FACTOIDS
This costs tax payers billions of dollars each year, approximately $2 Billion in 2018 alone!
What is Health Care Fraud?
This protects people who report unethical or illegal behavior from retaliation or retribution.
What is the Whistle Blower's Act?
This is who you can call to report false documentation, or billing for visits that did not happen.
Who is the Compliance Officer?
You are committing this if you bill for a service that you did not perform.
What is fraud?
OMIG
What is the Office of Medicaid and Medicare Inspector General?
This is a set of guidelines that outlines ethical behavior for employees.
What is the Code of Conduct?
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?
This is who you call to report workplace harrassment, acts of discrimination or theft of your personal property.
Who is the Human Resource Director?
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?)
PHI
What is Protected Health Information?
Because its right to set high ethical standards, and because it is mandatory for agencies receiving Medicaid.
Why do we have a Corporate Compliance Program?
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?"
This is who you call to report that you accidentally put a dent in a parked company car.
Who is your supervisor?
Receiving a large gift in exchange for referrals.
What is a kickback?
Giving this away would be a breech of security, and compromise protected health information.
What is a password to a database in Foothold Tech?
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?)
What United States legislation provides data privacy and security provisions for safeguarding medical information.
What is HIPAA?
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?
What is HIPAA?
What is the Health Insurance Portability and Accountability Act?
CMS
What is the Center for Medicare and Medicaid Services?
Giving this away would be a breech of security and compromise protected health information.
What is password?
This act was signed into law in February 2009 to promote the “adoption and meaningful use of health information technology,” according to the HHS website. It mandates audits of healthcare providers to determine whether they are in compliance with HIPAA privacy rules related to privacy and security rules.
What is the HITECH Act?
This is who you call if you discover an unauthorized acquisition, access, use or disclosure of protected health information.
Who is the Privacy Officer?
What is PHI?
What is Protected Health Information?