🧠 Who's Responsible?
These people must follow the agency’s ethical standards.
Who are all students, volunteers, and staff?
Suspected illegal activity should be reported to this person.
Who is Wanda, the Compliance Officer?
These records may be audited to ensure compliance.
What are home, clinic, school, environmental, and billing records?
Corporate compliance is designed to prevent and detect these types of violations.
What are violations of law, regulations, and ethical standards?
Billing for services that were never performed is an example of this.
What is fraud?
This role is tasked with making sure employees understand the compliance program.
Who is the supervisor?
Employees are protected from this when they report in good faith.
What is retaliation?
One goal of an audit is to provide this to employees.
What is feedback and incentive for compliance?
This is one reason why compliance in health care is more important than ever.
What is increased government and media scrutiny?
Falsified plans of care or forged signatures fall under this category.
What is unlawful or unethical behavior?
This person conducts internal investigations.
Who is the Compliance Officer (Wanda)?
Reports can be made in these three ways.
What are in person, in writing, or by calling?
These screenings are used to monitor compliance during hiring.
What are reference checks, background checks, and drug tests?
These are potential consequences of non-compliance. Name two.
What are criminal prosecution, financial penalties, loss of business, etc.?
These kinds of staff are not allowed under compliance rules.
What are unlicensed or untrained staff?
This group is responsible for educating and communicating compliance policies.
What is the compliance committee?
The agency's response to detected offenses includes corrective actions such as these.
What are discipline, training, or program revision?
This team oversees the compliance program.
What is the agency management team or compliance committee?
This department’s compliance program covers issues from fraud to waste handling.
What is Jefferson County Health Department, Home Health and Hospice?
These illegal arrangements with referral sources are prohibited.
What are kickbacks or improper relationships?
Every employee is responsible for making sure these practices are followed.
What are proper corporate practices?
This happens if an employee knowingly fails to report illegal conduct.
What is disciplinary action up to termination?
This committee function is similar to this medical process.
What is peer review?
Everyone must review the compliance program at these two times.
What is at time of hire and annually?
The routine waiving of this is considered a compliance issue.
What is a copayment?