Fraud, Waste, Abuse
Reckless & willful disregard or conduct that goes against acceptable business/medical practices.
What is Fraud?
Derogatory gestures or facial expressions.
What is non-verbal harassment?
Do not engage in any activities that you would not be willing to do in plain sight of others.
What is one way to help prevent abuse of our clients by staff?
Gloves are a substitute for hand hygiene and you do not need to sanitize your hands after wearing gloves.
What is a false statement about infection control prevention?
When a client's address is found to be incorrect, non-existent, or fictitious.
What is a Red Flag for Identity Theft?
Ordering the most expensive piece of equipment for a patient, even though a cheaper option would do the job.
What is Waste?
The most reported abused professionals (71%)
What are healthcare & social workers?
Individual Risk of Abuse/Neglect Assessment form
What has to be completed for each client in the Home-Based Program?
According to the CDC, healthcare workers fail to complete hand hygiene ______% of the time.
What is 50% of the time?
An employee should gather all documentation & report the incident to her/his immediate supervisor.
What is the first step in responding to a red flag?
A law that addresses preferential services for one provider's patients over another's.
What is the Anti-Kickback Statute?
No one will be denied the opportunity of employment or promotion based on age, race, gender, creed, veteran status, marital status, disability, sexual orientation, national origin, or pregnancy status.
What is our policy of Equal Opportunity Employment?
Neglect
What is the most common form of maltreatment?
Suctioning a client when they are having difficulty breathing.
What is an activity you cannot engage in while at a home visit?
An emailed attachment with PHI that is HIPAA compliant
What is a password protected attachment?
Assign an inaccurate billing code to (a medical procedure or treatment) to increase reimbursement.
What is Upcoding Fraud?
CPT reasonably accommodates qualified individuals with disabilities so they can perform the essential functions of a job.
What is the ADA (Americans with Disabilities Acts)?
612-348-3552
What is the Common Point of Entry for reporting maltreatment of minors in Hennepin County?
Symptoms typically begin 1-4 days after infection. Most adults with this illness can infect others up to 5-7 days after becoming sick.
What is the Flu?
As required by law, during quality assurance chart reviews, for payment, health research, and in the event of a disaster.
What are some of the ways that CPT can disclose PHI about clients?
Not discharging when appropriate.
What is Abuse?
CPT prohibits any form of this against a person because he/she has made a discrimination or harassment complaint.
What is retaliation?
1) Orally report to your supervisor.
2) Fill-out the 'Documentation of Suspected Abuse' form.
3) Call the Common Point of Entry number of the county where the child resides
What are the steps to complete when you suspect a child is being abused/neglected or has been abused/neglected within the last three years?
Night sweats, fatigue, fever & chills, poor appetite, cough longer than 3 weeks
What are signs & symptoms of TB?
Full name, medical record number, birthdate, health details, SSN, Address, photos or videos
What are PHI (Protected Health Information)?