COMPLIANCE BASICS | COMPLIANCE FUNDAMENTALS | TRAINING AND EDUCATION | RISK MANAGEMENT | COMPLIANCE ELEMENTS |
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What is the purpose of our Compliance Program?
Prevent fraud and abuse, protect consumers of healthcare and government, & detect and correct
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What does PHI stand for?
Protected Health Information
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What document provides information about the Code of Conduct?
WHC Employee Handbook
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What Luna is responsible for making sure everyone in their section has been cleared of all personnel and visitors?
Sweep
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What is the software program used to provide annual required staff trainings?
eRelias
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Who does compliance apply to?
Everyone
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What are 3 examples of PHI?
1. Name
2. Address (including street, city, parish, zip code, and equivalent geocodes) 3. Any date (birth, admit date, discharge date) 4. Telephone and Fax numbers 5. Electronic (email) addresses 6. Social Security Number 7. Medical Records 8. Health Plan subscriber numbers 9. Full face photographic images 10. Vehicle identifies - license plate numbers |
What does A-I-D-E-T stand for?
Acknowledge
Introduce Duration Explanation Thank you |
What code is used when any incident that requires security personnel?
Code Gray
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What is the name of the Policy and Procedure that outlines the discipliary action that can be taken when a violation occurs?
CQI 14 HIPAA Sanctions
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What is does HIPAA stand for?
Health Insurance Portability and Accountability Act
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What term is used to describe a person with actual knowledge of allegedly false claims to come forward to file a lawsuit on behalf of the U.S. Government?
Qui Tam "Whistleblower"
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What is the name of the document that provides information to the patient regarding:
1. Patient's health information 2. How WHC can use and disclose PHI 3. Hours of operation
Notice of Privacy Practices
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Who is the emergency response team for Code Blue?
Licensed Professionals (primary care providers & behavioral health providers)
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What is the name and phone extension of WHC's Compliance Specialist?
Piilani Mahoe, Extension 7166
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What are two different ways we can safeguard PHI?
1. Never share your password
2. Encrypt PHI and confidential information sent electronically |
What law prohibits physicians from referring patients to designated health services, payable by Medicare, to an entity with which the physicain or his/her family has a financial interest, unless an exception has applies.
Stark Law
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What document provides the guidelines to uphold the Waimanalo Health Center's Brand/Logo identity?
WHC's Brand Book
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HITECH is a federal law that expands the reach of HIPAA to business associates and created a nationwide security breach notification law. What does HITECH stand for?
Health Information Technology for Economic and Clinical Health
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Where can employees find all Compliance Policies and Procedures?
Na Pilina,- Policy and Procedures - Administration -
Compliance and Quality |
What does Kuleana mean in Hawaiian?
Right, Responsibility
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What Criminal statute, wjhich constitutes a felony punishable by a fine of not more than $25,000 per offense and/or imprisonment for up to five years.
Anti-Kickback Statue
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What does "Ola i ka wai a ka `opua" mean?
"There is life in the water from the clouds"
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What word means an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of the protected health and/or confidential information
BREACH
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What program do employees use to submit Incident Reports?
Healthicity
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