WHO DO YOU CALL?
To report a patient who fell in their room
Who is Patient Safety
Giving this away would be a breech of security and compromise PHI.
What is a password.
Who is responsible for compliance with all laws, rules, regulations and policies?
Who is everyone connected with the organization - employees, board of directors, providers, volunteers, vendors, contractors, and agents.
This is recognizing in any moment of decision, the best thing to do is the right thing.
What is recognition
EHR
What is the Electronic Health Record.
electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care.
To report a coworker who checked my medical records?
Who is Privacy
This is needed to fax Protected Health Information to another hospital or provider?
What is proper patient authorization form to release medical information.
A violation of this law where one gives or receives a kickback (i.e. cash, or cash equivalents, tickets, trips) in exchange for referrals.
What is Anti-Kickback
Being aware of the difference between right and wrong
What is Awareness!
PHI
What is Protected Health Information.
Provides federal protections for personal health information held by covered entities and gives patients an array of rights with respect to that information. At the same time, the Privacy Rule is balanced so that it permits the disclosure of personal health information needed for patient care and other important purposes.
Who you can speak with if you have a potential Compliance Issue?
Who is (any correct): Your manager, Human Resources, Compliance Hotline, Compliance website, or Chief Compliance Officer
When you knowingly provide false information to obtain payment or benefits we would otherwise not be entitled to.
What is Fraud
Violation of this law where you bill for a false service can lead to imprisonment
What is False Claims Act
A set of expected conduct standards for LG Health and all associated individuals to follow
What is Code of Conduct
HIPAA
What is Health Information Portability and Accountability Act (1996).
Is United States legislation that provides data privacy and security provisions for safeguarding medical information.
This is who you call if you are asked to falsify documents to look good on our next audit
Who is the Compliance Officer/Department
This policy protects individuals who report suspected violations of the Code of Conduct, policies and procedures
What is Non-Retaliation Policy
Person(s) reporting illegal transactions or unethical actions his/her employer is engaged in?
Who is a Whistleblower (Law in 1989 to protect federal employees, amended in 2014 to include public and private companies)
Competing interests or loyalties that may adversely affect an employee's role in their organization
What is Conflict of Interest
CMS
Centers for Medicare and Medicaid Service.
On July 30, 1965, President Lyndon B. Johnson signed into law legislation that established the Medicare and Medicaid programs.
Though Medicare and Medicaid started as basic insurance programs for Americans who didn’t have health insurance, they’ve changed over the years to provide more and more Americans with access to the quality and affordable health care they need.
Who is Human Resource Manager.
Act to protect people who report unethical or illegal employer behavior from retaliatory action.
What is Whistleblower Protection Act.
Illegal act of submitting false statements/documentation to collect money from the government.
What is False Claims Act
This restricts retaliation against individuals who reports suspected violations.
What is Non-Retaliation
OIG
Office of Inspector General.
Office of Inspector General's (OIG) mission is to protect the integrity of Department of Health & Human Services (HHS) programs as well as the health and welfare of program beneficiaries.