COMPLIANCE PROGRAM
ELEMENTS
HIPAA INFORMATION SECURITY
PATIENT RIGHTS
HIPAA PRIVACY
100

Knowingly billing for services at a level of complexity higher than services actually provided or documented in the medical records

What is Medicare/Medicaid fraud, waste, and abuse?

100

Protects personal health information and our rights with respect to that information and prevents fraud abuse

What is HIPAA

100

Agency on Aging

Center for Independent Living

Aging and Disability Resource Center

What are Federally-funded and state-funded entities?

100

Limits the collection of information about individuals to that which is legally relevant and necessary

What is the Privacy Act

200

Prohibits physicians from referring Medicare patients for designated health care services to entities with which they have direct or indirect financial relationship

What is Stark Law

200

Fax cover sheets, technical security measures, encryption software and changing passwords.

What are Information Security Measures?

200

The patient’s needs cannot be met by the person providing services

The elderly individual’s health is improved sufficiently

What are reasons that warrant discharge from agency

200

Patient name, DOB, address, telephone number, social security number, diagnosis

What is PHI?

300

Prohibits knowingly filing a false or fraudulent claim for payment to the government.

What is False Claims Act

300

Fine of $50,000 and up to one year in jail

What Is fine for a violation of the HIPAA laws?

300

Use is authorized only with written order by a physician

What is use of physical or chemical restraints?

300

When a hospital visitor overhears a doctor’s confidential conversation with a nurse or glimpse a patient’s information on a sign-in sheet.

What is incidental disclosures?

400

Unlawful to give or receive anything of value to another in exchange for a referral or inducement to provide health care services to Medicare or Medicaid.Gloves must be worn at all times when?

What is Anti-Kickback Statute


400

Doctors,  Clinics, Psychologist,  Dentists, Chiropractors, Nursing Homes, Home Health Agencies, Pharmacies

Who are people that must Comply with HIPAA Rules?

400

Answer: Patient’s home folder

What is where the patient can find information about their rights?


400

The Privacy Rule allows you to share information with whom even without patient consent?

Healthcare professionals involved in the patient's care

500

All employees must disclose this at the time of hire

What is Conflict Of Interest

500
  • Handling PHI as if it were my own
  • Disposing of scrap paper and other documents with PHI by shredding or confidential disposal
  • Accessing PHI, only the minimum necessary, to do my job
  • Discussing potential violations or any HIPAA concerns with my supervisor, manager or the designated HIPAA Privacy/Security Official

What is my responsibility under HIPAA

500

When can patient refuse care

What is in advance of and during treatment

500

● Use a password or other user authentication
● Install and enable encryption
● Install and activate remote wiping or remote disabling
● Disable and don’t install or use file sharing applications

These are examples of?

What is Securing Health Information When Using a Mobile Device

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