FACTOIDS
This is a set of guidelines that outlines ethical conduct for all employees. All employees are required to read and attest to this document.
What is ______________?
What is the Code of Conduct?
AlohaCare has a strict policy that protects individuals who report compliance issues in good faith.
What is______________?
What is a Non-Retaliation Policy?
This is who you call if you are asked to falsify documents so that we look good during an audit...
Who is___________?
Who is the Chief Compliance Officer?
I have to read, understand and comply with our compliance plan, business conduct standards, policies and procedures, and report any issue(s) you encounter while doing your job.
What is _________________?
What is my responsibility or obligation?
How do you make an anonymous report?
What is________________?
What is call the compliance hotline?
Is a formal review of compliance with a particular set of standards (e.g. policies and procedures, laws, and regulations) used as a base measure.
What is_________?
What is an Audit?
When you have a personal interest that interferes with your AlohaCare responsibilities or affects your ability to act in the best interest of AlohaCare and its members.
What is____________?
What is Conflict of Interest?
This compliance team member can tell you when your vendor contracts expire.
Who is_________________?
Who is Holly Elder?
What is the correct response to the following?
I am unsure whether a compliance violation occurred, but something does not seem right. I report it to the Compliance Team Yes or No?
What is yes?
You must do this before leaving your desk if member health information is visible on your screen or workspace.
What is____________?
What is secure or conceal the PHI?
Lock your computer screen
Store files in a locked drawer or cabinet if possible
Turn over or cover any documents containing PHI
All health plans are required to adopt and implement an effective Program which must include measures to prevent, detect, and correct Part C and D program noncompliance as well as FWA.
What is_________?
What is a Corporate Compliance Program?
This law requires that we protect the information we have on our members.
What is______________?
What is HIPAA?
This is who you call to report that you accidentally sent an unsecure email to your personal email account.
Who is____________?
Who is the Compliance Department and IT Department
When we do this, it is called a _________.
"Transmit or share PHI with an individual or entities outside of AlohaCare."
What is a_________.
What is a Breach?
This email represents what?
To: Dr. Issue
CC: Dr. Fixer
Subject: [Secure]_Compliance-PHI
What is______?
What is a secure email?
Your participation in this training will help you to effectively play your role in: preventing fraud, waste, and abuse; ensuring HIPAA compliance; and maintaining an ethical and positive culture in the true spirit of Aloha.
What is_____________?
What is Compliance Training
This phrase describes the act of obeying laws, rules, regulations, standards or policies and procedures.
What is_____________?
What is Compliance?
Who do you call if you have a staffing issue?
Who is______________.
Who is Human Resources.
This federal law protects patient health information and sets standards for privacy and security.
What is____________?
What is HIPAA? Health Insurance Portability and Accountability Act. Enacted in 1996, it sets national standards for protecting sensitive patient health information from being disclosed without the patient's consent or knowledge. It ensures privacy, security, and safeguards for electronic health records and other forms of Protected Health Information (PHI).
Please explain this acronym: MQD.
What is___?
What is the MedQuest Division?
These are elements of?
1.Written P&Ps and Standards of Conduct
2.A Chief Compliance Officer, Compliance Committee and Board-level oversight
3.Effective Training and Education
4.Effective Lines of Communication
5.Well-Publicized Disciplinary Standards
6. An Effective System for Oversight and Identification of Risk
7.Procedures and Systems for Immediate Response to Compliance Issues
What is__________?
What is the 7 elements of an effective compliance program?
Every year billions of dollars are improperly spent because of _____________.
What is_______________?
What is Fraud, Waste, and Abuse?
This is who you call when a physician submits claims to AlohaCare for medical services he or she knows were not provided.
Who is the__________________?
The SIU Team.
If you know of an improper PHI disclosure there are several ways you can report the issue!
What is [name any method]?
Speak with your manager, fill out a Compliance Reporting form on AlohaLines, call the Compliance Department, call the Compliance Hotline 855-973-1852.
An employee leaves his passwords on a post- it note. This is a breach of the ________, Privacy and _______rules.
What is______?
What is HIPAA, Privacy and Security rules?
Leaving passwords exposed compromises the protection of sensitive data, including Protected Health Information (PHI), and violates organizational and HIPAA security protocols.