What is the main reason that the patient is being seen by a provider

A preference of one thing over another, usually unfairly favoring one over another.

The individual in an organization or practice who is designated to maintain and inspect the adherence of all areas of regulations and guidelines. May also perform audits / check and balances to prevent fraud and abuse.

Agreement to maintain and respect the privacy of certain information disclosed. (patient privacy in particular)

Adherence to guidelines and regulations set forth by an organization and/or a governing body.

An agreement voluntarily joined by two parties. These can be verbal or written and can be expressed or implied.

Treatment of a person or thing, either unsupportive or supportive, based on bias or prejudice.

Procedures or actions followed to safeguard individual rights. In the workplace, the process to safeguard an employee if he or she feels his or her rights are in jeopardy.

The employment contract that allows an employer to fire or discharge an employee without showing just cause for the termination.

Broad group of acts that govern handling of employees or potential employees. Generally cover the following areas: Interviewing, debt collections, interest and charges, equal opportunity employment, disability act compensation and benefit, antitrust, and antikickback.

Software systems that contain the medical records of individuals electronically under HIPAA standards for privacy and security.

Deliberate, intentional act to mislead for financial gain.

Laws defined by each of the states that regulate the licensing and medical laws for that state and define the scope of practice for licensed and unlicensed individuals in the healthcare field.

In Latin meaning “who as well”; This is the term used for a private citizen who exposes and sues a company or organization that is violating a law and/or breaching a contract with the government. In such cases the whistleblower may be entitled to a percentage amount or settlement reward for the uncovering of the illegal action.

Penalties that can be levied on an individual for violating a policy or rule.

Use of power or intimidation over an individual for sexual favors; unwanted or unwelcomed sexual advances and actions or behaviors with sexual implications or innuendoes leading another individual to feel uncomfortable or offended.

Laws designed to maintain the integrity of the medical field; include antitrust and antikickback laws to prevent physicians from gaining financially from solicitation of services or monopolization of services.

What does ADA stand for?

Define the ADA

What does OSHA stand for?

Define OSHA

What does PHI stand for?

Define PHI

What does HIPAA stand for?

Define HIPAA

What does OCR stand for?

Define OCR

What does OIG stand for?

Define OIG

What does HHS stand for?

Define HHS

A lack of professionalism and “_______ __________” may prevent a person from being interviewed or offered employment opportunities.

___________ and ___________ outlined in an employee handbook should include specific steps in the process for both _________ and _____ _____ for the organization

Contracts are an agreement voluntarily joined by two parties. They can be _______ or written. They can be expressed or ______.

State and federal regulations focus on violations in the areas of fraud, ______ ______, illegal acts, operating without a license, acting outside the _____ __ _______, and malpractice.

If an individual commits a(n) _____ or _____ act it is the responsibility of the individual's ___________ or governing body to enforce the __________ that would be appropriate for the violation that occurred.

EEOC stands for Equal Employment Occupational Center

Qui tam is another name for whistle blower

It is acceptable to share information with a patient’s significant other over the phone if the patient is not available at the time of the call.

A sexual harassment complaint can be filed by anyone who was affected by the incident, not just the individual who was harassed.

Medical records are owned by the provider.

The Office of Inspector General (OIG) is an independent agency functioning under the FDA.

The offender of sexual harassment can be male or female and the offense can be from an individual of the opposite or same sex individual.

Most healthcare cases that are qui tam cases have been of fraud or abuse.

NPI stands for National Providers Incorporated.

What are the Steps (in order) of correcting written documentation with errors?

What are the steps (in order) of correcting typed documentation errors?

Where would the patient’s medications be documented?

What year was the Americans with Disabilities Act enacted?

What year was HIPAA enacted?