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AmeriHealth is committed to compliance with the Medicare Advantage Program,
as required by the Centers for Medicare & Medicaid Services (CMS).
CMS recently revised its compliance program training requirements to require
that all first-tier, downstream, and related entities (FDR) complete the
following courses, which are available through the Medicare Learning Network
(MLN):
- Medicare Parts C and D General Compliance Training
- Combating Medicare Parts C and D Fraud, Waste, and Abuse
An FDR is defined by CMS as a party that enters into a written agreement to
provide administrative services or health care services to a Medicare enrollee
on behalf of a Medicare Advantage or Part D plan. FDRs include, but are not
limited to, contracted health care providers, pharmacies, suppliers, and
vendors.
As a provider of health care services for AmeriHealth Medicare Advantage and
Medicare Part D Prescription Drug Program (Medicare Part D) members, you and
your staff are expected to comply with CMS requirements by completing this
training. Please visit the Medicare Learning Network to access and complete your
Medicare compliance training at the time of hire and annually thereafter.
For more information about this compliance training requirement, visit CMS's
website.
Note: We suggest that you and your staff maintain records of
completion for these trainings.
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