| |
May 01, 2026
|
|
|
|
|
Website Catalog (In Development)
|
HIT 280 - Advanced Healthcare Compliance & Regulatory Concepts
This course is an advanced study of compliance programs, fraud and abuse laws, reporting requirements, documentation integrity, privacy exceptions, credentialing, audits, and regulatory alignment.
Prerequisite- Corequisite
Prerequisite: HIT 222 Law & Ethics for Health Information Management, HIT 236 Quality Improvement & Risk Management, and HIT 244 Social Determinants of Health and Health Equity
Credits: 3
Hours
3 Lecture Hours
Course Profile
Learning Outcomes of the Course:
Upon successful completion of this course the student will be able to:
- Identify legislative-regulatory-policy alignment and properly cite regulatory sources.
- Participate in evaluating a healthcare compliance plan.
- Differentiate fraud and abuse and identify reporting requirements.
- Analyze data to identify fraud, abuse, and documentation integrity issues and recommend corrective actions.
- Identify required reporting elements for vital statistics, notifiable diseases, suspected abuse, and deaths; apply privacy exceptions.
- Query practitioner data for credentialing and regulatory compliance.
- Conduct audits, compile findings, and produce accreditation-aligned compliance reports.
|
|
