Every year, billions of dollars are improperly spent because of Fraud, Waste and Abuse (FWA). It affects everyone – including you. This training helps you detect, correct, and prevent FWA. You are part of the solution. Compliance is everyone’s responsibility. As an individual who provides health or administrative services for Medicare enrollees, your every action potentially affects Medicare enrollees, the Medicare Program, or the Medicare Trust Fund.
An effective compliance program fosters a culture of compliance within an organization and, at a minimum,:
An effective compliance program is essential to prevent, detect, and correct Medicare non-compliance as well as Fraud, Waste and Abuse (FWA). It must minimumally include the seven core compliance program requirements.
Without programs to prevent, detect, and correct non-compliance, we all risk harm to beneficiaries with delayed services and denial of benefits. This means less money for everyone due to:
There can be no retaliation against you for reporting suspected non-compliance in good faith. You may do this:
You may call the Summa Health Compliance Officer at 330.996.8437 or email mitchelld@summahealth.org. Or call the Summa Health Hotline at 1.800.421.0925.
To download the “Healthcare Fraud, Waste and Abuse” presentation, click here.
