PHYSICIANS
Can we provide meals to physicians in a lounge?
What is Yes?
You are committing this if you bill for a service that you did not perform.
What is fraud?
OMIG
What is the Office of Medicaid and Medicare Inspector General?
Is there a limit to how much the meals can be worth?
What is $35/per day?
This is who you call to report workplace harassment, acts of discrimination or theft of your personal property.
Who is the Human Resource Director?
It's a violation of the Compliance Policy to do this when you are aware of fraudulent activity.
What is nothing? (What is to not report it?)
PHI
What is Protected Health Information?
Can we give a physician a gift card to his favorite local restaurant if we log the value on the non monetary compensation log?
What is No?
This is who you call to report that you accidentally put a dent in a parked company car.
Who is your supervisor?
Receiving a large gift in exchange for referrals.
What is a kickback?
CMP
What is a civil monetary penalty?
Our new OB/GYN has asked for a lab coat that is half pink and hapf blue. Can we get it for her?
What is No?
What is HIPAA?
What is the Health Insurance Portability and Accountability Act?
This is who you call if you are asked to falsify documents so that we look good at our next audit.
Who is the compliance officer?
You are committing this if you disclose PHI to someone outside the facility without an authorization.
What is an unauthorized disclosure?
CMS
What is the Center for Medicare and Medicaid Services?
One of the maintenance guys was talking about working this weekend to help a physician move, should I ask more questions?
What is Yes?
The Social Security amendments of 1972 included the original anti-kickback legislation the legislation stated the statute was to prevent fraud and abuse from federal healthcare programs. A criminal statute that provides exchange of anything of value in an effort to induce or reward the referral of federal healthcare program business. If fined up to $25,000 and imprisonment up to five years
What is Anti-Kickback Statute?
This is who you call if you are asked to disclose PHI outside of treatment payment or operations without an authorization?
What is the Privacy Officer?
This is what you have if you have an unauthorized acquisition, access, use or disclosure of protected health information without demonstrating that there is a low probability that the protected health information has been compromised based on a risk assessment of 4 factors.
What is a breach?
EMTALA
EMTALA is the statute that was included in consolidated Osman reconciliation act of 1985. This act is in response to increasing concern is that hospitals were denying emergency care to indigent are uninsured patients known as patient dumping.