AHIP TRAINING Medicare Fraud, Waste, and Abuse Training Accurate 100%

Medicare plan means - ANSWER A MA plan, MA-PD plan or PDP Subcontractor means - ANSWER **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance program component - ANSWER **ALL Medicare plans are required to have robust programs to assure compliance by plan employees an subcontractors with all applicable laws, regulations and program guidance. **One required component of a compliance program is a FWA program to identify and address issues of compliance with FWA. **It is important to remember that ALL Medicare plan sponsor employees and subcontractors are responsible for complying with all relevant Medicare requirements, even if lack of compliance may not be viewed as FWA,