CHCO study materials
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CHCO study plan

CHCO · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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%