General Compliance and Fraud, Waste and Abuse Training

 

The Centers for Medicare and Medicaid Services requires that all participating dentists (and their staff) treating Medicare patients complete General Compliance and Fraud, Waste and Abuse Training. This is an annual requirement for existing staff and new staff must complete the training within 90 days of being hired. We recommend adding this requirement to your new hire training checklist.

If you and your office staff have met the Fraud, Waste and Abuse certification requirements through enrollment into the Medicare program (Parts A or B) or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), it is NOT necessary to complete Fraud, Waste and Abuse Training.

You may use the materials provided by CMS or Highmark and United Concordia Dental.

  • The CMS standardized FWA training and education module available through the CMS Medicare Learning Network (MLN) at https://learner.mlnlms.com/Default.aspx.
  • Highmark and United Concordia Dental offer participating dentists convenient online access to the General Compliance and Fraud, Waste and Abuse Training on our website. Click here to access this training.

Please note:

  • Providers are required to maintain training records for a period of 10 years and are required to demonstrate that their employees have fulfilled these training requirements. Examples of proof may include sign in sheets, employee attestations and electronic certifications.
  • Highmark and United Concordia Dental reserve the right to request documentation to demonstrate completion of the training and providers must submit that information upon request.

If you have any General Compliance and Fraud, Waste and Abuse Training-related questions, please contact the Highmark Health Integrity and Compliance Department at 1-800-985-1056.