Fraud, Waste & Abuse Prevention Program

Did you know...

Part D auditors from both PBMs and Medicare Part D plans have the ability to pull all your Medicare Part C and Part D reimbursements if you aren’t in compliance … that could be 40 - 50% of your prescriptions each year! Since 2006, CMS Medicare Part D has required each pharmacy to have an active Fraud, Waste & Abuse Prevention Program. As of September 1, 2013, every pharmacy must check their employees and business associates monthly against the OIG, GSA, and SAM Exclusion lists. If you’re not properly documenting your staff’s FWA training and doing monthly exclusion verification checks, your pharmacy is at serious risk.

Program Includes

  • Easy-to-implement policies and procedures that meet both Part B and Part D requirements
  • Web-based Training with staff logs and certificates
  • 24/7 online access to documentation and training
  • Monthly Exclusion Verification Process for OIG, GSA and SAM available in our Compliance Portal® (Allows you to maintain monthly checks within seconds instead of hours from government sites!)
  • Conflict of Interest Certifications for owners, professional and managers (Conflict of Interest certifications extend beyond the federal requirements for protection of your pharmacy.)