AVOID COSTLY PENALTIES—HIPAA, OIG, SARBANES OXLEY, AND MORE

Implement a Healthcare Compliance Program to Address Complex Regulatory Guidelines

Even the most successful healthcare executives have difficulty navigating complex and ever-changing regulatory standards. The HFMA Mastering Healthcare Compliance Library offers training so managers understand a variety of compliance issues including OIG compliance guidance, HIPAA, Red Flags, the Stark Act, Sarbanes Oxley, and changes imposed by the American Recovery and Reinvestment Act. This comprehensive library, regulatory updated to include current regulatory requirements provides the education needed so managers may implement appropriate compliance programs and avoid costly sanctions and penalties

Impact:

Clarify complex healthcare regulatory standards

• Recognize the OIG’s annual focus areas
• Learn how HIPAA requirements have changed due to the American Recovery and Reinvestment Act
• Understand False Claim Act requirements and know when and how to self-disclose false claims

Avoid Stark Violations

• Understand Stark restrictions on “under arrangements” transactions between physicians and hospitals
• Abide by new lease requirements relating to “per click” arrangements
• Recognize when Stark exceptions exist

Uphold proper Medicare billing and reimbursement practices

• Follow coding processes that support compliance

Avoid Compliance Violations

• Adhere to medical necessity and ABN requirements
• Comply with OIG and HIPAA Transaction Standards
• Comply with Medicare Secondary Payer requirements and Medicare’s 3-Day Bundling Rule

Increase Staff Effectiveness

• Standardize training for new hires and existing personnel
  
• Utilize educators more effectively for hands-on remediation as needed
  
• Reduce turnover by equipping employees with the knowledge they need to be confident and competent
  

Features:

• Interactive exercises to engage learners
• Industry, peer-reviewed training from the
  industry leader

This library is essential for:

• Billing personnel orientation programs
  
• Process improvement initiatives

This library supports:

• Professional development programs
  
• Staff retention strategies

Courses in Library

• An Overview of Compliance Guidance and the 2009 OIG Work Plan
• An Overview of Compliance Programs
• Antikickback Laws and Safe Harbors, Part 1—3
• Billing and Compliance, Part 1 & Part 2
• Billing Risk Areas
  
• Coding and Compliance, Part 1 & Part 2
  
• Corporate Compliance Issues, Part 1 & Part 2
  
• EMTALA, Part 1 & Part 2
  
• HIPAA Transaction Standards and Code Sets HIPAA
  
• OIG Compliance Guidance for Clinical Laboratories and Physician Practices
  
• OIG Compliance Guidance for Hospitals, Part 1 & Part 2
  
• OIG Compliance Guidance for Medical Billing Companies and Home Health Agencies
  
• OIG Compliance Guidance for Nursing Facilities and Hospices
  
• Reimbursement Systems and Compliance
  
• Stark Exceptions
  
• Tax Issues for Non-Profit Organizations, Part 1 & Part 2
  
• The “Red Flag” Rules
  
• The False Claims Act, Part 1—3
  
• The HIPAA Privacy Rule
  
• The HIPAA Security Standards
  
• The HIPAA Security Standards: ARRA Amendments
  
• The Outpatient Prospective Payment System
• The Stark Act: An Overview
• Sarbanes Oxley and Nonprofit Organizations
  

Subject Matter Experts
This course was created by the experts at the Healthcare Financial Management Association.