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Fraud , Waste & Abuse Program ____________________________________________________
As a Medicare Advantage Organization under contract with CMS , Hometown Health is required under federal law 42 C . F . R . 423.504 ( b ), to have in place a comprehensive fraud , waste and abuse (“ FWA ”) program to detect , correct , and prevent FWA . Hometown Health ’ s FWA Program is designed to detect and prevent FWA committed by participating and non-participating providers , facilities , FDR , staff and our members .
Hometown Health ’ s Compliance Department is supported by Hometown Health ’ s CEO , Renown Health ’ s Compliance Officer and senior management . Hometown Health has a fiduciary responsibility to the health care community to resist criminal behavior , instances of false claims and improper billing and coding practices , and other schemes that adversely impact patient safety , quality of health care services being delivered that impose a tremendous financial burden on the health care system .
Fraud , Waste & Abuse (“ FWA ”) Program
Components of the FWA Program : I . II . III . IV . V .
Detection and Prevention Recovery of Duplicate or Erroneous Payments Reporting Education and Training Contact
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