Regulatory/Compliance

Regulatory/Compliance

Risk management and regulatory compliance ensures patient privacy and employee safety and are essential to the lawful operation of any medical practice. Effectively managing risks and providing guidance for practice-wide compliance requires awareness of ever-changing federal and state laws regarding workplace requirements. This section delivers information on regulatory training requirements and lawful practice policies.

Non-Members: $55.00
Members: $35.00

Lessons

Although a complex act, HIPAA and all related federal directives share a primary purpose: to protect the privacy, integrity and availability of protected health information or PHI, whenever the patient receives services provided by health facilities, physicians, and health plans. This course provides an overview of all HIPAA elements and examines current regulatory and compliance directives falling under the auspices of the HIPAA privacy and security rules. These include requirements established by the most recent 2013 HIPAA Omnibus Final Rule. With this knowledge, providers and associates will be able to conduct daily operational tasks in a manner that upholds HIPAA laws and provides maximum security of confidential health care information. Every employee must understand the guidelines set forth by OSHA. OSHA guidelines, standards, and regulations cover an extremely wide sphere of topics and subject areas. The primary objectives of this particular course are to acquaint medical office employees with the Bloodborne Pathogens and Hazard Communication Standards and to educate employees on the importance of compliance with these standards.

Activities Included:

HIPAA and OSHA Pre-test

HIPAA and OSHA Resources

HIPAA and OSHA Post-test

Providers who treat Medicare patients must comply with complicated rules and regulations. Providers also have a responsibility to assure that the services rendered to Medicare beneficiaries are medically necessary and appropriately billed. This course provides basic information about Medicare’s billing and coding guidelines and the rules and regulations a practice should know and follow when billing Medicare for services rendered to Medicare patients.

Activities Included:

Billing and Coding Resources

Regardless of the number of employees in a practice, administrators must be aware of what is happening in workforce requirements, both federally and on the state level. This chapter provides basic information about major laws governing workforce planning and development. In most cases, the legislation is controlled by the number of employees working at the practice. If the law applies to the practice, compliance records must be kept on file for a specified time period. As with any HR policy, questions regarding compliance should be reviewed by the practice’s labor law attorney.

Activities Included:

Workforce Compliance Pre-test

Workforce Compliance Resources

Workforce Compliance Post-test

Activities Included:

Co-Management Pre-test

Co-Management Resources

Co-Management Post-test

This course provides guidance on how to make the work place a safer environment by being aware of your surroundings, knowing what issues could bring violence to the work place, and becoming familiar with what to do, should an active shooter incident occur.

Activities Included:

Active Shooter: The Need for an Emergency Action Plan Pre-test

Active Shooter: The Need for an Emergency Action Plan Resources

Active Shooter: The Need for an Emergency Action Plan Post-test