Monday

• High-level overview of Healthcare compliance program elements
• Sharing problems and practices in implementing a compliance program
• Understanding of the seven elements

• Understand the importance of structure vs. operations
• The components of an effective compliance infrastructure
• Implementation of a compliance program, selection of qualified staff, and budgeting for program

• The importance of having a standards of conduct
• Essentials components of policies and procedures
• Evaluating the adequacy of compliance Standards and Policies

HIPAA

• A high-level overview of the privacy and security regulations
• Understand how to break down HIPAA issues
• Apply HIPAA rules to scenarios and breaches

Tuesday

Risk Assessment

• Understanding the risk assessment process
• Effective ways to conduct a risk assessment
• Tools to implement a risk assessment process

Auditing and Monitoring

• Understand the basics of auditing and monitoring
• Develop a compliance audit and monitoring risk based plan 
• Reporting and communicating auditing and monitoring results

Education and Training

• Understanding how adults learn
• Adult learning techniques, effective teaching styles, topics of interest, and evaluation of the educational programs
• The difference between general and focused/targeted education

Organizational Ethics

• Ethical conduct and responsibilities of the compliance officer
• Duties of the compliance professional
• Board obligations related to an ethical culture

Wednesday

Conflicts, Discipline, and Incentives

• Understand conflicts of interest
• Practical ways to implement a conflicts of interest process
• How discipline and incentives should be integrated into the compliance program

Stark Law and Anti-Kickback Statute

• Understand the Stark Law and Anti-Kickback Statute and how they work in practice
• Discusses case studies that illustrate compliance risks and current areas of focus for enforcement agencies
• Explore compliance processes needed to prevent AKS and Stark violations

Reimbursement

• Basic billing and reimbursement terminology 
• Billing and reimbursement risk areas 
• Mitigating billing and reimbursement risk areas

Internal and External Investigations

• Responding to enforcement agency investigations
• Compliance professionals and best practices for internal investigations
• Privilege, confidentiality and internal investigations

Thursday

Legal Risks, False Claims Act, and Self-Disclosure

• Legal risks and healthcare compliance
• False Claims Act and compliance programs
• Self-Disclosure and resolution of compliance liability

Compliance Program Effectiveness

• Why evaluate compliance programs
• Compliance program effectiveness indicators
• Response, reporting and follow-up to compliance program effectiveness reviews