Which of the following actions is essential for coordinating with other payers to prevent FWA?

Keeping up to date with compliance policies is essential for coordinating with other payers to prevent fraud, waste, and abuse (FWA). An understanding of current regulations, guidelines, and best practices enables healthcare providers and organizations to align their operations with industry standards. This knowledge facilitates better communication and collaboration among various payers, as all parties can share insights based on a common understanding of compliance requirements.

Maintaining awareness of regulations not only aids in identifying potential FWA activities but also promotes adherence to established procedures for reporting and addressing such activities. This proactivity helps in fostering an environment where all stakeholders are working toward the same objectives: minimizing financial losses related to FWA and ensuring the integrity of healthcare services.

In contrast, sharing beneficiary data openly can lead to privacy violations, submitting claims without validation can result in incorrect billing practices, and relying only on internal audits may overlook important external factors and collaborations that could address FWA more effectively.