Compliance Corner

Garity Advantage Annual Downline Compliance


 

Background

The Centers for Medicare & Medicaid Services (CMS) requires that we communicate general compliance program information and requirements, as well as provide training and education and monitor specific Compliance and Fraud, Waste and Abuse (FWA) requirements to our employees, first tier, downstream, and related entities. (FDR)

Action Required

Review the following compliance and FWA requirements now to make sure you, your employees and any applicable affiliate organizations meet all the requirements. Employees are defined as hired staff, management and temporary workers for your company or subcontractors that have involvement in or responsibility for a core function in the administration or delivery of Medicare Advantage Part C, Part D, or Medicaid health plan benefits and have access to personal health information/personally identifiable information (PHI/PII).

Reporting a CMS Violation

If you suspect misconduct or identify an excluded individual, report it to us immediately so we may investigate and respond appropriately. Go to GarityAdvantage.com/compliancecorner and click on “report a CMS violation”. This is an anonymous communication and GarityAdvantage prohibits retaliation for reports made in good faith.

 

GarityAdvantage

Compliance Team

17 Accord Park Drive | Norwell, MA 02066

Email: kfennessy@garityadvantage.com