Corporate Compliance for Home Health Managers

 

In the United States, home health agencies operate under federal, state, and local laws and regulations. These regulations govern not only the delivery of care to patients but also a wide range of other vital functions, such as the establishment of a corporate compliance program. Implementing and maintaining a compliance program may be the single most important activity your agency undertakes in its effort to enforce and monitor compliance and to minimize the risks associated with misconduct, including fraud and abuse. Fraud and abuse remain a significant problem in federally funded healthcare programs and the recognition and reporting of suspected illegal practices will assist your agency with maintaining a high quality of care.

$22.50

Hours: 1.50
REL-SC-HH-CCHH-M

Certificates

Certificates provided by accrediting body (1 Match)

Texas Health and Human Services Commission

1.5 HOURS


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 Home Health (LHH) Licensed and Certified Home Health (L&CHH) Personal Assistance Services (PAS) Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.50 contact hours.

Course Details

Course Code: REL-SC-HH-CCHH-M
Hours: 1.5
Type: Online Course
Content Expiration Date: 9/30/2020
Learning Objectives:
Define fraud, waste, and abuse
Explain the reasons for a corporate compliance program.
Recognize and report suspected illegal or unethical activities.
Summarize the Deficit Reduction Act, False Claims Act, and the Anti-Kickback Statute.
Restate agency and business ethical principles.
Identify compliance policies and procedures.
Justify the managers role in supporting an effective compliance program.

Outline:
Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Why Corporate Compliance? A. Medicare Fraud, Waste, and Abuse B. Inappropriate HHA Claims C. HHA Corporate Compliance D. Federal Compliance Requirements E. Compliance Officer F. Manager’s Role G. Review H. Summary Section 3: Requirements and Regulations A. Pre-employment Screening B. Training and Education C. Auditing and Monitoring D. The Deficit Reduction Act E. The False Claims Act F. The Anti-Kickback Statute G. Review H. Summary Section 4: Guiding Principles A. Code of Ethics B. The Business Ethic C. Records and Confidentiality D. Policies and Procedures E. Review F. Summary Section 5: Conclusion A. Summary B. Congratulations

Staff Writer: Rachel O’Connor, RN, BSN, M.Ed., Content Writer / Editor, Relias Learning
Ms. O’Connor has held positions as staff nurse, charge nurse, educator, and clinical instructor with over 25 years of clinical practice in a broad range of specialties: medical/surgical, public health, and the operating room environment. She also was a clinical and didactic educator for a community college healthcare program. Prior to becoming a Registered Nurse, Ms. O’Connor successfully challenged the Practical Nursing Boards in WV. As a Surgical Services Educator, Ms. O’Connor created and implemented a Surgical Technician program for non-licensed operating room employees in a highly respected community hospital. She also has been a nurse planner, with experience in planning, developing, implementing, and evaluating continuing education courses for nursing personnel through the continuing education process. A veteran of the U.S.A.F., Ms. O’Connor is committed to creating relevant and intelligent continuing education courses for healthcare professionals throughout the continuum of care. Disclosure: Rachel O’Connor, RN, BSN, M.Ed., Content Writer / Editor, Relias Learning has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level Administrators; in the following settings: Home Health.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support by calling (800) 381-2321 or emailing [email protected]