HIPAA & Privacy
This law protects patient health information
What is HIPAA?
Intentionally billing for services not provided is an example of this
What is fraud?
Employees can report concerns through this hotline
What is the Compliance Hotline?
The primary goal of an investigation is to determine this.
What are the facts?
Compliance programs are designed to help organizations follow these.
What are laws and regulations?
This acronym stands for Protected Health Information
What is PHI?
Ordering services that are not medically necessary may be considered this.
What is waste?
Reports can be made anonymously. True or False?
What is True?
This is the amount of time you have to make contact with reporter.
What is 24 hrs?
The Office of Inspector General is commonly known by this acronym.
What is OIG?
Looking at a patient's chart without a business need is considered this
What is unauthorized access?
Deliberate misrepresentation to obtain payment is called this.
What is fraud?
Taking adverse action against someone for reporting a concern is called this.
What is retaliation?
This document explains how CCF use and share patient health information
What is Notice of Privacy Practices?
Regular monitoring and auditing help identify this.
What are compliance risks?
The HIPAA principle requiring employees to access only the information needed to perform their job
What is Minimum Necessary?
Waiving copays or providing free services to induce referrals may violate this law.
What is the Anti-Kickback Statute?
Employees should report concerns when they have a good-faith belief misconduct may have occurred.
What is True?
Next steps if you receive request for investigation documents
This federal agency enforces privacy and security requirements under HIPAA.
What is the Office for Civil Rights (OCR)?
Sending patient information to the wrong recipient may result in this.
What is a privacy breach?
Submitting claims with false information can expose an organization to penalties under this federal law.
What is the False Claims Act?
This law protects individuals who report suspected wrongdoing.
What is Whistleblower Protection?
The number of days from discovery to notify impacted party of Breach
What is 60 days?
Name two of the seven elements of an effective Compliance program
What is