Management with adaptable practices
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Medical Compliance Training Course Outline
Module 1: Healthcare Compliance
- What is Healthcare Compliance?
- Core Elements of Compliance
- Laws Related to Compliance
- CERT and OIG Work Plan as Compliance Tools
- Choosing a Compliance Point of Contact
Module 2: Healthcare Compliance Officer
- Accreditation Compliance
- Who’s Responsible for Healthcare Compliance?
- Responsibilities of Healthcare Compliance Officer
- Challenges for Healthcare Compliance Officers
Module 3: Medication Compliance
- Causes of Medication Noncompliance
- Medication Compliance Vs Medication Adherence
- Strategies to Improve Patient Compliance with Medication
Module 4: Regulatory Compliance
- Introduction to Regulatory Compliance
- Regulatory Requirements for Healthcare Organisations
- Healthcare Compliance Regulations
- Safeguarding Privacy and Ensuring Quality Care
- Fighting Fraud and Abuse
- Protecting Healthcare Workers and the Public
Module 5: Medicare Fraud and Abuse Laws
- Federal Civil False Claims Act (FCA)
- Anti-Kickback Statute (AKS)
- Physician Self-Referral Law (Stark Law)
- Criminal Health Care Fraud Statute
- Exclusion Statute
- Civil Monetary Penalties Law (CMPL)
Module 6: Medicare Anti-Fraud and Abuse Partnerships and Agencies
- Health Care Fraud Prevention Partnership (HFPP)
- Centres for Medicare and Medicaid Services (CMS)
- Office of the Inspector General (OIG)
- Health Care Fraud Prevention and Enforcement Action Team (HEAT)
- General Services Administration (GSA)
Prerequisites
There are no formal prerequisites for attending this Medical Compliance Training course.
Audience
This training is intended for those who wish to gain knowledge of preventing administrative violence and skills to oversee compliance with sufficient resources.
Medical Compliance Training Course Overview
Medication compliance is the practice of taking medications as prescribed and on schedule. Compliance encourages employees in the healthcare organisation to work toward preventing, identifying, and resolving activities that could result in fraud, waste, or abuse. This training aims to equip learners with the required skills for improving the medical compliance posture and trading laws for the medical materials used in manufacturing and delivering pharmaceuticals. Individuals with excellent compliance skills will get high profile designations in globally recognised organisations and expand their professional network within a short period of time.
The Knowledge Academy’s 1-day Medical Compliance Training course, delegates will gain a comprehensive knowledge of administering changes to the quality control standards. During this training, delegates will learn about the responsibilities of healthcare compliance officers for protection under federal programs. They will also learn about regulatory compliance, which supports an organisation's adherence to laws and regulations. Our highly skilled and professional instructor, who has years of teaching experience, will conduct this training and provide delegates with validation and regulatory filings.
Course Objectives
- To articulate the organisation’s commitment to comply with federal standards
- To set a positive tone for organisation about compliance and act ethically
- To detect the development and violations of corrective action initiatives
- To achieve compliance with standards using auditing and monitoring
- To develop regulations protecting the security of health information
- To design the programme that prevents administrative violation
After completing this training, delegates will be able to support internal auditing and monitoring of the compliance programme to rectify weaknesses and gauge its effectiveness. They will also be able to promptly identify infractions, react to them correctly, and take any necessary remedial action.
- Delegate pack consisting of course notes and exercises
- Courseware
- Experienced Instructor
RESILIA® Foundation Examination Information
The purpose of the Foundation certification is to help you understand how decisions impact good and bad cyber resilience. It has a comprehensive approach across all areas and teaches you how to make good cyber resilience an efficient part of business and operational management.
RESILIA® Foundation exam format:
- Question Type: Multiple choice
- Total Questions: 50 questions per paper
- Pass Mark: 30 marks required to pass (approx. 60%)
- Duration: 100 minutes
- Open Book: No, this exam is closed book