Upon successful completion of the CHC certification process, candidates will be able to::

Understand Healthcare Compliance Frameworks and Regulations

• Interpret laws and regulations impacting healthcare organizations (e.g., HIPAA, False Claims Act, Stark Law, Anti-Kickback Statute)
• Understand the role of regulatory bodies such as HHS OIG, CMS, and DOJ
• Identify areas of compliance risk in various healthcare settings

Develop and Manage Compliance Programs

• Design and implement compliance programs following the OIG’s Seven Elements
• Draft and enforce codes of conduct, compliance policies, and standard operating procedures
• Establish oversight structures and compliance reporting mechanisms

Conduct Risk Assessments and Audits

• Identify high-risk areas through risk assessment methodologies
• Plan and execute compliance audits and internal reviews
• Analyze findings and report results to leadership

Implement Education and Training Programs

• Create targeted training for staff on compliance topics
• Promote awareness of legal obligations and ethical responsibilities
• Evaluate training effectiveness and maintain documentation

Investigate and Respond to Compliance Violations

• Conduct internal investigations following reported incidents
• Apply disciplinary measures and corrective action plans
• Monitor resolution efforts and ensure compliance remediation

Foster a Culture of Compliance

• Promote transparency, accountability, and ethical behavior
• Encourage anonymous reporting and protect whistleblowers
• Support continuous improvement through feedback and performance metrics