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Department of Health Informatics

Health Information Management

BINF4536 - Healthcare Compliance I

Course Description

This course introduces the most important legal and practical concepts in the field of health care compliance. It deals with the fundamentals of health care compliance administration, examining written compliance policies and procedures, descriptions of compliance oversight and committees; enforcement and reporting requirements, screening of employees and vendors, negotiating and enforcing corporate integrity agreements, and billing and coding basics.

Credits/Modes of Instruction

Credits: 3

Modes of Instruction:
Lecture presented as MS PowerPoint Presentations
Assignments/Projects
Textbook activities
Posted discussions via Canvas
Videos

Prerequisites

This course is open to all students who have been successfully completed BINF 3110, BINF 3301, and BINF 3311.

Course Goals and Outcomes:

Goals

Expose students to oversight of the healthcare industry.
Identify the motivational factors behind the healthcare fraud and abuse laws and gain an understanding of what compliance means.
Learn about the differences in corporate integrity agreements.
Learn about the duties of a compliance officer.
Learn about the seven elements of a compliance training program

Outcomes

Upon completion of this course, the student will be able to:
Obtain knowledge of all aspects of an effective compliance program.
Critically assess the internal strategies for best practice --its strengths and weaknesses and future direction.
Design a corporate compliance program.
Develop clear writing and analytical skills.
Write and implement corporate compliance policies and procedures.
Identify the major players i.e., providers, payers and consumers.