CA 220 Current Procedural Terminology is abbreviated as CPT

12 Jun CA 220 Current Procedural Terminology is abbreviated as CPT

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Medicare Learning Network® (MLN)
Fraud & Abuse Products
®

The Medicare Learning Network (MLN) products listed on this page were developed in an
effort to help health care professionals understand and prevent Medicare and Medicaid
fraud & abuse. This list will be updated as related products are developed and revised.
All products are available to download, view, and print from the MLN in Adobe Acrobat /
Portable Document Format (PDF)

PUBLICATION TITLE
Affordable Care Act Provider
Compliance Programs: Getting
Started

DESCRIPTION

FORMAT

This WBT course is designed to assist providers in
the development of compliance programs as
required under the Affordable Care Act. It includes
subject matter experts explaining policies and
procedures, including internal auditing and
enforcement stipulated in the Affordable Care Act.
In addition, a health care professional operating a
successful program offers information on best
practices.

Web-Based Training

To enroll in this course:
1.
2.
3.
4.

Go to the MLN Web-Based Training (WBT) web page.
Under ‘Related Links,’ click on the ‘Web-Based
Training (WBT) Courses’ link.
From that page, click on the course title (‘Affordable
Care Act Provider Compliance Programs: Getting
Started’), not the icon next to it.
At the top of the course description page, click on
either ‘Login’ or ‘Register’.

Avoiding Medicare Fraud &
Abuse: A Roadmap for
Physicians

This fact sheet is designed to provide education for
physicians on understanding how to comply with
Federal laws that combat fraud and abuse and
ensure appropriate quality medical care. It includes
information on identifying "red flags" that could
lead to potential liability in law enforcement and
administrative actions.

Fact Sheet

Avoiding Medicare Fraud &
Abuse: A Roadmap for
Physicians

This web-based training (WBT) course is designed
to provide education on fraud & abuse related to
physicians. It includes definitions, legal exclusions,
Civil Monetary Penalties, case examples, and
resources.

Web-Based Training

This activity has been approved
for AMA PRA Category 1 Credit™ and
.5 CEUs by the American Academy of
Professional Coders (AAPC)

To enroll in this course:
1.
2.
3.
4.

Drug Diversion: Do You Know
Where the Drugs Are Going?

Go to the MLN Web-Based Training (WBT) web page.
Under ‘Related Links,’ click on the ‘Web-Based
Training (WBT) Courses’ link.
From that page, click on the course title (‘Avoiding
Medicare Fraud & Abuse: A Roadmap for
Physicians’), not the icon next to it.
At the top of the course description page, click on
either ‘Login’ or ‘Register’.

This WBT is designed to provide education on drug
diversion activities. It includes common types of
drug diversion activities; drug classes that are
targets of drug diversion; common drug diversion
behaviors to look for in pharmacy practices; and
actions that can be taken to prevent drug diversion
activity.

Web-Based Training

To enroll in this course:
1.
2.
3.
4.

Medicaid Program Integrity:
Preventing Provider Medical
Identity Theft

Go to the MLN Web-Based Training (WBT) web page.
Under ‘Related Links,’ click on the ‘Web-Based
Training (WBT) Courses’ link.
From that page, click on the course title (‘Drug
Diversion: Do You Know Where the Drugs Are
Going?’), not the icon next to it.
At the top of the course description page, click on
either ‘Login’ or ‘Register’.

This fact sheet is designed to provide education on
how to prevent provider medical identity theft. It
includes information on actions Medicare and
Medicaid providers can take to mitigate potential

Fact Sheet

risks to their medical identity.
Medicaid Program Integrity:
Safeguarding Your Medical
Identity Using Continuing
Medical Education (CME)

This educational tool is designed to provide a list of
websites and other resources related to Medicare
and Medicaid medical identity theft.

Educational Tool

Medicaid Program Integrity:
Understanding Provider Medical
Identity Theft

This booklet is designed to provide education on
the scope and definition of medical identity theft. It
includes information on cases involving stolen
provider medical identities and strategies that
Medicare and Medicaid providers can use to
protect themselves against medical identity theft.

Booklet

Medicare Fraud & Abuse:
Prevention, Detection, and
Reporting

This fact sheet is designed to provide education on
preventing, detecting, and reporting Medicare
fraud and abuse. It includes definitions, as well as,
information on laws, partnerships with other
organizations, and resources for additional
information.

Fact Sheet

Medicare Fraud & Abuse:
Prevention, Detection, and
Reporting

This podcast is designed to provide education on
preventing, detecting, and reporting Medicare
fraud and abuse. It includes information from the
Medicare Learning Network® fact sheet titled
"Medicare Fraud & Abuse: Prevention, Detection,
and Reporting," which describes relevant laws,
regulations, and partnerships designed to combat
fraud and abuse.

Podcast

Medicare Fraud & Abuse:
Prevention, Detection, and
Reporting

This web-based training (WBT) course is designed
to provide education on how to identify Medicare
fraud and abuse and understand the related laws
and penalties. It includes information on what
entities and safeguards protect against and detect
fraud and abuse, as well as how you can help
prevent and report it.

Web-Based Training

CMS is authorized by IACET to
offer 0.1 CEUs for this program and
1.5 CEUs by the American Academy
of Professional Coders (AAPC)

To enroll in this course:
1.
2.

Go to the MLN Web-Based Training (WBT) web
page.
Under ‘Related Links,’ click on the ‘Web-Based
Training (WBT) Courses’ link.

3.
4.

Medicare Parts C and D Fraud,
Waste and Abuse Training and
Medicare Parts C and D General
Compliance Training

From that page, click on the course title (‘Avoiding
Medicare Fraud & Abuse: A Roadmap for
Physicians’), not the icon next to it.
At the top of the course description page, click on
either ‘Login’ or ‘Register’.

This web-based training (WBT) course is designed
to provide education on fraud, waste, and abuse in
the Medicare Parts C and D program and general
compliance concepts. It includes two parts and can
be used to satisfy general compliance training
requirements and fulfill the annual fraud, waste,
and abuse training requirement for Medicare Parts
C and D organizations.

Web-Based Training

To access this course, visit the MLN Provider Compliance web
page. The course is listed at the bottom of the page under
the ‘Downloads’ section

Safeguarding Your Medical
Identity
This activity has been approved
for AMA PRA Category 1 Credit™ and
Continuing Education Units (CEUs).

This web-based training course is designed to
provide education on medical identity theft. It
includes information on how to recognize risks and
resources that Medicare and Medicaid providers
can use to protect their medical identity.
To register for this course:
1.
2.
3.
4.
5.

Go to the MLN Web-Based Training (WBT) web
page.
Scroll down to the Related Links section, and click
on the Web-Based Training (WBT) Courses link.
From that page, click on the title of the course,
‘Safeguarding Your Medical Identity’, not the icon
next to it.
At the top of the course description page, click on
either Login, if you are an existing user, or Register,
if you are a new user.
NOTE: You must complete the post-assessment test
and evaluation in order to receive Continuing
Education Units (CEUs) or Continuing Medical
Education (CME) credit for this course.

Web-based Training