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Electronic Attestation Confirms Annual Compliance

dataQ® 's Fraud, Waste and Abuse (FWA) Attestation provides a single resource to confirm annual participation in the Centers for Medicare and Medicaid Services (CMS) required annual compliance training program for all contracted Medicare Part D Plan pharmacies in your network.

 

Developed by the Industry - for the Industry

On August 5, 2016, our Work Group 9 Government Programs approved an electronic FWA Training Attestation Form which became part of the NCPDP pharmacy profile on September 23, 2016. The Attestation Form was developed through a collaborative and consensus-based process that included participation and representation by all impacted stakeholders.

 

FWA Attestation Benefits Pharmacies

This process greatly improves pharmacy tracking for FWA completion eliminating the need to ensure that pharmacies have completed multiple FWA attestations with all contracted Part D sponsors and PBMs. For those PBMs and Part D sponsors that utilize the dataQ® file, pharmacies will not need to attest for FWA with those entities provided the pharmacy has completed the FWA attestation through the NCPDP website.


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Additional FWA Resources and Information

What Are Fraud, Waste and Abuse?

Fraud is generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any healthcare benefit program or to obtain (by means of false or fraudulent pretenses representations, or promises) any of the money or property owned by, or under the custody or control of, any healthcare benefit program. (18 U.S.C. § 1347)

Waste is overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the healthcare system, including the Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.

Abuse is payment for items or services when there is no legal entitlement to that payment and the individual or entity has not knowingly and/or intentionally misrepresented facts to obtain payment.