Individuals involved with the delivery of prescription drug benefits, offered by Medicare, must obtain fraud, waste and abuse training as part of a compliance program. Employees must attend a training session upon initial hiring, as well as subsequent refresher training every year. Training can take place through live discussions, seminars, online tutorials and videotaped presentations.
Course options for introductory and renewing participants include Coding for the Health Care Fraud Investigator, Preventing Fraud, Waste & Abuse, Investigating Hospital & Facility Fraud and the Painful Price of Health Care Fraud. Individuals that participate in a fraud, abuse and waste training program receive continuing professional education credits.
Topics discussed during the program include a review of compliance policies and procedures, business ethics, Medicare program requirements, confidentiality of personal health information, conflicts of interest, data and technology in investigations and gifts and gratuities for government employees.