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Description
The Introduction to Healthcare Compliance course provides a comprehensive overview of the essential principles and regulatory requirements for building and maintaining effective compliance programs in healthcare organizations. In this course, learners explore foundational concepts, including the seven elements of an effective compliance program, major fraud and abuse laws (such as the False Claims Act, Anti-Kickback Statute, and Stark Law), Medicare billing and reimbursement processes, HIPAA Privacy and Security Rules, risk assessment and risk matrix development, auditing and monitoring practices, and the critical role of leadership and governance.
The course combines practical guidance on preventing billing errors, managing overpayments, and understanding self-disclosure protocols and federal exclusions with real-world case studies and insights into the use of technology and artificial intelligence to support compliance efforts, equipping healthcare professionals with the knowledge and tools needed to foster a strong culture of compliance and reduce regulatory risk.
Audience
Billing/Coding Staff, Budget Professionals, Compliance Officers and Departments, Coverage Analysts, Grant Administrators, Healthcare Legal Counsel, Healthcare Professionals, Institutional Officials, Pharmacists, Research Personnel, Revenue Cycle Professionals, Students
Meet the Author
Janis Anfossi, JD, MPH – Loyola University Chicago School of Law
Janis Anfossi is a law school faculty member at Loyola University Chicago School of Law and the Academic Director of Health Law in Loyola’s Graduate Legal Studies Program. She has held leadership positions in Nursing Management, Corporate Compliance, and Risk Management at multi-hospital systems and Academic Medical Centers.
