Overutilization of services- generally not considered to be caused by criminally negligent actions but rather a misuse of resources, mismanagement, inappropriate actions and inadequate oversight
What is Waste?
100
2 examples of things that count as PHI
What are name, telephone number, social security number, address (3 digits of zip code), or client ID?
100
If a potential breach is identified, staff discuss with ____________ first
What is supervisor and/or privacy officer?
100
A reason to release information without consent
What is Duty to Warn, DTS/DTO, Child or Adult Abuse or Neglect?
100
The name of Terros' Privacy Officer
Who is John Greenawalt?
200
Payment for items or services when there is no legal entitlement to that payment, and the healthcare provider has not knowingly and/or intentionally misrepresented facts to obtain payment
What is Abuse?
200
A client has the right to...
What is access their record including an electronic copy, request to amend their record, an accounting of who has viewed their record, or confidential communication?
200
To whom Terros provides an annual report of any breaches
What is the Department of Health & Human Services (HHS)?
200
The name of the policy that says we provide a place for staff to internally report possible unlawful, discriminatory, or dishonest conduct without fear of retaliation.
What is the Whistleblower Policy?
200
Terros' 3 core values
What are Integrity, Compassion, Empowerment?
300
2 aspects of the audit process
What is internal audit and external audit?
300
Does a client have a right to his/her healthcare information?
Yes
300
For breaches involving ten or more clients where the client(s) could not be reached for notification...
What is Terros must do a conspicuous website posting or notice in major print or broadcast media?
300
Paper ROIs require client ______ and _______.
What are initials and signatures?
300
The Terros Code of Ethics follows the code set out by...
What is The National Association of Social Workers?
400
Name of the Office that audits states and agencies that provide behavioral health services and who are paid with federal (Title XIX =Medicaid=AHCCCS) dollars.
What is Office of the Inspector General (OIG)?
400
The Privacy Rule address the use and disclosure of individuals’ _________
What is Protected Health Information (PHI)?
400
For breaches involving 500 or more clients...
What is Terros must provide notice to “prominent media outlets” and notify the Department of Health & Human Services (HHS)
400
Rule that says to only answer the question being asked, and answer the question as specifically as possible
What is Minimum Necessary?
400
The treatment plan flows into the service delivery
What is Golden Thread?
500
One of the companies that provide Terros with external audits
What is MMIC, ADHS/DBHS, CMS (Medicare/ Medicaid), DCS, or 3rd Party Payor?
500
HIPAA is an acronym for
What is Health Insurance Portability and Accountability Act?
500
What goes in the email line of a message containing PHI?
What is [Secure]?
500
The two parts that comprise a service
What are the actual service and the documentation about the service?