CHCSP study plan

Diagram the seven elements of an effective compliance program and map each element to a specific CHCSP governance responsibility (board oversight, compliance officer authority, committee structure).

Draft a one-page compliance program charter outline that names reporting lines, committee membership, and the compliance officer's independence safeguards.

Compare centralized versus decentralized compliance structures and write three criteria for choosing between them in a mid-sized health system.

List the documentation a governing board should receive quarterly to evidence program oversight, and explain why each item matters.

Build a risk assessment matrix that scores likelihood and impact for at least 12 regulatory risk areas (e.g., billing, privacy, Stark/AKS, licensure).

Trace how a new CMS or OIG rule flows into organizational policy, training, and monitoring, using one current example you can verify.

Write a risk-ranking rationale that explains why the top three risks were prioritized and what data would change the ranking.

Identify the sources you will check monthly for regulatory updates and note the update cadence for each.

Explain the components of a compliant charge capture and coding workflow, from service documentation to claim submission, and identify three control points.

Differentiate upcoding, unbundling, and medically unnecessary services with one original example of each.

Outline the elements of a billing compliance audit workpaper, including sample selection, documentation review, and error classification.

Describe how physician query practices and CDI affect code assignment and reimbursement accuracy.

Map the HIPAA Privacy Rule requirements for permitted uses and disclosures to three realistic operational scenarios (treatment, payment, operations).

List the Security Rule administrative, physical, and technical safeguards and give one concrete control for each category.

Explain the breach notification decision process, including the four-factor risk assessment, and apply it to a hypothetical lost unencrypted laptop.

Identify minimum necessary standard exceptions and describe how they affect routine disclosures.

Distinguish fraud, waste, and abuse using original scenarios and state the intent element that separates fraud from waste.

Summarize the key prohibitions of the False Claims Act, Anti-Kickback Statute, and Stark Law and explain how they interact in a referral arrangement.

Describe the purpose and structure of an OIG Corporate Integrity Agreement and list three obligations it typically imposes.

Explain the role of a compliance hotline and non-retaliation policy in encouraging good-faith reporting.

Design an annual audit plan that specifies scope, frequency, sampling method, and reporting timeline for at least four audit types.

Write audit workpaper standards covering objective, scope, criteria, findings, and management response.

Differentiate internal and external audit roles and describe how findings are validated and tracked to closure.

Create a corrective action plan template with root cause, action owner, due date, and validation method.

Conduct a training needs assessment that maps role-based risk to required competency and training frequency.

Draft learning objectives for three audiences (board, clinicians, revenue cycle staff) using measurable action verbs.

Design an evaluation method that measures training effectiveness beyond completion rates, such as knowledge checks or audit error trends.

Build a training calendar that aligns mandatory education with regulatory deadlines and audit cycles.

Outline the phases of a compliance investigation, from intake and triage through documentation, interviews, and resolution.

Explain privilege and confidentiality considerations during investigations and describe how to preserve evidence.

Distinguish self-disclosure options and describe when each might be appropriate.

Integrate all eight domains into a one-page program maturity self-assessment with a 90-day improvement plan.