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CHC (CCB) study plan

CHC · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Regulatory and Legal Requirements (e.g., fraud and abuse, privacy, coding/billing)

  • Map each major fraud-and-abuse statute (False Claims Act, Anti-Kickback Statute, Stark Law, Civil Monetary Penalties Law) to its prohibited conduct and penalty structure

  • Draft a one-page comparison of the HIPAA Privacy Rule, Security Rule, and Breach Notification Rule covering who they protect and what they require

  • Distinguish the roles of OIG, DOJ, OCR, and CMS in enforcement by writing a short summary of each agency's authority

  • Explain how the seven elements of an effective compliance program connect to the Federal Sentencing Guidelines

Your checkpoint

A 2-page regulatory reference sheet covering fraud-and-abuse statutes, privacy rules, and enforcement agencies, self-quizzed to 80% accuracy

Week 2

Regulatory and Legal Requirements (e.g., fraud and abuse, privacy, coding/billing) & Standards, Policies, and Procedures

  • Differentiate coding and billing risk areas (upcoding, unbundling, medical necessity, modifier misuse) with an original example of each

  • Outline the structure of a compliance program charter, code of conduct, and written policies using the seven program elements as an organizing frame

  • Sequence the steps for developing, approving, and revising a policy from drafting through version control

  • Identify which regulatory changes typically trigger a policy update and describe a review cadence

Your checkpoint

A draft policy outline for one real or hypothetical policy topic, including purpose, scope, responsibilities, and review cycle

Week 3

Monitoring, Auditing, and Internal Review & Risk Assessment and Management

  • Design an internal audit work plan that specifies scope, sampling approach, frequency, and assigned ownership

  • Build a risk assessment matrix that scores likelihood and impact across at least six compliance risk areas

  • Draft audit workpaper templates that capture testing objective, sample selection, findings, and corrective action

  • Write a corrective action plan template that assigns owners and due dates and defines verification of closure

Your checkpoint

A completed risk assessment matrix for a sample organization plus a one-page audit plan tied to the top three risks

Week 4

Monitoring, Auditing, and Internal Review & Risk Assessment and Management

  • Perform a mock audit of a billing or documentation sample and record findings against defined criteria

  • Prioritize identified risks by residual risk score and justify each ranking in writing

  • Compare monitoring activities (ongoing) with auditing activities (periodic) and assign each to the right owner

  • Draft a findings report that separates observations, root cause, and recommendations

Your checkpoint

A mock audit report with at least three findings, root causes, and prioritized recommendations

Week 5

Enforcement and Investigation & Compliance Program Administration

  • Describe the intake, triage, investigation, and resolution stages of a compliance investigation

  • Outline how to preserve confidentiality, avoid conflicts of interest, and document an investigation file

  • Draft interview questions for a witness and a subject in a hypothetical billing-integrity matter

  • Map the compliance committee's structure, quorum, reporting lines, and escalation path to the governing body

  • Explain how to apply a disciplinary and sanctions matrix consistently across roles

Your checkpoint

An investigation protocol flowchart plus a sanctions matrix table covering at least four violation categories

Week 6

Education and Training & Communication and Reporting

  • Design a role-based training curriculum that sets distinct objectives for staff, managers, and leadership

  • Write measurable learning objectives and select an assessment method for each training module

  • Draft a communication plan that specifies audience, channel, frequency, and message for compliance updates

  • Create a reporting-mechanism description covering anonymity, non-retaliation, and hotline routing

  • Compose a sample compliance newsletter item and a leadership talking-points sheet

Your checkpoint

A training and communication plan for one year, including a module list, objectives, delivery method, and completion-tracking approach

Week 7

Compliance Program Administration & Standards, Policies, and Procedures

  • Assemble the components of an annual compliance work plan and assign quarter-by-quarter activities

  • Draft board or committee meeting minutes that document decisions, risk discussions, and follow-ups

  • Reconcile program documentation (charter, policies, training records, audit reports) against the seven program elements to find gaps

  • Write a gap-closure action list with owners and target dates

Your checkpoint

A seven-element gap analysis with a prioritized closure plan

Week 8

Regulatory and Legal Requirements (e.g., fraud and abuse, privacy, coding/billing) & Monitoring, Auditing, and Internal Review & Enforcement and Investigation

  • Complete timed practice sets weighted toward the heaviest domains and log every missed item by domain

  • Re-teach the three weakest concepts by writing plain-language explanations without notes

  • Summarize the fraud-and-abuse, privacy, and investigation content into a single condensed review sheet

  • Simulate exam-day pacing with a full-length timed practice session and record per-domain accuracy

Your checkpoint

A final one-page condensed review sheet plus a scored practice log showing at least 80% overall accuracy

Milestones

Week 2: Score at least 75% on a self-made quiz covering fraud-and-abuse statutes, privacy rules, and the seven program elements

Week 4: Complete the risk assessment matrix and mock audit report, with each finding traceable to a documented risk

Week 6: Finalize the training and communication plan and demonstrate the hotline and non-retaliation reporting path end to end

Week 8: Achieve at least 80% overall on a timed full-length practice session, with no single domain below 70%