CHCO study plan
CHCO · Give each week a clear focus.
8 weeks · About 6 hours per week
Compliance program structure, governance, and the OIG seven elements
Map the seven OIG compliance program elements to concrete artifacts (policies, hotline logs, training records, audit workpapers) in a two-column table
Draft an organizational chart showing the compliance officer's reporting lines, board/audit-committee touchpoints, and independence safeguards
List the core duties of a compliance committee and write five example agenda items for a quarterly meeting
Explain in your own words how a compliance program scales across a small clinic versus a multi-hospital system
Your checkpoint
A one-page compliance program charter outline covering all seven elements, plus a 10-row element-to-artifact mapping table
Compliance program structure, governance, and the OIG seven elements & Healthcare regulatory framework: False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties
Complete the domain 1 work by writing a draft code of conduct summary and a conflicts-of-interest disclosure form outline
Describe exclusion screening obligations, including the OIG List of Excluded Individuals/Entities and the SAM.gov exclusions database, and set a monthly screening cadence
Define the False Claims Act's key concepts: knowingly, false claim, materiality, treble damages, and qui tam relator share
Distinguish the FCA's three knowledge standards (actual knowledge, deliberate ignorance, reckless disregard) using three original fact patterns
Your checkpoint
A 15-question self-written quiz on domain 1 and FCA basics, answered at 80% or better with a written correction note for each miss
Healthcare regulatory framework: False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties
Compare the Anti-Kickback Statute and the Stark Law across intent standard, referral scope, exceptions or safe harbors, and penalties
Summarize at least eight AKS safe harbors (for example, employment, personal services, space rental, EHR donations) and state the core condition for each
Outline the main Stark exceptions, including in-office ancillary services and the fair market value requirement
Explain the Civil Monetary Penalties framework and how CMP, AKS, and FCA liability can stack on a single arrangement
Draft an arrangement-review checklist used before signing a physician contract
Your checkpoint
A two-page AKS-versus-Stark comparison matrix plus a completed 12-item physician arrangement review checklist applied to a hypothetical contract
Healthcare regulatory framework: False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties & HIPAA privacy, security, and breach notification
Reinforce domain 2 by analyzing two original scenarios and deciding which statute is implicated and why
Differentiate HIPAA privacy, security, and breach notification rules by scope, covered entity versus business associate duties, and required documentation
List the 18 HIPAA identifiers and explain the two permitted de-identification methods
Walk through the four-factor breach risk assessment and state when notification is required and to whom
Outline the minimum necessary standard and its main exceptions
Your checkpoint
A breach-response decision tree covering risk assessment, notification timing (60 days), and documentation, tested against two hypothetical incidents
HIPAA privacy, security, and breach notification & Coding, billing, and reimbursement compliance
Finish domain 3 by describing administrative, physical, and technical safeguard categories and writing three sample security controls for each
Explain how the HIPAA Security Rule and the HIPAA Privacy Rule interact with a business associate agreement
Trace a claim from documentation to code assignment to submission and identify three points where compliance risk enters
Describe the roles of ICD-10, CPT, and HCPCS in billing and explain how upcoding, unbundling, and modifier misuse create false claim exposure
Outline a physician documentation query process that stays within compliance boundaries
Your checkpoint
A sample audit of 10 hypothetical claims with a written finding for each, including a correct-versus-billed code comparison and a risk rating
Coding, billing, and reimbursement compliance & Auditing, monitoring, and internal investigations
Build a baseline risk assessment that ranks at least 10 compliance risk areas by likelihood and impact
Draft an annual internal audit plan naming scope, sample size rationale, frequency, and reporting lines for three audit areas
Write an investigation protocol covering intake, conflict check, evidence preservation, interviewee rights, and documentation
Explain privilege, self-disclosure options, and overpayment identification and repayment obligations under the 60-day rule
Your checkpoint
An internal audit workpaper template plus a completed mock investigation memo on a hypothetical hotline allegation
Auditing, monitoring, and internal investigations & Compliance education, training, and communication & Enforcement response, corrective action plans, and government investigations
Finish domain 5 by designing a monitoring dashboard with at least six metrics and defined thresholds
Design a role-based training curriculum with audience, content, cadence, delivery method, and completion tracking for four roles
Draft a communication plan covering hotline awareness, non-retaliation messaging, and anonymous reporting channels
Outline a corrective action plan structure: root cause, corrective steps, owners, timelines, and validation evidence
Describe how to respond to a government subpoena or Civil Investigative Demand, including counsel engagement and litigation hold steps
Your checkpoint
A one-page training and communication calendar for a full year plus a corrective action plan template with six required fields
Compliance program structure, governance, and the OIG seven elements & Healthcare regulatory framework: False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties & HIPAA privacy, security, and breach notification & Coding, billing, and reimbursement compliance & Auditing, monitoring, and internal investigations & Compliance education, training, and communication & Enforcement response, corrective action plans, and government investigations
Re-rank all seven domains by your practice-test scores and spend the most time on the two weakest
Complete two timed practice sets of at least 40 questions each and review every missed item to root cause
Rewrite condensed one-page summaries for each of the five heaviest domains
Recite the elements, statutory thresholds, notification timelines, and audit steps from memory in a written brain dump
Your checkpoint
A scored practice test log with an accuracy rate of 80% or higher across all domains and a final one-page weak-area remediation list
Milestones
Week 2: Score 80% or better on the 15-question domain 1 and FCA quiz and explain each federal statute's elements without notes
Week 4: Correctly resolve both AKS-versus-Stark scenarios and complete the breach decision tree with no missing notification step
Week 6: Produce a risk-ranked audit plan and a mock investigation memo reviewed against the investigation protocol
Week 8: Achieve 80% or better overall on two timed practice sets with no domain below 70%