Medicare Part D Compliance Training

Medicare Part D compliance training involves meeting the requirements set forth by the Centers for Medicare and Medicaid Services on January 1, 2009. Part D deals with a host of medical providers following measures to detect and prevent fraud, waste and abuse involving the processing and handling of medical claims.

Types

• Many organizations offer general and specialized training to prevent fraud, waste and abuse. This compliance training takes the form of yearly compliance and new hire education training. Compliance training focuses on the instruction of basic medical form coding nomenclature to prepare professionals to analyze medical record documentation to find and investigate questionable claims.

Categories

• All workers involved with health plans sponsoring Part D benefits are responsible for remaining compliant. There are specific compliance procedures for businesses and organizations categorized as first tier, downstream and related entities. Part D training also places an emphasis on prompt response to detection. Each category of medical providers has its own procedures for handling suspect claims.

Documentation

• All groups must complete training logs throughout their compliance training. Once the training is completed, an Attestation of Training Completion must be submitted to Medicare.