACPE

Pharmacy Credit: 1.05 Contact Hours (.10 CEUs)

UAN #: 0761-9999-21-024-H05-P
UAN #: 0761-9999-21-024-H05-T