HIPAA
As an individual who has access to protected health care information, you are responsible for adhering to this.
What is HIPAA?
This represents Navigant BPM's culture and business operations.
What is the Code of Conduct?
DOUBLE JEOPARDY
Attempting to execute a scheme to defraud any health care benefit program.
What is fraud?
This statute makes it a criminal offense to knowingly and willfully execute a scheme to defraud a health care benefit program.
What is the Health Care Fraud Statute?
This access id is used online to report compliance issues.
Online: www.mycompliancereport.com
What is NAVI?
Health Insurance Portability Accountability Act
What is HIPAA?
Conduct that does not conform to the law, Federal health care program requirements, or to Navigant BPM's ethical and business policies
What is the non-compliance?
Health care fraud is punishable by imprisonment up to this amount of years.
What is 10 years?
This act makes a person liable to pay damages to the Government if they knowingly present a false claim for payment.
What is the Civil False Claims Act (FCA)?
DOUBLE JEOPARDY
(888) 470-4015
What is the Anonymous Compliance Hotline?
Name
Addresses
Email addresses
Social Security numbers
What are PHI Identifiers?
This is everyone's responsibility.
What is compliance?
Overutilization of services that results in unnecessary costs to the Medicare Program.
What is waste?
This act prohibits medical provider from making a referral for certain designated health services to an entity in which the provider has ownership.
What is the Stark Statute or Physician Self-Referral Law?
Report any potential FWA concerns to this department.
What is the Navigant BPM's Compliance Department or Compliance Department?
These are healthcare providers or organizations subject to HIPAA.
What are covered entities?
DOUBLE JEOPARDY
This is essential to prevent, detect, and correct Medicare non-compliance as well as fraud, waste, and abuse.
What is an effective compliance program?
This government agency has the authority to exclude individuals and entities from federally funded health care programs.
What is OIG?
This law includes the Privacy Rule and the Security Rule.
What is the Health Insurance Portability and Accountability Act?
Cymetrix-Compliance@Navigant.com
What is the Navigant Healthcare Compliance Department email?
This is valid only if it contains certain required elements and is in writing.
What is an authorization?
This is performed to confirm ongoing compliance and ensure that corrective actions are effective.
What is internal monitoring?
Receiving payment for services when there is no legal entitlement to the payment.
What is abuse?
This rule establish limitations for the use and disclosure of PHI by CEs and their BAs.
What is the Privacy Rule?
Wendy Stafford
Who is Navigant's Compliance Officer?