HIPAA, Fraud, and Abuse

About HIPAA, Fraud, and Abuse Course

U.S. Congress passed the Health Insurance Portability and Accountability Act (HIPAA) in 1996, establishing rigorous requirements for maintaining patient data security and safeguarding individually identifiable health information beginning April 14th 2003. With HIPAA, medical providers are obligated to protect a patient’s private records while also allowing individuals access to their own health information. Each healthcare facility must provide sufficient documentation that all individuals with access to patients or their medical records have had adequate HIPAA training.

HIPAA was established to revolutionize the healthcare industry and bring down costs. It sought to streamline tedious administrative tasks and improve the confidentiality of patients’ health information, which continues to be one of its primary objectives today. As such, HIPAA compliance focuses largely on safeguarding patient data for total security and privacy.

About Our Course

This training provides critical information about General Administrative Requirements as well as administrative requirements regarding security and privacy regulations. Improve your knowledge in this area with our program!

This HIPAA Training Class is designed to educate participants on the essentials of Public Law 104-191, Private Rule, Security Rule, Enforcement Rule and Omnibus rule that are integral components of Health Insurance Portability and Accountability Act. Understanding these regulations will ensure compliance with privacy laws when it comes to protecting personal health information.

What You Will Learn

This HIPPA training program presents essential information about the General Administrative Requirements, Administrative Requirements, and the Security and Privacy provisions of regulation text 45 CFR Parts 160, 162, and 164.

• Identify the mandatory laws governing Medicare fraud and abuse.
• Describe your part in preventing Medicare fraud, waste, and abuse.
• Summarize what you can do to detect, correct, and prevent fraud, waste, and abuse.
• Establish an effective compliance plan

For Who Is This HIPPA Training Course

This course is intended for any student or employer that requires annual required training or any student who wishes to enter a healthcare career while meeting federal guidelines. This includes all individuals and organizations associated with the healthcare industry or in possession of private health information must be mindful of their responsibility.

This includes:

• Medical Professionals
• Employer Group Health Plans
• Health insurance providers
• individuals who work in the Healthcare system
• Employees in administration within the healthcare system

More About HIPAA, Fraud, and Abuse Course

The HIPAA (Health Insurance Portability and Accountability Act) regulations have a significant impact on the healthcare industry, particularly in relation to preventing fraud and abuse. The HIPAA, Fraud, and Abuse course provides a comprehensive understanding of the regulations, guidelines, and best practices related to protecting patient information, preventing fraudulent activities, and addressing potential instances of abuse within healthcare organizations.

Knowledge Benefits

Enrolling in the HIPAA, Fraud, and Abuse course will provide you with in-depth knowledge of the HIPAA regulations and their implications for healthcare providers, health plans, and other entities involved in handling protected health information (PHI). You will gain a thorough understanding of the key provisions of HIPAA, including the Privacy Rule, Security Rule, and Breach Notification Rule. You will also learn about the role of the Office for Civil Rights (OCR) in enforcing HIPAA compliance and the penalties associated with non-compliance. By completing this course, you will have the knowledge and skills to ensure compliance with HIPAA regulations, protect patient privacy, and prevent fraud and abuse in the healthcare industry.

Career Benefits

Proficiency in understanding and implementing HIPAA regulations is highly valuable in the healthcare industry. By completing the HIPAA, Fraud, and Abuse course, you will enhance your career prospects in various healthcare roles. This course is particularly beneficial for healthcare professionals involved in medical coding, billing, medical administration, health information management, compliance, and privacy and security. Employers in healthcare organizations, such as hospitals, clinics, insurance companies, and healthcare technology companies, value individuals who have a solid understanding of HIPAA regulations and can contribute to maintaining compliance and protecting patient information. By gaining expertise in HIPAA, fraud prevention, and abuse detection, you will increase your employability and open up opportunities for career advancement in the healthcare industry.

Job Opportunities

Professionals with knowledge of HIPAA regulations, fraud prevention, and abuse detection are in high demand in the healthcare industry. Job opportunities in this field include HIPAA compliance officer, healthcare privacy officer, healthcare compliance specialist, healthcare auditor, medical coding and billing specialist, healthcare administrator, and healthcare consultant. These roles involve ensuring compliance with HIPAA regulations, implementing security measures to protect patient information, conducting audits and investigations to detect and prevent fraud and abuse, and educating staff on compliance and privacy practices. By completing the HIPAA, Fraud, and Abuse course, you will equip yourself with the necessary skills and knowledge to pursue these career opportunities and make a positive impact on the healthcare industry.

Salary Potential

Salaries for professionals with expertise in HIPAA, fraud prevention, and abuse detection can vary based on factors such as job position, experience, location, and organization size. Positions such as HIPAA compliance officer, healthcare privacy officer, and healthcare compliance specialist typically offer competitive salaries, especially in larger healthcare organizations and metropolitan areas. Additionally, individuals with advanced certifications and extensive experience in healthcare compliance and privacy may command higher salaries. The salary potential in this field can also increase with career progression, additional responsibilities, and specialized expertise in areas such as healthcare fraud investigation and regulatory compliance. Overall, pursuing a career in HIPAA compliance and fraud prevention can lead to a rewarding and financially stable path in the healthcare industry.

Conclusion

The HIPAA, Fraud, and Abuse course is essential for healthcare professionals who are responsible for ensuring compliance with HIPAA regulations and safeguarding patient information. By completing this course, you will gain a comprehensive understanding of the regulations, guidelines, and best practices related to HIPAA, fraud prevention, and abuse detection. This knowledge will not only enhance your career prospects in healthcare organizations but also contribute to maintaining patient privacy and preventing fraudulent activities. Take the opportunity to build your expertise in HIPAA compliance and become an invaluable asset in the healthcare industry.

Using IT Certs Training for HIPAA, Fraud, and Abuse Certification

IT Certs Training is an online training company that provides comprehensive training programs for various IT certifications, including HIPAA, Fraud, and Abuse. The program offers several benefits, making it the best option for obtaining this certification:

1. Flexibility:

IT Certs Training provides self-paced online courses that allow learners to study at their own pace and schedule. This flexibility is particularly useful for working professionals who want to obtain a certification while continuing to work.

2. Comprehensive Curriculum:

The IT Certs Training curriculum covers all the topics and skills required to pass the HIPAA, Fraud, and Abuse certification exam. The program provides videos, practice tests, and study materials that are designed to help learners master the exam objectives.

3. Experienced Instructors:

The program instructors are experienced professionals who have extensive knowledge and expertise in IT Networking and CyberSecurity in addition to many other areas of expertise. They provide guidance and support to learners throughout the training program.

4. Exam Preparation:

IT Certs Training provides exam preparation materials, including practice exams and study guides. These resources help learners prepare for the certification exam and increase their chances of passing it on the first try.

5. Cost-Effective:

The IT Certs Training program is cost-effective compared to other training programs. The program offers affordable pricing and provides value for money by offering comprehensive training and exam preparation resources.

Course Outline

Module 1: HIPPA and Privacy

HIPPA and Privacy
Security, Safeguards, and Controls
Examples and Cases

Module 2: Fraud, Waste, and Abuse

Fraud, Waste, and Abuse
Case Examples and Law

Module 3: Compliance and Prevention

Compliance and Prevention

Your Training Instructor

Wendy Bell

Instructor

Wendy Wendy is a certified coder with accreditation through AAPC. She has worked in healthcare for twenty-plus years and has worked in multiple specialties such as Radiology, family practice, chiropractic, OB/GYN, Orthopedics, and more. She has been an active member of her local AAPC chapter and served as Vice President and Member Education roles. Wendy not only educates; she continues to in the field daily as a consultant to help providers find cash flow problems and get them resolved quickly.

Personally, she lives in Naples, Maine during the summer months and Florida in the winter, giving her the best of both worlds. She has two grown daughters and a sweet granddaughter. In her free time, she enjoys camping, travel, and a giant Patriots fan.