CHC (AHE) study plan
CHC · Give each week a clear focus.
8 weeks · About 7 hours per week
Regulatory and Legal Requirements (e.g., Anti-Kickback Statute, Stark Law, HIPAA, False Claims Act)
Explain the elements of the Anti-Kickback Statute and identify at least five arrangements that create risk
Distinguish Stark Law prohibited referrals from AKS remuneration in writing using two side-by-side comparison tables
Outline the three primary liability theories under the False Claims Act and define 'knowingly' as applied
Summarize HIPAA Privacy, Security, and Breach Notification Rule obligations using a one-page reference
Your checkpoint
A one-page legal-framework cheat sheet covering AKS, Stark, FCA, and HIPAA with statutory citations and one example per rule
Regulatory and Legal Requirements (e.g., Anti-Kickback Statute, Stark Law, HIPAA, False Claims Act) & Monitoring, Auditing, and Internal Investigations
Apply the four legal frameworks to three hypothetical billing scenarios and identify which laws are implicated
Map each legal requirement to a corresponding monitoring or audit control
Draft five audit workpaper questions that test compliance with AKS and Stark documentation
Differentiate prospective from retrospective auditing and select the appropriate method for each scenario
Your checkpoint
A completed legal-to-control mapping matrix linking six legal requirements to specific audit tests
Monitoring, Auditing, and Internal Investigations
Design an audit work plan including scope, sampling method, and evidence standards for a claims-review audit
Sequence the phases of an internal investigation from intake through closure
Construct interview questions that preserve privilege and avoid leading a witness
Evaluate when to escalate an investigation to legal counsel versus handling it internally
Your checkpoint
A complete mock audit work plan with sampling rationale and a 10-step investigation protocol
Risk Assessment, Detection, and Reporting
Perform a risk assessment using likelihood and impact scoring across six compliance risk areas
Rank risks and justify the prioritization in writing
Define detection controls and reporting channels that address the top three ranked risks
Describe criteria for determining when an issue is reportable to a regulator or governing body
Your checkpoint
A scored risk register with at least six risks, a prioritized heat-map summary, and a reporting-escalation decision tree
Standards, Policies, and Procedures & Compliance Program Administration and Infrastructure
Draft a policy section that states a rule, defines a procedure, and identifies the accountable owner
Distinguish standards, policies, and procedures using three original examples
Outline the structural elements of a compliance program including committee charter, reporting lines, and budget authority
Diagram the reporting relationship between the compliance officer, governing body, and operational leaders
Your checkpoint
An original policy excerpt plus an organizational chart showing compliance reporting lines and committee structure
Enforcement, Discipline, and Corrective Action & Education and Training
Classify five sample violations by severity and match each to a proportionate disciplinary action
Write a corrective action plan with root-cause statement, owner, timeline, and verification method
Design a training curriculum that maps topics to audience, frequency, and competency check
Construct three knowledge-check questions that measure training effectiveness rather than attendance
Your checkpoint
A corrective action plan template and a training matrix mapping four audiences to required topics and assessment methods
Communication, Culture, and Governance & Program Effectiveness and Continuous Improvement
Explain how leadership tone and incentive structures influence compliance culture
Design two culture-survey questions and two communication channels that surface concerns
Select effectiveness metrics that measure outcomes rather than activity counts
Assemble a continuous-improvement cycle that converts monitoring findings into program revisions
Your checkpoint
A program-effectiveness scorecard with at least six metrics, data sources, and target thresholds
Standards, Policies, and Procedures & Compliance Program Administration and Infrastructure & Education and Training & Monitoring, Auditing, and Internal Investigations & Enforcement, Discipline, and Corrective Action & Regulatory and Legal Requirements (e.g., Anti-Kickback Statute, Stark Law, HIPAA, False Claims Act) & Risk Assessment, Detection, and Reporting & Communication, Culture, and Governance & Program Effectiveness and Continuous Improvement
Synthesize all nine domains into a single integrated review outline
Complete a timed 100-question practice set and analyze every missed item by domain
Re-teach the three weakest domains aloud without notes
Finalize a personal post-exam maintenance plan for regulatory updates
Your checkpoint
A scored practice exam log with domain-by-domain accuracy percentages and a written remediation list for any domain below 80%
Milestones
Week 2: Score 80% or higher on a 25-question self-quiz covering Domain 6 and explain each missed item's legal basis
Week 4: Produce a risk register and audit work plan reviewed against a checklist of required elements with no missing fields
Week 6: Demonstrate a complete enforcement-to-corrective-action cycle using one worked scenario end to end
Week 8: Achieve 80% or higher overall on the timed practice exam with no domain below 70%