Healthcare Compliance Training

Course Description: 

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.

Course Objectives:

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.

Course Content:

• 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

• HIPAA

• EMTALA and CLIA

• OSHA

• HR Laws

• Investigations and the Legal Process

• Key and Other Risk Areas

• RACs, ZPICs, MICs, PSCs, MFCUs