AUD 1000 Health Information Standards and Guidelines
This course is an introduction to HEDIS and Quality Measures, Sarbanes-Oxley Act, National Healthcare Billing Audit Guidelines, Office of Inspector General Compliance Guidance, General Accepted Accounting Principles, Medicare and Medicaid Policies, National and Local Coverage Determination, National Committee for Quality Assurance, Health Insurance Portability and Accountability Act of 1996, and Medicare Integrity Program as well as Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and other guidelines and standards. The course introduces risk assessment surveys and compliance audits. This course will consider the investigation process for compliance issues. Students will learn how to make recommendations for disciplinary and corrective action plans.