Providers

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Compliance and FWA Training

As a First Tier Entity, your organization must provide FWA and general compliance training to all your employees and Downstream Entities assigned to provide administrative and/or healthcare services for Ultimate Health Plans. To comply with this requirement, you can use the CMS Medicare Parts C & D Fraud, Waste, and Abuse Training and General Compliance Training which you may download by following the instructions below:

Compliance Training Requirements

Accessing the CMS Training Material

  • Provider Compliance
    Learn how to avoid common coverage, coding, and billing errors with these educational CMS resources. To access this training, here.
  • MLN Web-Based Training
    Free, self-paced learning on a broad range of topics for health care providers. To access this training, here.
  • Compliance Program Policy and Guidance
    Find information related to CMS' Compliance Program Policy and Guidance and understanding Part C and Part D compliance program requirements. To access this training, here.