Health Care Compliance Certificate Course Descriptions


Health Care Compliance Institute (3 credits)

This is an intensive two week, three credit course taught by compliance industry leaders designed to deliver the tools necessary for working professionals and students to enhance job performance and become more competitive in the compliance job market. During the course students gain a more sophisticated understanding of the law and regulations encountered by compliance professionals in daily practice, develop the skills to conduct audits and investigation, and learn how to manage employee and vendor issues including enforcement and reporting requirements.  Students are required to complete this course before they take Compliance Skills and Governance & Ethics.

Compliance Laws and Regulations (3 credits) - Professional/Non-JD Track Only

This course is designed to give students a practical understanding of the laws and regulations encountered by compliance professionals in daily practice. The key objective of this course is learning how to apply a range of statutory, regulatory, and common law principles to a variety of compliance situations. Students utilize legal principals and theory through a variety of simulation-based exercises.

Compliance Skills: Auditing, Investigating, and Reporting (3 credits)

This course is designed to expose students to key legal and operational concepts in the heath care corporate compliance field. Students use knowledge gained in prior mandatory coursework and participate in simulation-based projects that require them to perform audits, investigations, and reporting activities to ensure compliance with applicable federal and state laws.

  Governance and Ethics in Health Care Compliance (2 credits)

Our health care system is plagued with high costs and inconsistent outcomes. This class focuses on the role of Boards of Directors in meeting these and other health care challenges. In addition to outlining governance structure and responsibilities, the course reviews current state and federal laws that apply to our health care system, as well as tax policy with respect to tax exemptions for charitable entities and detail how the tax exemption is conferred. Special attention is given to not-for-profit, as well as for-profit entities, and the unique ethical and governance issues presented by various organizational structures.

   Heath Law Organization and Finance (3 credits) - JD Track Only

This course addresses the regulation, structure, and financing of the American health care system. It focuses on the cost and access issues which permeate health care. The class examines how health care is funded through both private and public insurance, including Medicare and Medicaid. The obligations of hospitals and professionals to treat the uninsured are reviewed, as well as the policy questions about addressing access to the large uninsured population. The course also reviews the forms and structure of health care enterprises, with a focus on the creation and regulation of tax-exempt organizations. The fraud and abuse laws, including the False Claims Act, the Anti-Kickback law and STARK, are reviewed both from the perspective of the compliance department and of the lawyer who must structure health care entities with these laws in mind. Finally, the course reviews how the antitrust laws impact the structure and conduct of health care providers.

 Health Law: Quality of Care and Liability (3 credits) - JD Track Only

This is an introductory course examining how the regulatory and legal systems approach quality of care. The focus is on mechanisms for assuring quality of care including self regulation, credentialing, the doctor-patient relationship, professional licensure, government regulation, and the tort system. Examination of the tort system focuses on confidentiality obligations (including HIPAA), informed consent, and hospital and managed care liability. The course reviews the role of ERISA in both managed care liability and health plan regulation. Finally, the course provides an overview of how the public health system operates to protect both our health care and our civil rights. At the end of the course, students will have examined both the law and policy issues such as the problems arising from medical errors and the struggle to balance the need for quality against rising costs and lack of health care access. The curriculum focuses on cases applying administrative and common law, as well as a variety of statutory schemes.

HIPAA Privacy (2 credits)

This course examines the health information confidentiality regulations that promulgate one portion of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act (HIPAA ), signed into law by President Clinton on August 21, 1996, as amended by the American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, 2009, as recently amended and/or implemented on August 24, 2009 (by the Breach Notification Interim Final Rule), October 7, 2009 (by the GINA/HIPAA Proposed Rule), October 30, 2009 (by the HIPAA Enforcement Interim Final Rule), July 14, 2010 (by the Proposed Modifications to the HIPAA Privacy and Enforcement Rules), and any additional proposed or final rules that may be issued prior to the commencement of this course.

Visit Hamline University's Health Law Institute for more information.