Certified Professional Compliance Officer (CPCO)
Certified Professional Compliance Officer (CPCO)
Our Certified Professional Compliance Officer (CPCO) class is designed to arm you with the knowledge and expertise required to excel in the field of healthcare compliance. Whether you are new to compliance or looking to enhance your existing skill set, our course covers everything from fundamental compliance principles to advanced regulatory strategies. Our Expert instructors and educators will guide you through real-world application of compliance scenarios and provide hands-on training ensuring your success. By the end of our course, you will have the confidence and skills to pursue certification and become a proficient healthcare compliance officer.
Course Objectives:
OIG Compliance Guidance: Understanding the Office of Inspector General's (OIG) Compliance Program Guidance for Individual and Small Group Physician Practices, Clinical Laboratories, and Third-Party Billing Companies.
Compliance Program Effectiveness: Evaluating and enhancing the effectiveness of compliance programs within healthcare organizations.
Healthcare Fraud and Abuse Laws: Comprehensive knowledge of key healthcare fraud and abuse laws, including the False Claims Act, Stark Laws, and Anti-Kickback Statute, along with their associated penalties.
Impact of PPACA: Analyzing how the Patient Protection and Affordable Care Act (PPACA) affects medical practices.
Other Relevant Laws and Regulations: Familiarity with additional laws and regulations such as the Health Insurance Portability and Accountability Act (HIPAA), Emergency Medical Treatment and Labor Act (EMTALA), and Clinical Laboratory Improvement Amendments (CLIA).
Handling Investigations: Developing skills to manage investigations, including understanding self-disclosure protocols.
Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs): Understanding the requirements and implications of CIAs and CCAs.
Current Investigative Activities: Staying informed about current investigative activities, including those conducted by Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), and Medicaid Fraud Control Units (MFCUs).
Identifying and Managing Risk Areas: Recognizing and addressing various risk areas such as gifts and gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physician guidelines, and incident-to services.
Self Paced - 3 Month Program
Revised Course Content
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Explore the historical milestones and developments that have shaped healthcare compliance.
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Understand the Office of Inspector General's recommendations tailored for individual and small group healthcare providers.
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Learn about other applicable compliance program guidance issued by the OIG.
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Dive into foundational enforcement laws such as the False Claims Act, Stark Laws, and Anti-Kickback Statute.
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In this section, we'll cover validating, analyzing, and communicating audit results in healthcare. Validation ensures audits follow guidelines. Analysis identifies trends for improvement. Communication shares findings with stakeholders for action. Understanding these steps improves healthcare quality and compliance.
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Gain a thorough understanding of the Health Insurance Portability and Accountability Act and its impact on healthcare practices.
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Learn the requirements of the Emergency Medical Treatment and Labor Act (EMTALA) and Clinical Laboratory Improvement Amendments (CLIA).
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Understand Occupational Safety and Health Administration (OSHA) standards as they apply to medical practices.
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Explore key human resources laws and their implications for healthcare organizations.
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Develop skills to handle compliance investigations, including understanding legal protocols.
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Learn to pinpoint and mitigate risk areas in healthcare, such as conflicts of interest and documentation issues.
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Understand the roles and processes of Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), Medicaid Integrity Contractors (MICs), Program Safeguard Contractors (PSCs), and Medicaid Fraud Control Units (MFCUs).
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Access and utilize essential compliance tools, guidelines, and references.
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Demonstrate mastery of healthcare compliance concepts through a comprehensive final assessment.
