Let's Face The Facts
Laws
Alphabet Soup
Name That CCBEG Policy
Take a Guess
100
This costs taxpayers billions of dollars each year
What is healthcare fraud, waste and abuse 
100

This act protects people from retaliatory action for voluntarily disclosing information about dishonest or illegal activities occurring at a government organization

What is the Whistleblower Act 
100
PHI
What is Protected Health Information  
100

The purpose of this policy is to promote meaningful access to persons with limited English proficiency and to improve the awareness of the availability of auxiliary aids and services for persons with disabilities

What is Notice of Nondiscrimination 

100
HIPAA was first introduced in this year
What is 1996
200
Failure to send one of these in a "timely manner" may result in financial penalties from the Office of Civil Rights 
What is a HIPAA Breach Notification or Patient Notification Letter 
200
This makes it illegal to submit false statements or documentation in order to collect money from the government 
What is the False Claims Act 
200
EMTALA

The Emergency Medical Treatment and Labor Act 

200

What policy will allow a Personal Representative access to inspect or copy the Individual’s Protected Health Information that is maintained in the Designated Record Set

What is HIPAA- Right of Patient Access 
200

Coding for a higher level than the documentation warrants 

What is Upcoding 
300
If not using PHI for one of these three purposes, permission from the individual should be obtained. 
What is Treatment, Payment and Health Care Operations (TPO) 
300

This law prohibits offering, paying,

soliciting or receiving anything of

value to induce or reward referrals

or generate Federal health care

program business

What is the Anti-Kickback Statue 
300
HIPAA
Health Insurance Portability and Accountability Act 
300
This policy sets the parameters related to gifts, entertainment and meals
What is Vendor Relationships Policy 
300
A reporting system that provides anonymous telephone access to employees seeking to report possible instances of wrongdoing
What is Hotline
400

This will help reveal areas where your organization’s protected health information (PHI) could be at risk.

What is a Risk Assessment 
400
This law prohibits physicians from referring Medicare patients, for certain health services,  to any entity with which the physician has a financial relationship 
What is the Stark Law 
400
CPT
Current Procedural Terminology 
400
What policy protects an employee from reporting their manager without fear
What is the Non-Retaliation Policy 
400
Double Jeopardy 


"He who bring the action for the king as well as for himself" - this type of suit is filed by an employee of an organization with the federal government accusing an organization of fraud and abuse 

What is qui tam suit 
500
You don't want to be placed under one of these government supervised corrective action plans 
What is a Corporate Integrity Agreement (CIA) 
500

This federal law requires anyone coming to an emergency department to be stabilized and treated regardless of their insurance status or ability to pay

The Emergency Medical Treatment and Labor Act (EMTALA)

500
ICD-10
International Classification of Diseases, 10th Edition
500
What policy states that the patients acknowledgement of this document is now documented in the General Consent to Treat and stored in the medical record 
What is HIPAA Notice of Privacy Practices (NPP) 
500
This organization develops standards and performance measures, conducts regular on-site surveys based on those standards and measures, and awards accreditation decision and certification for healthcare organizations and programs in the United States
The Joint Commission 
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