This includes identifying and correcting inappropriate or illegal conduct to reduce fraud, waste, and abuse (FWA). The Compliance Program is updated annually, approved, and adopted by BPN’s Boards of Directors/Managers (“Boards”) and BPN’s Compliance Committees and is applicable to all Banner Plans and Networks lines of business.

The Banner Plans and Networks Compliance Program and FWA Plan which includes the Code of Conduct, and Compliance Policies are available on the Banner University Health Plans Website and the BMA Website in the Compliance Section.

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In support of the Insurance Division Compliance Program and FWA Plan, it is the policy of the Banner Medicaid and Medicare Plans to detect, prevent and control member and provider-related fraud, waste and abuse (FWA) within the Medicare and Medicaid systems.

2017年5月31日 · Anyone who provides health or administrative services to Medicare enrollees must satisfy general compliance and FWA training requirements. You may use this WBT course to satisfy the FWA requirements.

Banner Medicare Advantage is committed to preventing Fraud, Waste, and Abuse (FWA). If you suspect a provider or member of fraud and abuse, please contact us at any of the following methods: Phone Banner Medicare Advantage Dual (877) 874-3930, TTY 711 Banner Medicare Advantage Prime: (844) 549-1857, TTY 711

The Compliance Program and FWA Plan is updated when there are any significant changes and at least annually. This document is an important resource for providers/FDRs/Administrative Subcontractors and includes the Banner Health Plans’ Code of Conduct. It can be located on the B – UHP and Banner Medicare Advantage provider websites at:

2022年6月30日 · Fraud, Waste and Abuse (FWA)/Compliance Issues B – UHP and Banner Medicare Advantage strictly enforce fraud, waste and abuse prevention policies and have specific controls in place to prevent and/or detect potential cases of fraud and abuse. Anyone can report member and/or provider fraud, waste and/or abuse or compliance issues and

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Program is described in several documents including the Code of Conduct, policies and procedures, and the Fraud, Waste, and Abuse Plan. All Banner Health (BH) employees and Governing Bodies must adhere to these Banner principles and First Tier, Downstream, and Related Entities (FDRs), subco.