Report It Right
If you suspect abuse or neglect of a child or vulnerable adult, you should do this promptly, per law and policy.
What is report it?
Before treatment, a consumer should understand the risks, benefits, and alternatives and agree freely. This is called this.
What is informed consent?
This federal law sets national standards for protecting health information.
What is HIPAA?
The time Medicare requires claims to be filed after the date of service.
What is one year?
Doing the right thing even when no one is watching.
What is integrity?
Staff can raise a compliance concern in good faith through this channel, anonymously.
What is the Corporate Compliance Reporting form?
Respecting a consumer's right to make their own treatment decisions is respecting this principle.
What is respecting autonomy?
This rule says to use, access, or share only the smallest amount of consumer information needed to do your job.
What is the minimum necessary standard?
What is a modifier?
A situation where a personal interest could interfere with your professional judgment.
What is a conflict of interest?
Punishing someone for reporting a concern in good faith is this — and it's prohibited.
What is retaliation?
Before sharing a consumer's information with a family member who isn't authorized, you need this from the client.
What is consent to release information?
This should be done every time you step away from your computer, even for just a minute.
What is locking your screen?
The form filled out for those who do not have insurance coverage to help them lower their medical bills at CMH.
What is ATP or Financial Determination?
Friending a current client on social media or sharing your personal phone number is an example of this.
What is a boundary violation?
A suspected privacy breach should be reported to this team as soon as you discover it, not at the end of the week.
What is the Compliance team?
If a consumer is at imminent risk of harming themselves or others, staff must follow this type of plan immediately.
What is the Crisis Stabilization plan?
A consumer's name combined with a diagnosis or treatment date is an example of this type of identifiable information.
What is protected health information (PHI)?
The amount a person has to pay that their insurance doesn't cover after their deductible is met.
What is a co-pay?
If you're asked to backdate or falsify a note, the right move is to refuse and do this.
What is report it?
Billing for services that were never provided is an example of this.
What is fraudulent billing?
When confidentiality must be broken to prevent serious harm, staff have this duty.
What is the duty to warn / protect?
Substance use disorder records have extra federal protection under this regulation, and generally require written patient consent before disclosure.
What is 42 CFR Part 2?
This activity prevents or identifies billing fraud.
What is auditing?
After playing jeopardy, staff should do this.
Send an email to kimberlyc@wmcmhs.org letting her know that they have completed the activity. You want a raffle entry, right?