Compliance, Ethics, and Fraud for Health Care Professionals

Compliance, Ethics, and Fraud for Health Care Professionals

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Faculty: Donna L Atherton RN, MSN, NP and Diane Leis MA

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.

System Requirements

CEUs: HIPAA Exams is authorized by IACET to offer 0.1 CEUs for this program. CEU Information

Overview

This 60-minute online training will help broaden your knowledge of mandatory compliance, ethics, and prevention of fraud and abuse in healthcare. Covers federal laws including False Claim Act, Anti-Kickback Statue, Stark Law and others.


Course includes a video and audio component with stand-alone exam

How to Purchase

To enroll in this course, simply add the number of users you need below and ADD TO CART. Follow the steps for CHECKOUT which will include registering your account.

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Learning Objectives

  • 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.

Target Audience

Course is designed for healthcare workers including doctors, nurses, dental professionals, mental healthcare professional, and more.

Table of Contents

Compliance, Ethics, and Fraud for Health Care Workers

Table of Contents:

  • Compliance, Ethics, and Fraud
  • Legal Notice
  • Purpose and Learning Objectives
  • Target Audience
  • Compliance and Ethics in Health Care
  • Mandatory Compliance
  • Effective Compliance Program
  • Components of an Effective Compliance Program
  • Ethical Business Practices: Interactions with Health Care Professionals
  • Integrity, Independence, Transparency
  • Federal Health Care Fraud and Abuse Laws
  • False Claim Act (FCA)
  • Anti-Kickback Statue (AKS)
  • Stark Law
  • Exclusion Statue
  • Summary
  • End of Course Quiz


Course Content Example 1:

 Integrity, Independence, Transparency


The Department of Health and Human Services, Office of the Inspector General (OIG) mandates ethical business practices.


Companies must:

  • Ensure the collaborative relationships with health care professionals meet high ethical standards
  • Relationships must be conducted with appropriate transparency and in compliance with applicable laws, regulations and government guidance.
  • Medical decisions must be based on the best interests of the patient
  • Not provided inappropriate inducements to health care professionals of any monetary value, including gifts, entertainment, commissions or gratuities.
  • Ensure that promotional and marketing materials on drugs or devices must be based on scientific evidence and not false information.


Course Content Example 2: 

Integrity, Independence, Transparency


Prohibition of Gifts

Provide only items to Health Care Professionals (HCPs) that benefit patients or serve a genuine educational function for HCP.

  • Other than medical textbooks or anatomical models, any item should have a fair market value of less than $100.00

Non-Educational branded promotional items may not be given, even if minimal value.

  • No cookies, wine, flowers, chocolates, gift baskets, holiday gifts, cash or cash equivalent may be given


Course Content Example 3:

Components of an Effective Compliance Program


  1. Commitment by the organization’s senor leadership for an effective compliance and ethics program.
  2. Policies and Procedures. Written standards and procedures to reduce criminal, civil, and administrative violations.
  3. Should be tailored to fit specific risk assessment conducted by your organization to identify risk areas faced in the healthcare arena.
  4. Chief Compliance Officer. A high-ranking individual in the organization should be designated responsible for the compliance program.
  5. The officer should possess resources and authority to implement the program and should report to the senior leadership of the company.


Features

Instant Certificate Of Completion Printing Upon Successful Completion Of Compliance, Ethics, and Fraud for Health Care Professionals

Free Retakes on Exam Until You Pass

Instant Access: 100% Online - Access 24/7 from Anywhere

No Recurring Fees

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