Corporate Compliance | Patient Confidentiality Laws | Special Need Population / Model of Care | Cultural Diversity | Hodge-Podge |
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What is False, it is an example of Fraud - or a violation of the Healthcare Fraud Statute.
True or False: Knowingly and willfully billing for services you didn’t provide is an example of Waste.
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What is False
True or False: 42 CFR Part 2 does not protect the confidentiality of substance use disorder patient records.
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What is Medicaid
Managed care plans implement a Model of Care to meet the healthcare needs of individuals who have significant health issues and other barriers; generally qualified individuals have both Medicare and this type of federal health insurance.
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What is Culture
This term refers to the language, customs, beliefs, actions, and objects that create a shared understanding of the world.
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The 7 Sanctuary Commitments
Bonus - Receive an extra 100 points for each Commitment you can name.
Zepf Center Trauma-Informed Care Model embraces this number of Sanctuary Commitments.
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What is False - Directly to the Compliance and Privacy Officer, or anonymously through Ethical Advocate.
True or False: There is no internal method of reporting allegations of fraud, waste, abuse, or other wrongdoing within Zepf.
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What is a Release of Information form (or ROI, authorization, consent are acceptable)
A patient should sign this form if he wants his healthcare records discussed with a family member, significant other, medical provider, or other community organization.
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What is an Individualized Care Plan (treatment plan, service plan may also be accepted)
The Model of Care has 5 elements. The first element, a healthcare assessment, serves as the foundation for developing the second element which is this type of plan that includes the patient's healthcare goals and objectives.
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What is False - ask the person if they would like assistance.
True or false, it is okay to step in and assist a person using a wheelchair if that person appears to be struggling.
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What is True
True or False: Deb Flores is the CEO of Zepf Center. Look for her posts on workplace for agency updates.
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What is the Whistleblower Protection Act
This law - Stark Statute, Whistleblower Protection Act, or False Claims Act - does not allow retaliation toward employees who report allegations of fraud, waste, abuse, or other wrongdoing in good faith.
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What is The Minimum Necessary
Regulations allow for a certain amount of information to be released to individuals who have a need to know. This amount is called the Minimum Necessary, the Maximum Requested, or the Mutually Exclusive amount?
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What is the Interdisciplinary Care Team or Treatment Team
The group of diverse healthcare professionals such as the PCP, specialty healthcare providers, and case managers, assigned to a patient are collectively referred to as the individual's Interdisciplinary _____ _____.
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What are Pronouns
Addressing someone by their preferred name and preferred _______ is always important, especially when working with someone who is transitioning from one gender to another.
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What is False - It is not a violation if the services are medically necessary.
True or false, billing for services that are medically necessary is a violation of waste and/or abuse.
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What is Antikickback Statute
A physician receives money/remuneration from a pharmaceutical company for prescribing their pain patches. Which law has she violated? Stark Statute, Antikickback Statute, or Whistleblower Protection,
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What is the Medical Records Department
Along with the Compliance Team, who should be notified if an employee receives a subpoena to appear in court with a patient's healthcare records.
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What is Care
Under the Special Needs Plan Model of Care, the Primary Care Physician or PCP serves as the gatekeeper to manage and coordinate this among all the patient’s healthcare providers. Also known as ________ Coordination.
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What is False - speak slowly and ask if they would like interpretive services.
True or False, always speak loudly and in close contact with a person you believe to have Limited English Proficiency.
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What is True - Zepf uses Vocalink Global
True or false, the Americans with Disabilities Act requires healthcare providers, including Zepf Center, to provide interpreter services.
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What is the Corporate Compliance Plan
Zepf Center implements policies and procedures, auditing and monitoring, education and training, and reporting mechanisms as part of Zepf's Corporate _________ Plan.
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What are Abuse and/or Neglect
HIPAA and Part 2 allow exceptions to having an ROI with a proper court order, bona fide medical emergency, or mandatory reporting of allegations of ______and/or ______ of children to LCCS.
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What are health Outcomes
The main purpose of the Special Needs Plan Model of Care is to improve the patients' _________, which are measured to determine the effectiveness of the model.
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What is Implicit Bias
This term is used to describe the attitudes or stereotypes that affect our understanding of others, and our actions toward others in an unconscious manner.
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What is an Incident Report
A staff member who knows or suspects a confidentiality breach has occurred should complete one of these. Note, these are also completed when an injury or other unusual incident occurs.
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