Medicaid Fraud Investigation Training 2018



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Medicaid Fraud Investigation Training 2018

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MEDICAID INTEGRITY INSTITUTE FY-17 TRAINING CALENDAR

www.justice.gov

Jul 26, 2017 Basic Skills and Techniques in Medicaid Fraud Detection Program. November ….
in Medicaid fraud detection and/or should have completed the MII's Basic Skills
and Investigation Techniques or … This intensive training course is geared to
both coding and auditing professionals, and will show you how to.

MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR

www.justice.gov

FY-18 TRAINING CALENDAR. COURSE OVERVIEW. Note: This FY18 Training
Calendar is subject to funds availability. … Emerging Trends in Medicaid
Beneficiary Eligibility and Fraud. March 27-29, 2018. Interactions between
MFCUs and PI Units Symposium. April 10-11, 2018. Healthcare Fraud Prevention
Partnership …

Medicare Learning Network – CMS.gov

www.cms.gov

Medicare Learning Network® (MLN) Medicare Parts C and D. Compliance and
Fraud, Waste, and Abuse (FWA) Trainings. Available Trainings. Training Title.
Summary and Downloads. Medicare Parts C and. D General Compliance.
Training (FREE). Learn about how a compliance program operates and how to
report …

Medicare Parts C and D General Compliance Training – CMS.gov

www.cms.gov

requirements, completing this training in and of itself does not ensure that a
Sponsor has an “effective Compliance Program.” Sponsors are responsible for
establishing and executing an effective compliance program according to the
Centers for Medicare &. Medicaid Services (CMS) regulations and program
guidelines.

Combating Medicare Parts C and D Fraud, Waste, and … – CMS.gov

www.cms.gov

downstream, and related entities (FDRs) in satisfying the annual Fraud, Waste,
and Abuse (FWA) training requirements in the … the Centers for Medicare &
Medicaid Services (CMS) Program information you need, when you need it, so
you can focus more on …… directed investigation and civil or administrative
litigation.

Medicare 101 Workbook 2017 – CMS.gov

www.cms.gov

Medicare 101 is a training module from the Centers for Medicare & Medicaid
Services (CMS) National. Training Program. The module and this complementary
workbook explain the Medicare Program, including what it is, coverage and costs
, coverage choices, enrollment, coordination of benefits, and how to fight fraud …

Medicaid and CHIP Managed Care Final Rule (CMS … – Medicaid.gov

www.medicaid.gov

This final rule is the first update to Medicaid and CHIP managed care regulations
in over a decade. The health care delivery landscape has … fiscal year starting
on or after July 1, 2018. – Applicability dates/Relevance of some 2002 …
Treatment of a Plan's Recovery of Overpayments. • Fraud Prevention Activities in
the MLR.

CMS Needs to Fully Align Its Antifraud Efforts with the Fraud … – GAO

www.gao.gov

Dec 5, 2017 What GAO Recommends. GAO recommends that CMS (1) provide and require
fraud-awareness training to its employees, (2) conduct fraud risk assessments,
and (3) create an antifraud strategy for Medicare and. Medicaid, including an
approach for evaluation. HHS concurred with GAO's recommendations.

HHS OIG Work Plan Fall 2017 – Office of Inspector General – HHS.gov

oig.hhs.gov

Nov 15, 2016 at agencies such as the Centers for Medicare & Medicaid Services (CMS),
Administration for Children and. Families … OI conducts criminal, civil, and
administrative investigations of fraud and ….. for FY 2016 and beyond will include
additional oversight of hospice care, including oversight of certification.

CCC Plus MCO Contract January 2018 – DMAS – Commonwealth of …

www.dmas.virginia.gov

Jan 1, 2018 COMMONWEALTH OF VIRGINIA. DEPARTMENT OF MEDICAL ASSISTANCE
SERVICES. COMMONWEALTH COORDINATED CARE PLUS MCO CONTRACT
. FOR MANAGED LONG TERM SERVICES AND SUPPORTS. January 1, 2018
December 31, 2018 …

Executive Budget Fiscal Years 2017 and 2018 – State of Michigan

www.michigan.gov

Nov 10, 2015 executive budget recommendation for fiscal year 2017 and projected fiscal year
2018 makes strategic investments ….. conservation districts to provide training,
education and technical assistance for Michigan produce … investigate and
prosecute Medicaid provider fraud, and mediate complaints regarding.

Executive Budget – Governor's Finance Office – State of Nevada

budget.nv.gov

1037 AG – MEDICAID FRAUD. 142. 1038 AG – CONSUMER ADVOCATE. 146.
1040 AG …. 4063 GCB – GAMING CONTROL BOARD INVESTIGATION FUND. 19
. PUBLIC UTILITIES COMMISSION. PUC. PUBLIC … 4685 B&I – SAFETY
CONSULTATION AND TRAINING. 80. 4686 B&I – MINE SAFETY & TRAINING. 86
.

Conditions of Participation for Home Health Agencies

www.gpo.gov

Jan 13, 2017 participates in the Medicare or. Medicaid programs. Services are provided on a
visiting basis in the beneficiary's home, and may include the following: • Part-time
or intermittent skilled … aide training and competency, and compliance with …..
Investigation of complaints; and (6). Accessibility. In proposed …

Special Investigations Department – Ohio BWC – Ohio.gov

www.bwc.ohio.gov

Aug 24, 2017 In fiscal year 2017, BWC's special investigations department celebrated its 24th
year of protecting the State Insurance … Program Integrity Group and the Pill Mill
Coordination team for the Ohio Attorney General's Medicaid Fraud Control …
Jennifer also assists with SID's training and development committee …

FY 2018 Budget Overview – Social Security

www.ssa.gov

May 23, 2017 integrity cap adjustments in the FY 2018 President's Budget, we would eliminate
the backlog of … three new cooperative disability investigations units, maintain
our corps of fraud prosecutors, and expand our use of data analytics to detect
and prevent fraud. … Medicaid, and Federal Benefits for Veterans.

Settlement Agreement – Main Fair Pharmacy – State of New Jersey

nj.gov

OF NEW JERSEY, OFFICE OF THE STATE COMPTROLLER, MEDICAID FRAUD
DIVISION. (“MFD”). Main Fair and MFD are hereinafter collectively referred to as
the "Parties" and each individually as a “Party.” WHEREAS, MFD conducted a
pharmacy inventory analysis (“Inventory Analysis”) and alleged that during the …

2016-2018 Strategic Plan – California Department of Insurance

www.insurance.ca.gov

STRATEGIC PLAN 2016–2018 … Awarded $1.84 million in grant funding from
the Centers for Medicare and Medicaid. Services … Insurance Fraud. • The
department administered five distinct local assistance grant programs which
award funds to district attorneys for the investigation and prosecution of
insurance fraud and.

Your 2017 Guide to Medicaid – West Virginia Department of Health …

www.dhhr.wv.gov

Your 2017 Guide to. Medicaid. A program administered by the West Virginia.
Department of Health and Human Resources ….. Certification from U.S.
Department of Health and Human Services (HHS) Office of Refugee.
Resettlement (ORR); ….. To investigate or prosecute Medicaid cases (like fraud).
WHY WE MAY USE OR …