Compliance Basics
Doing the right thing, even when no one is watching.
What is compliance?
You overhear gossip about a coworker’s personal issue—what should you do?
What is say nothing and protect confidentiality?
Billing for a day when the individual was in the hospital.
What is fraud?
You suspect something shady—what’s your first step?
What is report it to a supervisor or the Compliance Officer?
P.H.I stands for this.
What is Protected Health Information?
This person ensures we follow rules and reports concerns.
Who is the Compliance Officer?
Can you use agency equipment for your side hustle?
What is no, that’s a conflict of interest?
Using agency funds to buy personal groceries.
What is misuse or abuse?
This policy protects you when you report concerns in good faith.
What is the Whistleblower Protection Policy?
Can you talk about someone’s diagnosis on the train ride home?
What is no, that’s a breach of confidentiality?
This plan outlines how we detect and correct non-compliance.
What is the Compliance Plan?
Someone asks for your login to Therap—how do you respond?
What is refuse and report it?
Providing duplicate services that weren’t needed.
What is waste?
Name one way to report anonymously.
What is the compliance hotline?
This information should never be shared—even with coworkers—without a reason.
What is confidential personal or medical info?
These are regular check-ins to ensure services follow rules.
What are audits or monitoring?
You’re leaving the agency. Can you take copies of old case files?
What is no, all documents must stay with the agency?
Billing for services before they happen.
What is fraud?
If you don’t report something you knew about, this can happen.
What is disciplinary action?
If you find PHI left out in a public area, what should you do?
What is secure it and notify a supervisor?
What’s one reason accurate billing is important?
What is to protect funding and avoid penalties?
This value means doing your work with honesty and accountability.
What is integrity?
You forget to update a plan but bill anyway.
What is potentially fraud or abuse?
Reporting concerns helps us keep this intact.
What is the agency’s integrity and funding?
Can you email a document with PHI to your personal Gmail?
What is no, that’s a HIPAA violation?