MedTrainer's Healthcare Course Library

Connecting the Code of Conduct to Ethical Behaviors

Healthcare providers and organizations develop corporate compliance programs to detect and address legal violations. An ineffective corporate compliance program can result in an organization being penalized, or even excluded from federal contracts. Policies and procedures of a corporate compliance program should serve to provide employees with a set of ethical norms that, when followed, reduce the risks identified by the risk assessment process. During an OIG investigation, prosecutors will look at whether the company has a code of conduct. This microlearning course reviews essential components of a code of conduct meant to encourage and promote ethical behavior. This includes a discussion of corporate compliance policies and procedures, aspects of the code of conduct, and policies and procedures that O.I.G. personnel will examine during an investigation.

Establishing and Maintaining Audits / Controls

From the perspective of corporate compliance, controls are processes used to ensure the organization is consistently meeting its compliance goals and expectations.
Organizations establish and maintain controls to internally assure the compliance program is followed and promoted by employees and contractors alike. Audits are a key mechanism for internal control as they allow the organization to assess and evaluate whether, and to what extent, its internal policies, procedures, and other conduct are in compliance with established laws, regulations, and standards.
This microlearning course reviews strategies to establish effective internal controls to ensure organizational compliance. It provides information on how to establish and maintain controls essential for an effective corporate compliance program.

The Drug Supply Chain Security Act

This course provides a brief background and overview of Drug Supply Chain Security Act, also known as DSCSA. DSCSA A was enacted by the United States Congress in November 2013 and set forth a ten-year timeline to establish an electronic, interoperable system to identify and trace drugs which must be encoded with a valid product identifier. This course focuses on the elements of compliance for the implementation phase for Dispensers that became effective on November 27, 2020. This course provides a review of the D S C S A requirements, implementation timeline, and compliance goals.

OIG HEAT Provider Compliance Training: Documentation, Self Disclosure & Reporting

This course provides an overview of the Office of Inspector General Health Care Fraud Prevention and Enforcement Action Team (OIG HEAT) topics on documentation, self-disclosure and reporting. The importance of proper documentation will be examined, understanding what the Self-Disclosure Protocol is and what should be done when a problem is discovered will be identified, and how to properly report unlawful competitor activity will be discussed.

Compliance for Governing Boards

A Governing Board is a committee that leads a health care organizations compliance and quality oversight efforts. Governing Boards have a critical oversight role to play in ensuring that health care organizations operate in compliance with Federal health care program requirements and provide high quality care. Governing Boards are often required for an organization to receive Federal health care payments.

This course is one of nine of the Compliance modules published by the U. S. Department of Health and Human Services by their Office of Inspector General website. Additional compliance courses are listed below:
Compliance 101
Compliance 201 for Health Care Providers
Fraud, Waste and Abuse for Health Care Providers
Using Internal Controls
Emergency Preparedness and Response
Combating the Opiod Epidemic in Indian Country
Protecting Patients in AI/AN Communities
Quality of Care in IHS

Compliance 201 for Health Care Providers

This course gives an overview of the fundamental elements of a compliance program to help ensure your organization as a health care provider adheres to applicable statutes, regulations, and program requirements. The information in this course does not reflect mandatory components of a compliance program, but instead includes concepts, ideas, and suggestions for health care providers to consider as beneficial compliance practices addressing relevant risk areas.

This course is one of nine of the Compliance modules published by the U. S. Department of Health and Human Services by their Office of Inspector General website. Additional compliance courses are listed below:
Compliance 101
Compliance for Governing Boards
Fraud, Waste and Abuse for Health Care Providers
Using Internal Controls
Emergency Preparedness and Response
Combating the Opiod Epidemic in Indian Country
Protecting Patients in AI/AN Communities
Quality of Care in IHS

OIG HEAT Provider Compliance Training Webcast: Importance of Documentation

This course provides information on the Office of Inspector General Health Care Fraud Prevention and Enforcement Action Team (OIG HEAT) training webcast on the importance of documentation. An overview of good documentation and why it is important will be covered, and understanding the different billing abuses, their impact, and how they enhance the need for good and current documentation will be discussed.

Fraud, Waste, and Abuse for Health Care Providers

The Federal Government funds programs for services intended to improve the health and well-being of the American Indian and Alaska Native (AI/AN) community. Unfortunately, sometimes the funds intended to provide services are stolen through fraudulent schemes. Fraud diverts these resources away from the AI/AN community and into the pockets of wrongdoers. To ensure that these funds are used for their intended purposes, it is important to know the vulnerabilities that could lead to fraud.

This course is one of nine of the Compliance modules published by the U. S. Department of Health and Human Services by their Office of Inspector General website. Additional compliance courses are listed below:
Compliance 101
Compliance 201 for Health Care Providers
Compliance for Governing Boards
Using Internal Controls
Emergency Preparedness and Response
Combating the Opiod Epidemic in Indian Country
Protecting Patients in AI/AN Communities
Quality of Care in IHS

Medicare Parts C and D General Compliance Training

This training assists Medicare Parts C and D plan Sponsors employees, governing body members, and their first-tier, downstream, and related entities (FDRs) to satisfy their annual general compliance training requirements in the regulations and sub-regulatory guidance at:

-42 Code of Federal Regulations (CFR) Section 422.503(b)(4)(vi)(C)
-42 CFR Section 423.504(b)(4)(vi)(C)
-Section 50.3 of the Compliance Program Guidelines (Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual)
-The Downloads section of the CMS Compliance Program Policy and Guidance webpage

Completing this training in and of itself does not ensure a Sponsor has an effective Compliance Program. Sponsors and their FDRs are responsible for establishing and executing an effective compliance program according to the CMS regulations and program guidelines.