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Fraud
Compliance
QM and Risk Management
Employment
Laws and Torts
EHRs
100
Investigates both Medicare and Medicaid
What is the OIG
100
Encourages good behavior
What is an ethics-based compliance program
100
The record was kept in the ordinary course of business
What is the Business Records Exception
100
Protects both employers and employees
What is Workman's Compensation
100
An individual's electronic medical record.
What is an EHR
200
Billing a urinalysis done during a prenatal visit
What is unbunding
200
Law that assures a patient's right to make health care decisions
What is the Patient Self Determination Act of 1991
200
Identify and reduce risk
What is Risk Management
200
Creates an implied contract that limits the rights of employees
What is "Employment at Will"
200
A virus or altered data
What is computer sabotage
300
Submitting a bill for a higher service than rendered
What is upcoding
300
Recommended by the OIG to prevent retaliation against whistle-blowers
What is anonymous reporting.
300
Legal right to keep information confidential in a trial
What is a Privilege
300
Consists of an offer + acceptance
What is a contract
300
A signature in an EHR
What is Electronic authentication
400
Investigates fraud that uses the U.S. Postal System
What is the Postal Inspection Service
400
Help covered entities create security measures to protect PHI
What is HIPAA Administrative Safeguards
400
Review Practitioner quality of care
What is a Peer Review Committee
400
A cause of action for unconsented treatment or touching
What is Battery
400
A contractor storing EHRs
What is a Computer Service Bureau.
500
The part of the fraud triangle that is most easily controlled.
What is opportunity.
500
Takes reports of possible HIPAA violations
What is HIPAA Privacy or Security Officer
500
Date regarding malpractice and licensure discipline
What is NPDB (National Practitioner Data Bank)
500
Requires employers to provide qualified individuals with reasonable accommodations to performing essential job functions.
What is the Americans with Disabilities Act (ADA)
500
Required format for health records under the ACA
What is EHR