Compliance Auditing in Healthcare Organizations
( 30 Modules )

Module #1
Introduction to Compliance Auditing in Healthcare
Overview of the importance of compliance auditing in healthcare organizations, regulatory requirements, and role of the compliance auditor

Module #2
Healthcare Laws and Regulations
In-depth review of key healthcare laws and regulations, including HIPAA, Stark Law, and Anti-Kickback Statute

Module #3
Compliance Program Structure and Management
Best practices for designing and implementing an effective compliance program, including role of the compliance officer and committees

Module #4
Risk Assessment and Identification
Methods for conducting risk assessments, identifying high-risk areas, and prioritizing audit activities

Module #5
Audit Planning and Preparation
Developing an audit plan, identifying audit objectives, and preparing audit documentation

Module #6
Audit Fieldwork and Data Collection
Techniques for gathering and documenting audit evidence, including sampling and data analysis

Module #7
Audit Reporting and Findings
Best practices for reporting audit findings, including writing clear and concise reports and presenting results to management

Module #8
Audit Follow-up and Remediation
Processes for tracking and verifying remediation efforts, including follow-up audits and monitoring

Module #9
Compliance Audit Areas:Billing and Coding
Specific audit procedures for reviewing billing and coding practices, including Medicare and Medicaid reimbursement

Module #10
Compliance Audit Areas:Medical Records and Clinical Documentation
Audit procedures for reviewing medical records and clinical documentation, including HIPAA compliance

Module #11
Compliance Audit Areas:Pharmacy and Prescribing Practices
Audit procedures for reviewing pharmacy and prescribing practices, including Medicare Part D and controlled substances

Module #12
Compliance Audit Areas:Research and Clinical Trials
Audit procedures for reviewing research and clinical trial activities, including human subject protections and Good Clinical Practice

Module #13
Compliance Audit Areas:Vendor and Contractor Management
Audit procedures for reviewing vendor and contractor relationships, including contracts and agreements

Module #14
Compliance Audit Areas:Data Analytics and IT Security
Audit procedures for reviewing data analytics and IT security, including protection of protected health information (PHI)

Module #15
Compliance Audit Areas:Corporate Governance and Leadership
Audit procedures for reviewing corporate governance and leadership practices, including board oversight and executive leadership

Module #16
Compliance Audit Tools and Technologies
Overview of audit software, data analytics tools, and other technologies used in compliance auditing

Module #17
Effective Communication and Report Writing
Tips and best practices for effective communication and report writing in compliance auditing

Module #18
Audit Committee and Board Reporting
Best practices for reporting audit results to the audit committee and board of directors

Module #19
Compliance Auditor Professional Development
Strategies for staying current with regulatory changes, enhancing audit skills, and advancing careers in compliance auditing

Module #20
Case Studies in Compliance Auditing
Real-world case studies and scenarios illustrating common compliance audit challenges and best practices

Module #21
Industry Trends and Emerging Risks
Current trends and emerging risks in healthcare compliance, including value-based care and healthcare technology

Module #22
Compliance Auditing in Ambulatory Care Settings
Unique compliance audit challenges and considerations in ambulatory care settings, including physician practices and outpatient facilities

Module #23
Compliance Auditing in Long-Term Care Facilities
Compliance audit considerations specific to long-term care facilities, including skilled nursing facilities and assisted living

Module #24
Compliance Auditing in Home Health and Hospice
Unique compliance audit challenges and considerations in home health and hospice care settings

Module #25
Compliance Auditing in Mental Health and Substance Abuse
Compliance audit considerations specific to mental health and substance abuse treatment settings

Module #26
Compliance Auditing in Dental and Vision Care
Unique compliance audit challenges and considerations in dental and vision care settings

Module #27
Compliance Auditing in Healthcare IT and Technology
Compliance audit considerations specific to healthcare IT and technology vendors, including data privacy and security

Module #28
Compliance Auditing in Healthcare Business Operations
Compliance audit considerations specific to healthcare business operations, including revenue cycle management and supply chain management

Module #29
Compliance Auditing in Healthcare Research and Education
Unique compliance audit challenges and considerations in healthcare research and education settings

Module #30
Course Wrap-Up & Conclusion
Planning next steps in Compliance Auditing in Healthcare Organizations career

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Compliance Auditing in Healthcare Organizations ( 30 Modules )

Compliance Auditing in Healthcare Organizations
( 30 Modules )