FACTOIDS
LAWS
WHO DO YOU CALL?
IT'S NOT MY FAULT
ALPHABET SOUP
and POT LUCK
100
This costs tax payers billions of dollars each year, nearly $4.3 Billion recovered in 2013 alone!
What is Health Care Fraud?
100
This protects people who report unethical or illegal behavior from retaliation or retribution.
What is the Whistle Blower's Act?
100
This is who you can call to report false documentation, or billing for visits that did not happen.
Who is the Compliance Officer?
100
You are committing this if you bill for a service that you did not perform.
What is fraud?
100
OMIG
What is the Office of Medicaid and Medicare Inspector General?
200
Number of cases filed (137); individuals charged (345); guilty pleas secured (234); and jury trial convictions (46).
What are the FY2013 records set by the Justice Department & HHS thru HEAT?
200
This makes it illegal for people to submit false statements or documentation in order to collect money from the government.
What is the False Claims Act?
200
This is who you call to report workplace harassment, acts of discrimination or theft of your personal property.
Who is the Human Resource Manager?
200
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?)
200
Don't make us say "we told you so!" We don't make the rules, we just enforce them. Comply or Die. Everyone thinks Compliance Officers are the coolest. I love Compliance!
What is: things compliance department staff say/think?
300
To promote ethical and lawful conduct and ensure compliance with both the letter and the spirit of applicable health care laws and regulations.
What is "Why do we have a Corporate Compliance Program?"
300
Makes it a crime to improperly avoid the obligation to pay back money owed to the Government. It prohibits improper retention of overpayment, once discovered.
What is the Fraud Enforcement and Recovery Act, or "FERA?"
300
This is who/what you call to report potential misconduct anonymously.
What is the NSH Ethics and Compliance Hotline?
300
Receiving a large gift in exchange for referrals.
What is a kickback?
300
A Chief Audit Executive, a Chief Risk Officer, and a Chief Compliance Officer walk into a bar.
Is this a joke?
400
$8.10 for every $1 spent, it's the highest 3-year average
What is HCFAC's (Health Care Fraud and Abuse Control Program) ROI (return on investment)?
400
Regulation that describes various payment & business practices that, although they potentially implicate the Federal anti-kickback statute, are not treated as offenses under the statute.
What is the "Safe Harbor" regulations?
400
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?
400
An employee complains Dr. Payne constantly comes up and starts rubbing her shoulders and asking her out, although she has asked him to stop and told him she's not interested.
What is sexual harassment?
400
SMRC
What is Supplemental Medical Review Contractor?
500
52 months
What is the average prison time individuals charged and sentenced for healthcare fraud and abuse by the Federal government will face?
500
It's also known as the physician self-referral law.
What is "Stark Law"?
500
This is who you call when you receive a subpoena from the DOJ.
What are corporate compliance and legal departments?
500
An employee comes in, opens his coat showing he's wearing a vest with several cylinders and wires attached and exclaims: "Let's have an explosive day!" Then start laughing showing the cylinders are actually made from toilet paper tubes.
What is a violent threat? (violation of code of conduct: violence-free work environment?)
500
ZPIC
What is Zone Program Integrity Contractor?
M
e
n
u