Home Health and Corporate Compliance

Course Code: REL-PAC-0-HHCCS

Hours: 0.75

Type: Online Course

Content Expiration Date: 12/31/2026

Learning Objectives:
Explain at least two reasons for having a corporate compliance program.
Define waste, abuse, and fraud in home health care.
Name at least five components of a corporate compliance program for home health care.
Describe the manager’s role in supporting an effective corporate compliance program.
Summarize the federal laws that govern Medicare fraud and abuse.
List at least three guiding principles for conducting business in home health care.

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!

Instructor: Jennifer W. Burks, M.S.N., R.N.

Jennifer has over 30 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) and is a Curriculum Designer in post-acute care for Relias. 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.”

Target Audience:
The target audience for this course is: Administrators; General Staff; in the following settings: Home Health.

Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.