New Hire Orientation: Compliance Training Test! Trivia Quiz

A process to identify, correct and prevent improper conduct or errors in the course of normal business.

A process to promote good business profit analysis

Promotes Ethical Behavior for all operations

Prevents billing errors

Selling or sharing patients’ Medicare numbers

Billing errors due to misunderstanding the rules.

Unintentionally misrepresenting the facts.

Knowingly and deliberately billing for services not rendered.

Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.

Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud.

National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.

Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.

National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.

Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud

Prohibits knowingly filing a false claim for payment or conspiring to defraud the government by getting a fraudulent claim allowed or paid; This is the government’s primary enforcement tool for Fraud

Prohibits soliciting referrals of Medicare or Medicaid patients, paying or receiving payment for referrals of Medicare patients, offering discounts to induce purchase of items/services covered by Medicare or Medicaid.

National standards that affect the health care industry and the exchange of health care information that applies to health plans, health care clearing houses, and health care providers who perform electronic transactions.

Oversees federal health care programs and investigates fraud and abuse.

Has authority over all health care programs including public or private and investigates cases of fraud and conducts civil, administrative and criminal investigations

Has authority over Medicare and Medicaid programs, coordinates investigations with other federal and state law enforcement agencies and issues compliance program guidance for various sectors of the healthcare industry.

Responsible for overseeing and enforcing compliance with HIPAA privacy standards.

Written standards of conduct, and written policies and procedures.

Easy access to information transmitted electronically without concerns for security or privacy of patient information.

Education and training programs for all employees yearly.

Monitoring and auditing for risk areas.

All of the above are components of a compliance program.

Business arrangements between those in a position to refer business and those providing services.

Used to indicate procedure performed has been altered by specific circumstances.

Separate billing codes used on procedures that have an aggregate billing code.

Using a billing code that provides a higher reimbursement rate than the services actually performed.

Business arrangements between those in a position to refer business and those providing services.

Used to indicate procedure performed has been altered by specific circumstances.

Separate billing codes used on procedures that have an aggregate billing code.

Using a billing code that provides a higher reimbursement rate than the services actually performed.

Business arrangements between those in a position to refer business and those providing services.

Used to indicate procedure performed has been altered by specific circumstances.

Separate billing codes used on procedures that have an aggregate billing code.

Using a billing code that provides a higher reimbursement rate than the services actually performed

Business arrangements between those in a position to refer business and those providing services.

Used to indicate procedure performed has been altered by specific circumstances.

Separate billing codes used on procedures that have an aggregate billing code.

Using a billing code that provides a higher reimbursement rate than the services actually performed.

Email a friend outside of MBS about the issue to get an outside opinion.

Don’t tell anyone – most likely it’s not an issue anyway and you don’t want to get in trouble.

Talk through your concerns with your immediate supervisor or group director.

Fill out a Compliance Incident Report Form.

Encourages compliance issues be reported without concern for retaliation.

Will act with discretion and integrity on the reported issue.

Will strive to maintain the confidentiality of the employee’s identity.

Your supervisor

Your group director

The Chief Compliance Officer

Everyone at MBS, including you

Facilitates the use of electronic data and reduces health care administrative costs

Provides new protections for the collection, handling, storage and transmission of protected health information

Establishes one format for the electronic exchange of health care data

Defines Protected Health Information

Protects the storage and transmission of patients’ information, such as addresses and Social Security numbers

You

The Chief Compliance Officer

Each branch or department

The IT departmnt

Your Supervisor

Making fraudulent offers of products, items or services

Downloading files from the Internet using the anti-virus software from the IT Department.

Keeping Protected Health Information on your computer screen hidden from view from unauthorized persons.

Supporting the business of MBS and helping users to do their work.

True

False