Certification Prep: CPCO™ - Certified Professional Health Care Compliance Officer
Issued by
Pearson Workforce Education
This Badge recipient has demonstrated mastery (achieving a final course score of 70% or higher) of the key requirements to develop, implement, monitor, and/or assist others with a health care compliance for their practices based on regulatory guidelines and, subsequently, to sit for the AAPC’s CPCO exam to become a Health Care Compliance Officer.
Additional DetailsSkills
Earning Criteria
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Demonstrate understanding of the OIG Compliance Guidance for Individual and Small Group Physician Practices, Clinical Laboratories, and Third Party Billing Companies, as well as compliance program effectiveness techniques
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Demonstrate understanding of key healthcare fraud and abuse laws and their penalties; how the PPACA will affect medical practices; and knowledge of other laws and regulations including HIPAA
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Demonstrate understanding of how to handle investigations, including self-disclosure protocols
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Demonstrate knowledge of requirements under Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs)
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Demonstrate understanding of current investigative activities (RACs, ZPICs, MFCUs)
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Demonstrate understanding of various risk areas, including items such as gifts/gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physician's guidelines, and incident to services