What is FWA in compliance?

• An effective compliance program is essential to prevent, detect, and. correct non‐compliance, as well as, Fraud, Waste and Abuse (FWA). It must, at a minimum, include the Seven Core Elements of an Effective Compliance Program.

How do you stop FWA?

Using a data-driven alert system to help agencies identify and stop payment to providers who should be excluded on the basis of fraud, waste and abuse (FWA). Reducing beneficiaries’ exposure to risks and harm from fraudulent providers and improving access to quality health care.

Which of the following are consequences of not reporting potential Medicare FWA?

Laws and regulations exist that prohibit FWA. Penalties for violating these laws may include: Civil Monetary Penalties; • Civil prosecution; • Criminal conviction/fines; • Exclusion from participation in all Federal health care programs; • Imprisonment; or • Loss of provider license.

How do I monitor compliance?

What should a compliance monitoring plan look like?

  1. An agreed-upon scope and strategy.
  2. A schedule for regular reviewing of all policies and procedures.
  3. Standard tools and reporting templates.
  4. Systems for reporting.
  5. Training and improvement.
  6. Consequences for failing to improve or complete training.

What is the name of the official CMS training website?

The Quality, Safety & Education Portal (QSEP) provides the full curriculum of surveyor training and guidance on health care facility regulations. QSEP is an online platform that empowers learners to lead and manage their own learning in order to master the content.

What is CMS diploma?

DIPLOMA IN COMMUNITY MEDICAL SERVICE AND ESSENTIAL DRUGS COURSE (CMS ED) Diploma in CMS & ED is a diploma for primary health care by general Allopathic medicines, which are recommended by the World Health Organisation for primary health care.