Healthcare Compliance and Regulations
( 24 Modules )

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

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Healthcare Compliance and Regulations ( 24 Modules )

Healthcare Compliance and Regulations
( 24 Modules )