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Thia checkNst wtll help ensure you are compliant with the Medicare requirements for first tier, downstream, and related <br />entities (FDRa). You must maintain documentation sufficient to demonstrate to us or Medicare that these elements are met. <br />Before hiring a new employee or <br />governing body member <br />0 Checis both the Office of Inspector Gene.rat (OIG) <br />and General ~ervlce.s Admtn strallon (GSA) federal <br />exclusi on llsts to ens ure that no emplpYeea are <br />excluded from participation In federal programs. <br />The term "employees" tncludes. ternporary • <br />employees , volunteer s-!Ind consullant ll . Ir <br />applicable, establish a process to Identify and <br />prevent payment tor clalms at. point-ct-sal e for any <br />drugs or servloes prescribed , di spensed or <br />delivered by e)(cluded providers . <br />• GSA excluSion list: sam.gov <br />• OIG exclusion 11st: oig.hha.govtexcluaions <br />Within 90 days of hire <br />• Provrde Standards of Conduct and pollc es <br />and procedure11 to all employe11S who provide <br />admlnfatrallvi!J aen(lces or heattt, care services <br />for Asuria Medicare buslne88. <br />• Require govemlng body, officers and aenlor <br />leadenihlp (as applicable) to sign a conflict of <br />interest dlacloaure. <br />• Provide Medicare parts C and D fraud, waste and <br />abuse (FWA) lralnlng to all employees who provide <br />administrative services or health care services for <br />Asurts ' Med icare bus lnecSa. Note: FDRs wtio <br />have met the FWA certfflcatlon requirements <br />through enrollment Into Parts A or 8 of the <br />Medicare program or through accreditation aa a <br />supplier of DMEPOS are deemed to have met lhe <br />FWA training and education requirements. <br />• Provide Medicare parts C and O General <br />Compliance training lo all employees who provide <br />administrative services or health care services for <br />Asurla Medicare bualneas. <br />November 2015 <br />Monthly for all employees and <br />governing body members <br />• Check both the OIG and GSA federal <br />exclusion lisls to ensure that no employees <br />have become excluded from participation In <br />federal programs. <br />• GSA exclusion 11st: sam.gov <br />• OIG exclusfon 11st: 011.hhs.aov/excluslons <br />Annually for all employees and governing <br />body members <br />• Provide Standards of Conduct and pollcles and <br />procedures to all employees who provide <br />administrative services or health care services for <br />Asuris Medicare business. <br />a Require governing body. officer& and senior <br />leadership (es applicable) to sign a conflict of Interest <br />disclosure. <br />• Provide Medicare parts C and D fraud, waste and <br />abuse training and Medicare parts C and D General <br />Compliance to an employees who provide <br />admlniltrative services or health care nrvices for <br />Asuris Medicare buslnesa. <br />Report all compliance concerns <br />For concerns regarding ethics, compliance or fraud, <br />contact us through one of these confldentlal <br />options : <br />• Fraud, waate and abuse: 1 (BDO) 323°1893 <br />• Anonymous reporting line: 1 (BIB) 384-3577 <br />• Medicare compliance, privacy, HIPAA <br />compliance or ethlca: 1 (877) 878-2273 <br />Visit our FOR resource page at regenca.com/ <br />fdr•resourcea. <br />j\SURIS · <br />I , • •