Faculty: Donna L Atherton RN, MSN, NP and Diane Leis MA
Release Date: Sep 18, 2018
Valid Through: Sep 18, 2020. This course will be updated or expired on this date
Successful Completion: Complete entire module, complete the exam with a passing score of 80% or better, and complete the evaluation form
Estimated Time to Complete Activity: 60 minutes
CEUs: See Continuing Education section
Media: Internet. Available 24/7 365 Online. See requirements below
Broaden your knowledge of mandatory compliance, ethics, and prevention of fraud and abuse.
- Identify the essentials of well-accepted ethical principles when dealing with health care professionals.
- Compare Federal Medicare mandates.
- Explain the components of a company compliance program.
- Reveiw programs that are in place to detect, prevent, and correct fraud, waste, and abuse.
Commonly referred to as: Ethics and Corporate Compliance in Healthcare
•The Patient Protection and Affordable Care Act (PPACA) referred to as the ACA, enacted on March 23, 2010, mandates that health care entities enrolled in Medicare and Medicaid programs have a “Health Care Compliance and Ethics Plan” in place by March 2013.
•Section 6401 of the PPACA, specifies that health care entities must establish a compliance program that contains “effective training and education”
as a condition of enrollment in Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP).
The ACA mandates that health care professionals (HCPs) and suppliers implement compliance programs as a condition of participating in federal health care programs (Medicare, Medicaid, Children’s Health Insurance Program). The ACA also set a deadline of March 23, 2013 for skilled nursing facilities and nursing facilities to implement a compliance program.
•The ACA requires the U.S. Department of Health & Human Services (HHS) and the Office of the Inspector General (OIG) to establish core elements for mandatory compliance programs.
•HHS has not yet issued final regulations for health care compliance programs; however,
•Many medical service providers and suppliers have already established compliance programs even though content varies.
The risks in the health care industry today, including aggressive enforcement of regulations, demand that you adhere to strong ethical business practices and comply with all Federal Medicare mandates.
•You must conduct business in compliance with all applicable federal and state laws, rules and regulations. (including:HIPAA, HITECH, Final Omnibus Rule, all fraud and abuse laws)
• You must perform services and bill for them in an ethical and legal manner.
• You must prevent, detect, correct, and report fraud.
- • Instant Certificate Of Completion Printing Upon Successful Completion Of Online Compliance, Ethics, and Fraud for Health Care Workers Training Course
- • Free Retakes on Exam Until You Pass
- • Instant Access: 100% Online - Access 24/7 from Anywhere
- • No Recurring Fees
Disclosures of Conflicts of Interest
HIPAA Exams, Inc. requires that the faculty participating in any activity disclose all affiliations or other financial relationships (1) with the manufacturers of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity. All conflicts of interest have been resolved prior to this activity. HIPAA Exams, Inc. also requires participating faculty to disclose when unapproved/unlabeled uses of a product are discussed in a activity.
Disclosure of Unlabeled Use
This activity might describe the off-label, investigational, or experimental use of medications and/or devices that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers’ prescribing information for these products.
The content for this activity was developed independently of the commercial support. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the publisher or grantor.
This educational activity was planned and produced in accordance with the ANCC Accreditation Criteria, Policies, and Standards for Commercial Support. Recommendations involving clinical medicine in a continuing medical education activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.
Operating Systems Requirements
- Windows: XP or higher
- Mac OS X: 10.5 or higher
- Android:* Lollipop and Marshmallow
- iOS:* 9 or higher
Minimum System Requirement
- Disk Space: 600 MB of free hard drive space
- Windows: Internet Explorer 8 or higher**, Firefox latest (32-bit), Chrome latest
- Mac OS X: Safari 7 and above
- Pop-up blockers should be turned off
Internet Connection Speed
- Windows: Intel Pentium® processor (1GHz or faster), At least 1 GB RAM
- Graphics card: 800x600 pixel resolution or greater (1024x768 pixels recommended).