Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Delivery Method:

Self Study

Course Availability:

12 Months

Recommended for:

Claims

Career level:

Experienced Professional
Mid-Senior

Audience:

Hospitals and Other Providers

Advance Preparation:

None

Prerequisites:

None
Course | Overview | Compliance

This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also ...

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Course | Overview | Compliance

This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...

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Course | Overview | Compliance

This course discusses the regulation and accreditation of the healthcare field. It provides overviews of various legislation, such as the HMO Act of 1973, the Employee Retirement Income Security Act of 1974 (ERISA), state regulations, and t...

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Course | Overview | Compliance

This course addresses the rise of corporate compliance programs in healthcare organizations, including their complexity and importance. It reviews the components of corporate compliance programs and the role of a compliance officer to know ...

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Course | Overview | Compliance

This course explains the basics of HIPAA's Privacy Rule and what you need to consider when handling patients' Protected Health Information (PHI). It also outlines the rights that patients have under HIPAA.

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Course | Intermediate | Compliance

Promote Yourself: Financial Compliance

Course | Intermediate | Compliance

Promote Yourself: Financial Compliance

Description

Explore patient rights under HIPAA, learn how privacy and security differ, what can be disclosed and to whom, what makes an authorization valid, and more. Find out what's covered under the False Claims Act and dig into Medicare coding issues. This online program consists of 9 courses that provide overviews of each of the compliance and regulatory topics listed below. Each course has its own assessment:
  • EMTALA: Definitions and Requirements
  • The False Claims Act
  • HIPAA Privacy: An Introduction
  • The HIPAA Privacy Rule
  • HIPAA Privacy: Uses and Disclosures
  • HIPAA Security Standards
  • HIPAA Privacy: Authorizations
  • IRS Regulation Section 501(r)
  • Medicare Compliance Concerns
After this program, you'll be able to..
  • Ensure your team's operations conform with pertinent laws and regulations
  • Understand current compliance requirements

Related Courses | Compliance

Course | Basic | Physician Payment and Reimbursement

PPM: Coding and Payment Systems

This course discusses coding and payment systems, which establish the potential revenue of the physician practice. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.

Course | Overview | Compliance

Compl: Billing Risks

This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also discusses the nature of these risks and the potential sanctions and consequences for healthcare providers if they take these risks while submitting claims to federal agencies.

Course | Overview | Compliance

Compl: The Outpatient Prospective Payment System

This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective payment system. The course can be used as a basis for understanding compliance issues relating to the OPPS.

Course | Overview | Compliance

Compl: Healthcare Industry Regulation and Accreditation

This course discusses the regulation and accreditation of the healthcare field. It provides overviews of various legislation, such as the HMO Act of 1973, the Employee Retirement Income Security Act of 1974 (ERISA), state regulations, and the Patient Protection and Affordable Care Act (PPACA). It also discusses regulatory and crediting bodies, including the Joint Commission, URAC, and the National Committee for Quality Assurance (NCQA).