The Center for Medicare and Medicaid Services (CMS) requires annual fraud, waste and abuse training for organizations providing health, prescription drug, or administrative services to Medicare Advantage (MA) or Prescription Drug Plan (PDP) enrollees on behalf of a health plan. The PDF file linked below contains federal requirements and information regarding fraud, waste and abuse that all providers must be familiar with. Please take a moment to go over the provided information.
**NOTICE REGARDING UTILIZATION MANAGEMENT**
AAMG ensures that utilization management decision-making is based only on the appropriateness of care, service, and existence of coverage. AAMG does not offer financial incentives for individuals, practitioners, or staff for issuing denials of coverage, service, or care resulting in underutilization.