Home health agencies operate under federal, state, and local laws and regulations. These regulations govern not only patient care but also a wide range of other vital functions, such as the establishment of a corporate compliance program within your home health agency. The goal of this educational program is to provide all staff and managers in home health with guidance regarding required corporate compliance programming.
Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Licensed and Certified Home Health (L&CHH). Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 0.7500 contact hours.
Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 0.7500 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO2134926
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Why Corporate Compliance?
Corporate Compliance Programs
Your Corporate Compliance Program
Waste, Abuse, and Fraud
A Continuum
High Risk Areas
Components of a Corporate Compliance Program
Compliance Officer
Manager’s Role
Review
Summary
Section 3: Fraud and Abuse Laws
Home Health Care and the Law
False Claims Act
Anti-Kickback Statute
Physician Self-Referral Law (Stark Law)
Exclusion Statute
Civil Monetary Penalties Law (CMPL)
Criminal Health Care Fraud Statute
The Deficit Reduction Act
Review
Summary
Section 4: Guiding Principles and Ethics
Your Commitment to Quality
Pre-Employment Screening
Training and Education
Auditing and Monitoring
Code of Ethics
Business Ethics
Confidentiality and Records
Policies and Procedures
Review
Summary
Section 5: Conclusion
Summary
Course Contributor
Resources
References
Congratulations!
Jennifer has over 25 years of clinical and teaching experience, and her areas of expertise are critical care and home health. She is certified as an OASIS Specialist- Clinical (COS-C). She earned her Bachelor of Science in Nursing from The University of Virginia in 1993 and her Master of Science in Nursing from The University of North Carolina, Greensboro in 1996. Her professional practice in education is guided by a philosophy borrowed from Florence Nightingale’s Notes on Nursing, “I do not pretend to teach her how, I ask her to teach herself, and for this purpose, I venture to give her some hints.” Disclosure: Jennifer W. Burks, M.S.N., R.N. discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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