TASK 3 CODING COMPLIANCE TRAINING PROGRAM (POWERPOINT PRESENTATION) 1
TASK 3 CODING COMPLIANCE TRAINING PROGRAM (POWERPOINT PRESENTATION) C807 – Healthcare Compliance
Western Governors University TASK 3 CODING COMPLIANCE TRAINING PROGRAM (POWERPOINT PRESENTATION) 2
Presentation verbiage – also outlined in PowerPoint notes . 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
they learned?” Behavior is a factor, has morale improved? And lastly, the results, how does the level of performance relate with the established objectives.
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