Healthcare Compliance Training Kit - Top 10 Programs Combo Pack (CDs/USB)

Healthcare compliance is an important and growing field within the healthcare industry given that the industry is one of the most regulated. With the rapidly increasing complexity of the regulations in such a fluid landscape, the need for healthcare compliance professionals is also growing. Compliance professionals must stay at the top of the regulations if they are to lead clinical facilities and organizations through this regulatory minefield.

Organizations and individuals in the compliance roles must drive their self-development by investing in continuous compliance education. Acquiring and upgrading valuable skillsets coupled with an innovative mindset and agile work style will provide the expertise and credentials required for regulatory leaders of tomorrow.

To help healthcare organizations and individuals stay abreast with healthcare compliance, we have bundled the following courses.

All Modules:

Module 1: HIPAA and New Technologies - How To Use Social Media and Texting Without Breaking the Rules
Module 2: Healthcare Compliance Program Effectiveness: Auditing and Monitoring
Module 3: E/M Coding: Finalized Changes for 2020 and 2021
Module 4: Improving Case Management Discharge Planning
Module 5: Anti-Kickback, Fraud, Stark, and Marketing - Where are the Landmines?
Module 6: CMS Hospital QAPI Worksheet and Standards
Module 7: The CMS Conditions of Participation for Discharge Planning: New Rules for 2020
Module 8: Care Coordination: An Important Case Management Role for Managing Cost and Length of Stay
Module 9: The Ins-and-Outs of Critical Care Billing
Module 10: Compliant HCC Coding and Auditing - What you need to know?

Part 1 : HIPAA and New Technologies - How To Use Social Media and Texting Without Breaking the Rules
Instructor: Jim Sheldon-Dean

Areas Covered in the Webinar:

• How Patients and Providers want to use texting and social networking.
• How to evaluate the use of new technologies under HIPAA
• Issues with using non-HIPAA designations for non-covered activities.
• Using Risk Analysis to make sound compliance decisions without breaking any rules or asking patients to yield their rights.
• What needs to be in your social networking policy.
• What secure alternatives there are to “regular” texting and social networking.
• The impacts of using non-compliant technologies.
• The importance of thorough, regular training to safe technology use.
• Potential penalties for non-compliance.

Part 2 : Healthcare Compliance Program Effectiveness: Auditing and Monitoring
Instructor: Pamela Joslin

Areas Covered in the Webinar:

• Tips on how to create a culture of compliance
• Top OIG Workplan areas of risk
• Discuss strategies to avoid fraud/abuse violations
• Unique differences between “auditing” and “monitoring”
• Roles and responsibilities of Compliance Officer
• Benefits of independent monitoring operations
• Review live case studies, risks, penalties
• Discover how “best practices” are implementing auditing and monitoring

Part 3 : E/M Coding: Finalized Changes for 2020 and 2021
Instructor: Michael Stearns

Areas Covered in the Webinar:

• CCM update
• TCM update
• PCM introduction
• Traditional evaluation and management coding requirements
• Updated requirements for complexity of medical decision-making
• Updated requirements for using time to determine level of service
• Impact of the 2021 outpatient encounter coding changes in clinician practices
• Potential audit vulnerabilities associated with the transition to the new coding guidelines

Part 4 : Improving Case Management Discharge Planning
Instructor: Bev Cunningham

Areas Covered in the Webinar:

• Transitional planning as a process
• CMS’s transitional care management services
• Case management transitions
• Role of RN case manager and social work case manager in discharge planning
• The admission assessment role in the discharge plan
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• Triggers for social work consults in complex discharge planning
• Supportive case management roles for discharge planning: perioperative case manage, complex discharge planning case manager, case management assistant
• Influences on transitional planning
• Discharge planning compliance
• Proposed changes for Conditions of Participation: discharge planning from CMS
• Communicating across the continuum of care
• The interdisciplinary impact on transitional planning
• The outcomes dashboard for discharge planning

Part 5 : Anti-Kickback, Fraud, Stark, and Marketing - Where are the Landmines?
Instructor: William Mack Copeland

Areas Covered in the Webinar:

• Federal False Claims Act
• Federal Anti-Kickback Statute
• Federal Anti-Referral Law (Stark I & 2)
• Introduction to basic compliance as an effective tool.
• Case study about an organization and how their marketing efforts exposed the organization to vulnerabilities.

Part 6 : CMS Hospital QAPI Worksheet and Standards
Instructor: Sue Dill Calloway

Areas Covered in the Webinar:

This program will discuss the memo that CMS issued regarding the AHRQ common formats. CMS states that there are several reports that show that adverse events are not being reported. In fact, it is estimated that 86% of adverse event are never reported to the hospital’s PI program. Performance improvement is very important to CMS and the hospital conditions of participation require many things to be measured.

Part 7 : The CMS Conditions of Participation for Discharge Planning: New Rules for 2020
Instructor: Toni Cesta

Areas Covered in the Webinar:

• Conditions of Participation (CoP) for Medicare
• Current CoP for Discharge Planning
• Proposed rules for discharge planning
• New rules for 2020
• Strategies for managing the Discharge Planning CoP
• How to maintain compliance

Part 8 : Care Coordination: An Important Case Management Role for Managing Cost and Length of Stay
Instructor: Toni Cesta

Areas Covered in the Webinar:

• Care coordination’s impact on length of stay and cost
• Negative impacts on care coordination
• Positive impacts on care coordination
• Five key elements of care coordination
• Strategies for evaluating your hospital’s own areas of inefficiency
• Effective time-out processes
• Rounds and huddles

Part 9 : The Ins-and-Outs of Critical Care Billing
Instructor: LaTrece Freeman Baker

Areas Covered in the Webinar:

• Review Critical Care requirements from both a CMS and CPT perspective.
• Discuss documentation required to support critical care codes, as well as documentation necessary when working with a Non-physician practitioner, resident and/or medical student.
• Choose between adult, neonate, and pediatric critical care codes
• Identify bundled services.
• Identify common billable services performed in conjunction with critical care

Part 10 : Compliant HCC Coding and Auditing - What you need to know?
Instructor: Victoria M Hernandez

Areas Covered in the Webinar:

• Understand regulatory directives applicable to HCC coding
• Identify best practices on coding and auditing HCCs
• Practice and review case examples involving HCC coding and auditing
• ICD-10-CM Official Guidelines for Coding and Reporting FY 2018
• Learn how to accurately identify HCC coding and auditing errors
• Engage in questions and answers with industry professionals

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