Module #1 Introduction to Healthcare Compliance Overview of the importance of compliance in healthcare, key laws and regulations, and roles and responsibilities.
Module #2 HIPAA Fundamentals In-depth review of the Health Insurance Portability and Accountability Act (HIPAA), including privacy, security, and breach notification rules.
Module #3 HIPAA Privacy Rule Detailed exploration of the HIPAA Privacy Rule, including patient rights, uses and disclosures, and minimum necessary standards.
Module #4 HIPAA Security Rule In-depth review of the HIPAA Security Rule, including safeguards, risk analysis, and risk management.
Module #5 HIPAA Breach Notification Guidelines for breach notification, including notification requirements, timing, and content.
Module #6 Compliance Program Development Best practices for developing an effective compliance program, including policies, procedures, and training.
Module #7 Compliance Officer Role and Responsibilities Key responsibilities of the compliance officer, including reporting, auditing, and monitoring.
Module #8 Coding and Billing Compliance Introduction to coding and billing compliance, including ICD-10, CPT, and HCPCS coding systems.
Module #9 Fraud and Abuse Laws Overview of federal fraud and abuse laws, including the False Claims Act and Stark Law.
Module #10 Anti-Kickback Statute In-depth review of the Anti-Kickback Statute, including prohibited activities and safe harbors.
Module #11 Stark Law and Self-Referral Detailed exploration of the Stark Law, including prohibited self-referrals and exceptions.
Module #12 Civil Monetary Penalties Overview of civil monetary penalties, including fines, penalties, and exclusions.
Module #13 OIG Guidance and Resources Introduction to Office of Inspector General (OIG) guidance and resources, including compliance guidelines and self-disclosure protocols.
Module #14 Medicare and Medicaid Compliance Overview of Medicare and Medicaid compliance, including billing, coding, and reimbursement rules.
Module #15 Healthcare Fraud Enforcement Review of healthcare fraud enforcement efforts, including law enforcement agencies and tools.
Module #16 Compliance in Healthcare Operations Best practices for compliance in healthcare operations, including patient safety, quality of care, and medical staff credentialing.
Module #17 Compliance in Healthcare Finance Overview of compliance in healthcare finance, including revenue cycle management and financial reporting.
Module #18 Compliance in Healthcare Human Resources Best practices for compliance in healthcare human resources, including workforce management and employee conduct.
Module #19 Compliance in Healthcare Information Technology Review of compliance in healthcare information technology, including electronic health records and data security.
Module #20 Risk Management and Internal Auditing Introduction to risk management and internal auditing, including risk assessment, auditing, and monitoring.
Module #21 Compliance Training and Education Best practices for compliance training and education, including program development and implementation.
Module #22 Compliance Program Evaluation and Auditing Guidelines for evaluating and auditing compliance programs, including metrics and benchmarking.
Module #23 Enforcement Actions and Investigations Overview of enforcement actions and investigations, including preparation, response, and mitigation strategies.
Module #24 Course Wrap-Up & Conclusion Planning next steps in Healthcare Compliance and Regulations career
