Ethics
This happens when an employee receives services through Metrocare without disclosing.
Conflict of Interest
Providing services for (2) siblings in one session but billing each sibling separately is considered what?
Abuse
Under the HIPAA Rule, HIPAA stand for what?
Health Insurance Portability and Accountability Act
According to HHSC, clients have the right to meet with staff responsible for their care and be told what?
Name, Job title, and responsibilities.
Who is the Sr. Contract Administrator
Charlet Cornelious
This conflict of interest is required to be disclosed if it provides the same services.
Outside/secondary employment
What is the name of the Compliance Manager?
Bobby Chancellor
This right cannot be denied when a patient wants to make a correction to their medical record.
Right to amend.
According to HHSC, clients have the right to withdraw permission for all previous what?
Consents
Where can you find the Contract Request Form?
On the Compliance webpage/Sharepoint.
Employees use the service to report anonymously and without fear of retaliation.
Ethics Hotline/ReportIt
Each month, Compliance sends out this newsletter.
The Observer
Required by state and federal privacy laws, what type of authorization is needed to disclose PHI.
Release of Information.
According to HHSC, if requested in writing, clients have the right to receive a list of prescribed medications when?
Within four (4) hours.
Metrocare can be subjected to this, if no BAA is attached to a contract where PHI is shared.
Fines
The Employee Code of Conduct discusses professional and ethical responsibilities and can be found where?
Under Quick Links on Sharepoint
If a staff member bills a client for services that they did not render, what funding source does Metrocare most often have to refund?
Medicaid
A client's email address, vehicle license plate number, and insurance card numbers are an example of what?
HIPAA identifiers of PHI.
According to HHSC, clients have the right to be treated with what?
Respect and Dignity.
Who has final signing authority for all contracts?
Dr. John W. Burruss
Employees may retain a gift from a vendor at what maximum value?
$10
To intentionally bill a client for services while they are hospitalized or incarcerated is considered what?
Fraud/ Fraudulent Act
PHI is protected how long after death.
50 years.
According to HHSC, clients have a right to be told an estimated cost of their what, when requested?
Cost of charges/services provided
A failure to honor a contractual promise when the time for performance comes due.
A breach