PHI
Billing Compliance
Speak-Up
Compliance Policies
AI Tools
100

Q: Viewing the medical records of a friend, family member, or coworker when it is not part of your job responsibilities is an example of this.

A. What is Appropriate Access?
B. What is a Workforce Exception?
C. What is an Unauthorized Access of PHI?

100

Q: A laboratory provides expensive sporting event tickets to a physician in hopes of increasing referrals. This law is most directly implicated.

A. What is the Anti-Kickback Statute?
B. What is HIPAA?
C. What is OSHA?

100

Q: Reporting compliance concerns honestly and sincerely to help protect the organization is known as this.

A. What is Good Faith Reporting?
B. What is Risk Management?
C. What is Employee Engagement?

100

Q: An employee needs to locate the most current version of a company policy. This resource should be used first.

A. What is Workday?
B. What is the Knowledge Center on Sonic One?
C. What is a saved desktop file?

100

Q: Before relying on information generated by an AI tool, employees should do this.

A. What is Accept the Output Without Review?
B. What is Verify the Accuracy of the Output?
C. What is Share It Immediately?

200

Q: This action should be taken immediately if PHI is sent to the wrong recipient.

A. What is Wait Until the Next Business Day?
B. What is Complete the HIPAA Disclosure Intake Form?
C. What is Notify the Patient Directly Without Guidance?

200

What is billing compliance and why is it important for healthcare organizations?

Billing compliance involves adhering to regulations and guidelines when submitting claims for reimbursement to payers such as Medicare, Medicaid, and private insurers. It is important because non-compliance can lead to penalties, fines, and reputational damage for healthcare organizations.

200

According to the Speak-Up policy, employees who report concerns in good faith are protected from this prohibited action.

What is retaliation?

200

An employee notices a coworker sharing sensitive patient information in a public area. Compliance policy requires the employee to take this action.

What is report the concern and help protect patient privacy?

200

Q: This is currently the only approved AI chatbot within the enterprise environment.

A. What is ChatGPT?
B. What is Microsoft Copilot?
C. What is Gemini?