Monday - Reporting
Tuesday - Ethics
Wednesday - Fraud
Thursday - Compliance Staff
Friday - Mixed Bag
100
A special communication vehicle set up to facilitate reporting suspected compliance violations that can be accessed through the AspenPointe intranet.
What is a Hotline?
100
A clinician conducting a romantic affair with a client.
What is an example of an Ethical Violation?
100
A big place where they lock you up and throw away the key.
What is Prison?
100
Alex Hale
Who is AspenPointe Health Services' Compliance Officer?
100
The short name for the The Federal Physician Self-Referral Law that prohibits, with certain exceptions, a physician from ordering “designated health services” for patients, paid by Medicare or Medicaid funds, from entities with which the physician (or an immediate family member) has a financial relationship. It was sponsored by a senator named Stark.
What is the Stark Law?
200
An adjective that describes a hotline reporter who chooses not to reveal their identity.
What is anonymous?
200
The standard that assures claims submitted to federally funded health care programs or to other payors for services and procedures are medically required and in the interest of the patient.
What is medical necessity?
200
1. An employee uses company property for personal use without permission. 2. Improper billing practices, e.g., upcoding, phantom services, excessive treatment 3. Misrepresentation of qualifications, e.g., presenting false credentials
What are examples of Fraud?
200
The smartest and best looking attorney on the AspenPointe staff?
Who is Bill Landsberg
200
A board member knows that AspenPointe is in the market for laundry services at the Lighthouse. The board member recommends a local laundry company. The board member's husband is a part owner of the laundry company.
What is an example of a Conflict of Interest?
300
A policy which assures employees that they cannot be punished or discriminated against for having made a good- faith report of suspected fraud against AspenPointe, its clients or business partners.
What is a Wistleblower Policy?
300
A policy that forbids an employee or board member of AspenPointe from putting their own personal interests before the interests of AspenPointe.
What is a Conflict of Interest Policy?
300
Under this federal law individuals or entities that knowingly file fraudulent or false claims that are payable by a federal healthcare program, including Medicare and Medicaid, are subject to both criminal and civil liability.
What is The Federal False Claims Act?
300
The body of people with ultimate responsibility for oversight of a corporation's corporate compliance program.
What is the board of directors?
300
This can happen when an employee fails to report a known compliance violation.
What can cause you to be fired?
400
What is the third party vender used by AspenPointe to provide a Hotline for suspected compliance violations?
What is EthicsPoint?
400
1. Oath: "Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves." 2. Oath: "I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice."
What are two versions of the Hippocratic Oath?
400
A list of mitigating and aggrevating circumstances used by federal judges in setting sentences in federal prosecutions.
What are the Federal Sentencing Guidlines?
400
A sub-group of the board of directors that provides oversight for regulatory, contract, legal and ethical compliance issues and ensures that AspenPointe companies meet or exceed the highest standards of such accountability. The group meets quarterly and reports directly to the AspenPointe Board of Directors.
What is the Corporate Compliance Committee?
400
A plan established (1) to provide guidance to employees and Board members in understanding his or her responsibility in corporate compliance; (2) to assure that issues of corporate compliance are quickly identified and addressed, and; (3) to facilitate reporting to the appropriate staff person or board of directors committee.
What is AspenPointe's Compliance Plan
500
Direct report to supervisor or compliance officer, email to HR department, or online or telephone report to EthicsPoint Hotline.
What are the ways you can report a suspected compliance violation?
500
One of the first written codes of law in recorded history written by a guy who lived ca. 1810 BCE – 1750 BCE
What is Hammurabi's Code?
500
An AspenPointe high level executive or board member recieves compensation well beyond the value of their work for or contribution to AspenPointe. The IRS punishes this type of transaction.
What is an Excess Benefit Transaction?
500
A sub-committee of the board's finance committee that assures the accuracy and effectiveness of the accounting and financial reporting of AspenPointe by hiring and supervising the outside accounting company that performs our annual audit.
What is the Audit Committee of the Board of Directors?
500
A federal law that prohibits the knowing and willful solicitation, receipt, offer or payment of “any remuneration (including any kickback, bribe or rebate), directly or indirectly, overtly or covertly, in cash or in kind” in return for or to induce the referral, arrangement or recommendation of Medicare or Medicaid business.
What is the Anti-Kickback Statute?
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