Certified Medical Compliance Officer
The Certified Medical Compliance Officer (CMCO) addresses the unique compliance concerns in non-hospital health care provider offices, including small to mid-sized outpatient medical office settings, home health, hospice, DME, PT clinics, and third-party billing companies. CMCOs are proficient in the development, implementation, and management of an ongoing compliance program and have advanced compliance knowledge that few medical office professionals have obtained.
The Certified Medical Compliance Officer online training program is available anytime with access to 25 hours of instruction with a review. This targeted compliance certification program is currently available to small and mid-sized health care provider organizations.
Each section was carefully developed especially for professionals working in outpatient medical settings by well-tenured healthcare compliance experts: Robert W. Liles, Healthcare Compliance Attorney, and D.K. Everitt, longtime Compliance Officer.
Experience working in an outpatient medical office setting is recommended. The material covered in this program represents a tremendous amount of information and real-world experience, systematically presented during each session. Enroll in the CMCO Certification Program online and get certified on your schedule!
This program includes:
· 25 hours of instruction
· 5-hour online certification exam
· Exam review
A passing score of 70 percent or better is required to earn the CMCO certification. If a passing grade is not achieved on the first attempt, candidates may re-test for an additional fee.
You can expect to learn about…
Compliance structure and enforcements
· The seven elements of the compliance plan
· Health care fraud enforcement and sentencing guidelines
· False Claims Act, Stark, and the Federal Anti-Kickback Statute
· Calculation of civil monetary penalties
· Whistleblower complaints
· Legal provisions of compliance with a review of actual case examples
· Impact of Health Care Reform on enforcement statutes and practices
· Performing a gap analysis and other means of identifying practice-specific risks
Billing/coding/coverage and reimbursement
· Coding, billing and documentation considerations
· LCDs/NCDs and their applicability to coverage decisions
· Drafting and incorporating the office compliance plan
· Mission statement, codes of conduct, and organizational goals
· The growing threat of electronic security and identity theft
Compliance, risks, actions, and issues
· Role of the Compliance Officer in the organizational hierarchy
· UPICs, ZPICs, RACs, SMERCs, and other Medicare/Medicaid contractors
· Correct handling of an audit request
· Organizational risks, peer review actions, state licensure issues
· Employee screening, staff, and patient relations
· Employee notification of obligations and consequences for failure to comply
· Drafting enforcement and discipline provisions
· Ongoing monitoring and auditing
· Overview of law enforcement organizations
Medicare exclusion and its impact on an organization
· Permissive vs. mandatory exclusion
· Co-payments, waivers, deductibles, and write-offs
· Overpayments, federal Anti-Kickback, False Claims Act, and Stark implications
· Gratuities, kickbacks, and payments to physicians
· Types of referrals that may violate one or more federal statutes
· Business relationships between your practice/clinic and other providers
· Setting up mechanisms for employees to file anonymous complaints
· Avoiding allegations of reprisal and responding to identified deficiencies
· Voluntary repayments – advantages and disadvantages of making repayment
Law enforcement investigation tools
· Subpoenas and search warrants and how to respond to compulsory process
· Employment of consultants, lawyers, and other third-party advisors
· Federal and non-federal administrative appeals of denied claims
· HIPAA/HITECH and the relationship between privacy and compliance
· Business associate pitfalls to consider
· Future risks to your organization
This training is available on an ongoing basis to learners or businesses.
The cost of the training is $2,270.
Please note that this training will be an ongoing, available option for learners or businesses who would like to pay full tuition price. Well-trained aspiring coding professionals who earn national certification improve career growth opportunities. Contact firstname.lastname@example.org for more information.
This program is funded in partnership with Harold Alfond Center for Advancement and Washington County Community College.
ABOUT WASHINGTON COUNTY COMMNITY COLLEGE
Washington County Community College was recently named one of the top 150 community colleges in the United States for its commitment to student success and educational excellence. Along with Maine’s six other community colleges, WCCC offers the lowest tuition and fees of any institution in New England, and serves as an educational, community, and economic development resource for Washington County and beyond by providing educational and workforce training opportunities with individualized attention to all who desire to gain technical skills, develop career specializations, engage in self-improvement, and/or prepare for transfer.
ABOUT PRACTICE MANAGEMENT INSTITUTE
Practice Management Institute® (PMI), a trusted resource nationally for medical office teams since 1983, trains and certifies administrative professionals working in medical offices: medical office managers and staff working in coding, billing, auditing, and compliance. New and experienced professionals learn current guidelines and best practices to perform more effectively in their role. Providers and consultants involved in the business side of outpatient services also attend to understand the practical application of medical office administration guidelines.