HIPAA (do's & don't)
HIPAA is?
What is a federal law that created a national standard to protect patient health information from being disclosed without the patient’s consent or knowledge.
Can employees accept gifts from patients?
A non-monetary gift of low or no monetary value such as holiday cookies, a key chain from another country, maybe a scarf from Target.
But not baseball, football or basketball tickets. No theater tickets or dinner tickets. (this answer is not limited to the above-mentioned)
Where would one find a specific policy?
Intranet - Policies & Procedures
OP 50-1 NYC Health + Hospitals Corporate Compliance & Ethics Program
What does POPC stand for?
Principles of Professional Conduct
Which is a guide that sets forth NYCH+H compliance expectations and commitment to comply with all applicable Federal and State Laws. It describes how we should behave in the workplace. It describes our efforts to prevent fraud, waste and abuse.
How often should you complete your HIPAA/Compliance Training?
Upon new hire and annually
PHI stands for....
What is Protected Health Information
True or False:
City Employees are not permitted to engage in any potential activities that would hinder their ability to conduct their city job due to a competing interest?
What are the 4 types of sensitive PHI?
HIV Related,
Genetic Testing,
Mental Health and
Substance Use Disorder
Name an unprofessional conduct?
Submitting false and/or fraudulent claims
Improper billing practices
Failing to comply with the systems gift policy
Failing to maintain accurate, clear and comprehensive records
Altering documents for your purpose
What is a kickback?
An illegal payment intended as compensation for preferential treatment or any other type of improper services received.
Examples of PHI
What is Name, Address, SSN, MRN, DOB, email, Telephone Numbers, Tatoo, etc...
When do you need to submit a moonlighting waiver form?
If you have a second job with an organization that has business dealings with NYC or NYC H+H.
Who is your facility's Compliance and Privacy Officer?
Deirdre Henry-Taylor
917-581-2956 (mobile)
What are two responsibilities of NYC Health+Hospitals workforce members under the POPC?
Comply with POPC
Complete Training and education programs
Report violations
Deliver high quality medical care
Maintain a respectful and safe work environment
Prevent Fraud, Waste and Abuse
Provide an example of a kickback..
Cash for referrals, free rent for medical offices, excessive compensation for medial directorships
Can you access your own medical record?
No—must use the MyChart patient portal or request records from HIM
What is a conflict of interest?
Being in a situation where there are competing obligations or interest. Your personal interests run contrary to your duty of loyalty to your job.
How do you report a confidential and/or anonymous report with the OCC?
To remain anonymous call the Helpline @
866 HELP HHC
Email compliance@nychhc.org
Email cpo@nychhc.org
Does NYC Health + Hospital have a written policy of non-initimidation and non-retaliation to protect individual or whistleblower in their good-faith participation in the Compliance Program?
YES - there is zero tolerance.
Can you accept a Metrocard from a vendor if it is only $15?
NO
The Chief Compliance Officer
Who is Catherine Patsos
Are you allowed to give a gift to a co-worker?
Yes, unless the gift is from a subordinate to their supervisor or manager.
What should you do if a police officer requests patient information?
Notify Risk Management or your Site Administrator.
Can you use NYC Health + Hospital job resource for another job?
NO
Is there a Federal or State Law on Fraud, Waste and Abuse
BOTH