A compliance officer may be called upon to develop procedures and policies and address compliance issues within a company. Because a CPCO helps a practice or healthcare organization manage increased scrutiny of Medicare and Medicaid fraud and abuse and the impending requirement for mandatory physician practice compliance programs, they are an important part of keeping physicians free from legal issues. The curriculum is taught with the medical office professional in mind with real-world compliance examples relevant to your office. There are a number of associations and agencies that offer compliance certifications in specific fields. The CMCO curriculum provides candidates with advanced knowledge that very few practice management professionals have attained. Compliance officers also need to make sure that employees are following internal compliance policies. The instructors, Robert Liles and Paul Weidenfeld, are healthcare attorneys with significant expertise who are intimately involved in the business of healthcare compliance and management. A compliance officer is a professional who ensures that companies and individuals are operating within legal parameters when it comes to their licensing and practices. A compliance officer is an individual who ensures that a company complies with its outside regulatory and legal requirements as well as internal policies and … 7,092 Healthcare Compliance Officer jobs available on Indeed.com. Primarily, a compliance officer must ensure an organization is being run legally and ethically, and complying with all applicable industry regulations. CMCO stands for Certified Medical Compliance Officer. Untitled. He has earned numerous awards including the prestigious Attorney General Award for Fraud Prevention and Nightingale Outstanding Healthcare Litigator. Today's top 307 Certified Medical Compliance Officer jobs in United States. An HCCA membership is not necessary to attain, maintain, or renew a certification. CMCOs are proficient in the development, implementation, and management of an ongoing compliance program. Amazon.ca - Buy PTNR01A998WXY Certified Medical Compliance Officer (CMCO) Online Certification Video Learning Made Easy at a low price; free shipping on qualified orders. Untitled. A cookie-cutter compliance plan won't do. You'll learn to handle tough situations with ease. Certified Medical Compliance Officer (CMCO) Compliance certification is a strategic move. Course Time: 20min Apply to Compliance Officer, Safety Officer, Clinical Director and more! Banking compliance has become so important and complex that most financial institutions today have a compliance officer or compliance team in place to ensure all professionals adhere to the latest rules and regulations. As businesses work to meet an array of complex compliance requirements, from anti-money laundering laws to the Sarbanes-Oxley Act, the demand for compliance officers is rising. Attending this class will benefit physicians who run their own practice, or who are interested in any aspect of legal compliance.” - Steven F. Crawford, M.D. The HIPAA & OSHA combined compliance training program will guide you through training and certification of blood borne pathogen regulations, safety procedures, the HIPAA Privacy Rule, and the HIPAA Security Rule. Lights, Camera, Action is being heard again across the country. Who Should Take The HIPAA Certification Course? Education, Training, & Certification There's no single path to becoming a compliance officer, but it is not an entry-level position. Along with assessing financial risks and creating a game plan to handle those potential issues, compliance officers provide regular reports on the effectiveness of a business’s compliance measures. Compliance policies Participants who complete the health care compliance officer training program sit for the certification exam. CMCOs are highly trained compliance professionals who understand the role, responsibilities, and tactical skills needed to control risk and lead practice compliance efforts. Equally important, if you are audited, the training provides proof that your organization has taken steps to comply with applicable billing and coding rules. From data breaches to audits, business associate agreements, and everything in between, a well-trained compliance officer fills an important role, minimizing risks and costly mistakes. The producer should always vet the C19C0 to ensure they are following all current protocols. Individuals who do not have compliance expertise or who have worked in limited compliance roles will need to become familiar with the different topics addressed on the exam breakdown tab on this page. Source: www.cert-medical.com. Certified Compliance & Ethics Professional (CCEP)) is a plus Hiring Compliance Officer job description Post this Compliance Officer job description job ad to 18+ free job boards with one submission This Certification course is uniquely designed to address the needs of non-hospital health care providers. This program was carefully developed by well-tenured healthcare compliance experts, nationally known Healthcare Compliance Attorney Robert W. Liles, and longtime Compliance Officer D.K. Attorneys (EOUSA), a component of the United States Department of Justice (DOJ) where he advised on civil and criminal fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Medicaid Compliance Certification. CPT® is a registered trademark of the American Medical Association. New Certified Medical Compliance Officer jobs added daily. If the medical organization performs any type of laboratory tests on site, the Compliance Officer should also be familiar with Clinical Laboratory Improve-ment Amendments (CLIA) regulations. Education Bachelor’s Degree in Business Administration, Health Administration, or related field. The National Association of Federal Credit Unions (NAFCU) offers the NAFCU Certified Compliance Officer (NCCO) designation, which is awarded after a passing score on the NCCO examination ( www.nafcu.org ). We recommend the individual also have at least an associate's degree in healthcare. If the medical organization performs any type of laboratory tests on site, the Compliance Officer should also be familiar with Clinical Laboratory Improve-ment Amendments (CLIA) regulations. Certificate of Compliance Cert Medical. Back to Top Education. This updated course is for current and aspiring Compliance Officers working in Physician Practices, Home Health Agencies, Hospice Companies, Durable Medical Equipment Companies, Physical Therapy Clinics, Third-Party Billing Companies and other small to mid-sized health care provider entities. All our research, rules, regulations and member federation information. Certified Medical Insurance Specialist (CMIS)®, Certified Medical Chart Auditor (CMCA-E/M)®, Certified Medical Office Manager (CMOM-HEM/ONC)®, The seven elements of the compliance plan, Health care fraud enforcement and sentencing guidelines, False Claims Act, Stark, and the Federal Anti-Kickback Statute, Legal provisions of compliance with a review of actual case examples, Impact of Health Care Reform on enforcement statutes and practices, Performing a gap analysis and other means of identifying practice-specific risks Billing/coding/coverage and reimbursement, Coding, billing and documentation considerations, LCDs/NCDs and their applicability to coverage decisions, Drafting and incorporating the office compliance plan, Mission statement, codes of conduct, and organizational goals, The growing threat of electronic security and identity theft Compliance, risks, actions and issues, Role of the Compliance Officer in the organizational hierarchy, UPICs, ZPICs, RACs, SMERCs, and other Medicare/Medicaid contractors, Organizational risks, peer review actions, state licensure issues, Employee screening, staff, and patient relations, Employee notification of obligations and consequences for failure to comply, Drafting enforcement and discipline provisions, Overview of law enforcement organizations Medicare exclusion and its impact on an organization, Co-payments, waivers, deductibles, and write-offs, Overpayments, federal Anti-Kickback, False Claims Act, and Stark implications, Gratuities, kickbacks, and payments to physicians, Types of referrals that may violate one or more federal statutes, Business relationships between your practice/clinic and other providers, Setting up mechanisms for employees to file anonymous complaints, Avoiding allegations of reprisal and responding to identified deficiencies, Voluntary repayments - advantages and disadvantages of making repayment Law enforcement investigation tools, Subpoenas and search warrants and how to respond to compulsory process, Employment of consultants, lawyers, and other third-party advisors, Federal and non-federal administrative appeals of denied claims, HIPAA/HITECH and the relationship between privacy and compliance. Today's top 307 Certified Medical Compliance Officer jobs in United States. Notes are only allowed on the printed side of the documents: Electronic devices with an on/off switch (cell phones, smart phones, tablets, etc.) Health care experts see inevitable merging of compliance and quality assurance responsibilities. © Copyright 2021, AAPC It represents an ongoing effort to operate a medical practice or clinic in an ethical manner within the four corners of the law. This specialized training guides the development, implementation, and management of a complete compliance program and serves as an ideal platform for professional growth. The CPCO™ examination is recommended for individuals who have experience working in a compliance role or in a compliance department. Source: www.evms.edu. CERTSMASTEr Certified Medical Compliance Officer (CMCO)® Practice Exam Video Learning Solutions: Amazon.ca: Software The Office of Inspector General’s (OIG) compliance guidance for individual and small group physician practices, clinical laboratories, and third-party billing companies, Key healthcare fraud and abuse laws including the False Claims Act, Stark Laws, and Anti-kickback Statute, including the associated penalties, Other laws and regulations including HIPAA, Emergency Medical Treatment and Labor Act (EMTALA), Occupational Safety and Health Administration (OSHA), and Clinical Laboratory Improvement Amendment (CLIA), Handling investigations, including self-disclosure protocols, Requirements under Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs), Current investigative activities, such as Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), Medicaid fraud control units (MFCUs), Various risk areas including items such as gifts/gratuities, conflicts of interest, use of advance beneficiary notices, teaching physicians’ guidelines, and incident-to services, 150 multiple choice questions (proctored), 5 hours and 40 minutes to finish the exam, 1 free retake to be used within one year of first attempt, History of healthcare laws in the United States, Implementation of Compliance Program Guidance, Key agencies involved in healthcare compliance, Current statistics related to CERT reports and National Healthcare Expenditures, Standards of conduct and operational policies, Balanced Budget Act of 1997 and diagnoses, Physician compliance program guidance risks, Certifications for Home Health & Therapy services, Billing of non-covered services as if covered, Limiting charges for PAR and Non-PAR practices, Professional Courtesy/Discounts/Adjustments, Fraud Enforcement and Recovery Act (FERA), Patient Protection and Affordable Care Act (PPACA/Health Reform), RICO (Racketeer Influenced and Corrupt Organizations Act), Certification of Compliance Agreements (CCAs), Pay examination fee at the time of application submission, Maintain current membership with the AAPC, Renewing members must have a current membership at the time of application submission as well as when results are sent. For them, it projects job growth of about 10 percent for the decade ending in 2026. OIG Supplemental Compliance Program Guidance for Hospitals. After graduating from law school, he was hired as an Assistant United States Attorney (AUSA) in the Southern District of Texas (SDTX) primarily to handle False Claims Act matters and cases. Medical office professionals who expand their compliance knowledge now will have the edge in today’s ever-changing health care climate. According to AAPC’s 2019 Salary Survey, medical coding professional average $54,980 in annual compensation. It expanded my knowledge and provided insight to things I didn't even know were important on the business side of the office. CERTSMASTEr Certified Medical Compliance Officer (CMCO)® Practice Exam Video Learning Solutions: Amazon.ca: Software Robert and DK were both exceptional speakers! The COVID-19 Compliance Officer (C19CO) does not replace the need for a Union or Non-Union Set Medic. Whether serving as mediator, litigation consultant or legal representative, or trying to understand and help craft solutions to even the most difficult litigation problems, Paul draws upon a broad range of experiences as a lawyer/litigator that includes over 50 trials, 25 appellate arguments and appearances before the United States Supreme Court, Federal and State Appellate Courts, and Federal and State trial courts. What is the Focus of PMI’s “Certified Medical Compliance Officer” Program? I. CMCO abbreviation stands for Certified Medical Compliance Officer. What a fantastic course! As the role of compliance has grown within hospitals, compliance officers are taking on new and wide-ranging responsibilities in areas such as accreditation and quality assurance. 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