C807
TASK 3 CODING COMPLIANCE TRAINING PROGRAM
C807 – Healthcare Compliance
Western Governors University
Slide One:
Good Morning! Today I will be walking you through a Coding Compliance Training Program.
Let us begin.
Slide Two:
There are five key points to support the purpose of a coding compliance training program. First,
it guarantees staff are aware of standards/procedures and understanding of the expectations
needed for payment/reimbursement purposes. Second, it supports prevention of fraud and abuse
while minimizing the risk of fines, penalties, or criminal charges. Third, it aids organizations in
the understanding of state/federal penalties for intentional or unintentional fraud and abuse.
Fourth, Aids in developing an understanding of CMS/OIG investigation of claims. And last, it
provides guidance around new/changing legislations, like the False Claims Act and Health
Insurance Portability and Accountability Act (HIPAA).
Slide Three:
How is a coding compliance program evaluated? It is assessed using a survey/controlled
experiment. The opinions obtained after training are valuable in determining the effectiveness of
the program for trainees/managers. Specific evaluation results can be utilized to evaluate the
efficacy of the training programs. Here we are looking for a reaction and asking ourselves “what
is the reaction after the program?”. We are looking at the overall learning and asking, “what have
TASK 3 CODING COMPLIANCE TRAINING PROGRAM
C807 – Healthcare Compliance
Western Governors University
Slide One:
Good Morning! Today I will be walking you through a Coding Compliance Training Program.
Let us begin.
Slide Two:
There are five key points to support the purpose of a coding compliance training program. First,
it guarantees staff are aware of standards/procedures and understanding of the expectations
needed for payment/reimbursement purposes. Second, it supports prevention of fraud and abuse
while minimizing the risk of fines, penalties, or criminal charges. Third, it aids organizations in
the understanding of state/federal penalties for intentional or unintentional fraud and abuse.
Fourth, Aids in developing an understanding of CMS/OIG investigation of claims. And last, it
provides guidance around new/changing legislations, like the False Claims Act and Health
Insurance Portability and Accountability Act (HIPAA).
Slide Three:
How is a coding compliance program evaluated? It is assessed using a survey/controlled
experiment. The opinions obtained after training are valuable in determining the effectiveness of
the program for trainees/managers. Specific evaluation results can be utilized to evaluate the
efficacy of the training programs. Here we are looking for a reaction and asking ourselves “what
is the reaction after the program?”. We are looking at the overall learning and asking, “what have
