Healthcare Compliance Training
The course will teach the student how to create, implement, and maintain a healthcare compliance program for your practice based on government regulatory standards — including internal compliance inspections, audits, risk assessments, and staff training and education – as well as important criteria.
Anyone who is preparing for a career as a Compliance Officer, or wants to take the AAPC’s CPCO exam, should take this course.
The Office of Inspector General has published a set of recommendations for physician practices, clinical laboratories, and third-party billing firms.
• The effectiveness of a compliance program
• The False Claims Act, Stark Laws, and Anti-Kickback Statute, as well as the associated fines and penalties, are some of the most important healthcare fraud and abuse laws.
• How the PPACA will affect medical practices
• HIPAA, EMTALA, and CLIA are a few other laws and regulations that apply.
• Handling investigations, such on the subject of self-disclosure rules
• Requirements of Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs)
• Current investigative activities (RACs, ZPICs, MFCUs)
• There are a number of points to consider when it comes to risk. Gifts and gratuities, conflicts of interest, the use of Advance Beneficiary Notices, teaching physician’s recommendations, and incident-to services are just a few examples.
• A history of healthcare compliance in the United States
• OIG Compliance Program Guidance for Individual Physicians and Small Group Practices
• Other Applicable OIG Compliance Program Guidance
• Key Enforcement Laws
• EMTALA and CLIA
• HR Laws
• Investigations and the Legal Process
• Key and Other Risk Areas
• RACs, ZPICs, MICs, PSCs, MFCUs