Monday
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Registration and Continental Breakfast (provided) |
7:30 – 8:00 am |
Welcome / Introduction |
8:00 – 8:05 am |
Introduction to Healthcare Compliance
- High-level overview of Healthcare compliance program elements
- Sharing problems and practices in implementing a compliance program
- Understanding of the seven elements
|
8:05 – 10:05 am |
Break |
10:05 – 10:35 am |
Compliance Oversight and Infrastructure
- 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
|
10:35 am – 12:20 pm |
Lunch (provided) |
12:20 – 1:20 pm |
Standards, Policies, and Procedures
- The importance of having a standards of conduct
- Essentials components of policies and procedures
- Evaluating the adequacy of compliance Standards and Policies
|
1:20 – 2:50 pm |
Break |
2:50 – 3:20 pm |
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
|
3:20 – 5:20 pm |
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Tuesday
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Continental Breakfast (provided) |
7:30 – 8:00 am |
CHC Certification Discussion |
8:00 – 8:15 am |
Risk Assessment
- Understanding the risk assessment process
- Effective ways to conduct a risk assessment
- Tools to implement a risk assessment process
|
8:15 – 10:00 am |
Break |
10:00 – 10:30 am |
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
|
10:30 am – 12:15 pm |
Lunch (provided) |
12:15 – 1:15 pm |
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
|
1:15 – 2:45 pm |
Break |
2:45 – 3:15 pm |
Organizational Ethics
- Ethical conduct and responsibilities of the compliance officer
- Duties of the compliance professional
- Board obligations related to an ethical culture
|
3:15 – 5:00 pm |
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Wednesday
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Continental Breakfast (provided) |
7:30 – 8:00 am |
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
|
8:00 – 9:30 am |
Break |
9:30 – 10:00 am |
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
|
10:00 – 11:45 am |
Lunch (provided) |
11:45 am – 12:45 pm |
Reimbursement
- Basic billing and reimbursement terminology
- Billing and reimbursement risk areas
- Mitigating billing and reimbursement risk areas
|
12:45 – 2:30 pm |
Break |
2:30 – 3:00 pm |
Internal and External Investigations
- Responding to enforcement agency investigations
- Compliance professionals and best practices for internal investigations
- Privilege, confidentiality and internal investigations
|
3:00 – 4:45 pm |
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Thursday
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Continental Breakfast (provided) |
7:30 – 8:00 am |
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
|
8:00 – 9:30 am |
Break |
9:30 – 10:00 am |
Compliance Program Effectiveness
- Why evaluate compliance programs
- Compliance program effectiveness indicators
- Response, reporting and follow-up to compliance program effectiveness reviews
|
10:00 – 11:45 am |
Academy Ends |
11:45 am |
CHC Exam Check-In Time |
12:45 pm |
Exam Time — Certified in Healthcare Compliance (CHC)® Exam (optional)
The CHC exam is optional. You must apply and pay for the exam separately from the Academy. |
1:00 – 4:30 pm |