WHAT THE COMPLIANCE

DID SOMEONE SAY BREACH
Fraud, Waste, Abuse

Know the Team

Lights, Camera, Compliance
100

What is the name of your Compliance Department?

What is Compliance, Privacy, and Ethics Division

100

When reporting a breach, what is the first step that needs to be taken?

what is Identify the problem and if it was a breach

100

What does PHI stand for?

what is Protected Health Information

100

Who is the Privacy Officer of BHRS?

Who is Megan Vylonis

100

The Wolf of Wallstreet is a prime example of fraud within a company, who is the main character?

Who is Leonardo Di Caprio

200

What is the email address for your Compliance Privacy and Ethics Division?

what is BHRSCompliance@stanbhrs.org

200

What system is used to report privacy concerns?

what is Symplr

200

What are 2 departments fraud, waste and abuse is reported to?

What is DHCS and OCR

200

After two utility employees blow the whistle on their employers Pacific Gas and Electric for water poising desperate single mom and law firm employee takes up the case with the gusto?

Who is Erin Brockovich

300

What is the Compliance hotline phone number?

what is 1-800-779-1907

300

What does HIPAA stand for

What is the Health Insurance Portability and Accountability Act

300

Knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program.

What is Fraud

300

Which actor, plays the whistleblower in the movie “The Informant”?

Who is Matt Damon

400

How many elements make up a Compliance Program?

what is Seven

400

When reporting a breach, what is the second step that needs to be taken?

What is Discuss with a supervisor

400

Actions which directly or indirectly, result in unnecessary costs to the health care benefit program, improper payment, or payment for services which fail to meet professionally recognized standards of care, or that are medically unnecessary.

What is Abuse

400

This comedy focuses on an ambitious tobacco industry spokesperson whose job summons him to defend cigarettes regardless the harm they cause. Viewers are forced to confront their own moral stances on truth, responsibility, and free speech in a world driven by profit and manipulation.

What is Thank you for Smoking

500

What Act Is the US Government’s primary weapon for combatting fraud

what is the Federal False Claims Act

500

This type of breach is generally an impermissible access, use, or disclosure under the privacy rule that compromises the security or privacy of a person's PHI.

what is a Privacy Breach

500

The needless, careless, or wasteful spending of County funds or other healthcare dollars, incurring of unnecessary expenses or mismanagement of County resources or property

What is Waste

500

This movie starring Will Smith and Gene Hackman, depicts surveillance technology in a very engaging way and it shows how a combination of technologies creates immense power and potential for abuse.

What is Enemy of the state