Preventing Fraud, Waste, and Abuse in the Pharmacy – 3 Hours

Description

Starting in 2006, all pharmacies in the United States are required to have a Fraud, Waste, and Abuse (FWA) Program in place as part of their overall Pharmacy Regulatory Compliance. Since prescription drug abuse and fraud are currently at an all-time high in the U.S., it is crucial to ensure that your pharmacy is fully compliant. The main goal of this FWA training is to improve the ability to detect and report fraud, waste, and abuse in the healthcare industry.

Upon completion of this course (Preventing Fraud, Waste, and Abuse in the pharmacy), pharmacists and pharmacy technicians will be able to: 

• Describe the role of the Centers for Medicare/Medicaid Services (CMS).
• Define CMS Medicare/Medicaid Fraud, Waste and Abuse (FWA).
• Describe specific examples of FWA in the pharmacy.
• Identify the prominent government agencies responsible for combatting FWA.
• Discuss the continued efforts of regulatory agencies to reduce fraud, waste, and abuse.
• Identify significant laws and regulations addressing FWA, such as Medicare regulations on Part C & D, HIPAA, the False Claims Act, and the Anti-Kickback statute.
• Recognize conditions for participation in government-funded programs for health providers.
• Define terms associated with FWA compliance, such as first tier, downstream, and related entity.
• List the seven elements required for an approved compliance program.
• Recognize the consequences of non-compliance with program requirements.
• Identify FWA reporting procedures and reporting sites.
• Recognize protections under the Whistleblower Protection Act and the False Claims Act.
• List disciplinary actions and penalties for FWA violations.
• Explain the Exclusion List and the consequences of being on it.
• Identify record retention and attestation requirements for FWA compliance auditing.
• Identify other forms of healthcare fraud, waste, and abuse.
• List specific actions a pharmacist can take to prevent, identify, and correct FWA.

Author: Elvia Sellountos, Pharm D, RPh  

Contact Hours: 3 Hours 

Activity Type: Knowledge-Based Home Study 

Instructional Methods:  Online Independent Self-Study (Training + Post-Test)

Target Audience: Pharmacists & Pharmacy Technicians 

Cost: $25 / Participant

Course No: Pharmacist: 0384-9999-24-050-H03-P         Technicians: 0384-9999-24-050-H03-T

Release Date: 04/29/2024               Expiration Date:04/29/2027

Course Completion Certificate:  A minimum passing score of 70% is required for course completion. A printable certificate in PDF format will be emailed, and credit will be reported to the CPE monitor within 30 days of completion.

The Accreditation Council for Pharmacy Education accredits the National Pharmacy Technician Association (NPTA) as a provider of continuing education.

NPTA Approval approves Biologix Solutions LLC as a Joint Provider of continuing pharmacy education.

Disclaimers: Elvia Sellountos has no conflicts of interest. The program received no commercial support and was peer-reviewed to ensure non-commercialization.

Cancellation / Refund Policy: By completing your purchase from Biologix Solutions LLC through PayPal, you agree that you are purchasing digital, non-tangible product/service/training courses and, as such, are not entitled to a refund once accessed. If you have any questions, please contact us by phone or email before purchasing the online course.