Compliance Program and False Information / HIPAA Training

First & Last Name *
1SCCMHA has a formal commitment to aid in preventing, detecting, investigating, and reporting potential fraud and abuse occurrences. SCCMHA's intention is to minimize the possibility of improper conduct by SCCMHA, its employees and contractual providers. *
- True
- False
2Anyone using SCCMHA's Compliance Hotline for communication of compliance concerns by employees and providers is required to leave their name with their complaint. *
- True
- False
3The False Claims Act is a major factor in combating contractor fraud and recovering losses due to Medicare and Medicaid fraud. *
- True
- False
4A penalty for violating the False Claims Act can include three times the amount of damages that the government sustains, Civil penalties of up to $11,000 and potential exclusion from participating in government healthcare programs. *
- True
- False
5SCCMHA has a NO RETALIATION policy - which means that it is against SCCMHA policy to retaliate against an employee who reports an instance of noncompliance. *
- True
- False
6Billing for services that were not provided, billing twice for a single service, and billing for services performed by an excluded individual are all examples of violations of the False Claims Act. *
- True
- False
7If an employee becomes aware of any type of concern regarding the False Claims Act, it is recommended that the matter be referred to the SCCMHA Compliance Officer. *
- True
- False
8A SCCMHA employee is unable to report a potential violation or a concern of wrongdoing to the SCCMHA Compliance Officer before they have contacted their supervisor. *
- True
- False
9Medicaid fraud can only be committed by an employer - it is not possible for an employee or a beneficiary to commit Medicaid Fraud. *
- True
- False
10The State of Michigan does not have a False Claims Act. Only the federal government has a False Claims Act. *
- True
- False
11In matters related to HIPAA privacy and consumer records, which statement is the most accurate: *
- You need to know and understand everything there is to know about the HIPAA Privacy Rule.
- You are expected to understand the various rules well enough so when you sense that something is not right - you see a red flag in your mind, you will be able to recognize a problem, and contact your supervisor or the Compliance Officer to resolve the potential problem.
- I do not have to worry about HIPAA Privacy or HIPAA Security because HIPAA is someone else's responsibility.
12A breach is a violation of a compliance-related rule. Which statement is most accurate if you suspect a potential breach has occurred: *
- I am free to just continue doing my assigned task. The breach will be handled by someone else.
- I should notify my supervisor or the Compliance Office when I suspect a potential breach has occurred.
- It is my responsibility to correct the breach, and then continue doing my job.
13Protected Health Information is: *
- . . . limited to information which the consumer has specifically asked SCCMHA to protect.
- . . . only information which identifies the consumer's name and address.
- . . . individually identifiable health information, that is transmitted or maintained in any form or medium, is created or received by a covered entity, and is related to health care or payment for health care.
14There are several laws that impose privacy and security requirements. Which statement best describes the laws which SCCMHA staff should understand? *
- The Mental Health Code, the Environmental Protection Act, and the FLSA.
- HIPAA, 42 CFR Part 2, and the Michigan Mental Health Code
- 42 CFR Part 2, the BBA and HSAG
15You run into George while shopping. George tells you that he knows Sally is an SCCMHA consumer and that you know Sally. George wants to surprise Sally for her upcoming birthday. George asks your opinion about what Sally would like for her birthday. Which statement best describes your response to George? *
- Since George claims to be Sally's friend, you can share your opinion about Sally
- You can tell George that you will check with Sally and get back to George with an answer.
- You should tell George that you are unable to discuss information about anyone who may be a consumer of SCCMHA services. You should not verify that Sally receives services from SCCMHA.
16You have a potentially violent neighbor who has started receiving services from SCCMHA. You are concerned about your child's safety in the neighborhood and would like to understand better what your neighbor is being treated for. On your lunch hour, you access your neighbor's records in Sentri. Which statement best describes your situation? *
- This is not a problem since you accessed the Sentri records on your lunch hour.
- This is not a problem because you had a legitimate safety concern which allows you to access Sentri.
- This is not a problem because the consumer is also your neighbor.
- This is a problem, and you could face possible fines, jail time, as well as disciplinary action from SCCMHA.
17You understand all the privacy rules pretty well and always try to do the right thing. You have made several copies of documents containing PHI which now need to be destroyed. *
- You are able to place the documents in a regular trash container and let them be picked up at the end of the week.
- You are able to leave the documents on the counter in a common area of your department.
- You need to take the documents to an approved cross-cut shredder, or find an approved shredding bin container to place the documents in.
18HIPAA requires the protection of PHI in the following format: *
- If the PHI is written on paper (printed)
- If the PHI is saved on a computer (electronic)
- If the PHI is mentioned in a conversation (verbal)
- All of the above
19SCCMHA does not need to protect a consumer's PHI after the consumer has died. *
- True
- False
20Information about a consumer's future appointment at SCCMHA is PHI, especially if it contains information which identifies the consumer. *
- True
- False
21Information contained in a consumer's mental health record is considered PHI. *
- True
- False
22When an individual claiming to be the guardian of an SCCMHA consumer contacts you to discuss the consumer's record, you are allowed to take their word for their authority and share the requested information. *
- True
- False
23Which statement most accurately describes the disclosure or disclosures which are permitted by HIPAA without a written authorization from the consumer? *
- Protected health information may be disclosed to the consumer without an authorization signed by the consumer.
- Protected health information may be disclosed to a Covered Entity for treatment, payment or healthcare operations without an authorization signed by the consumer.
- Protected health information may be disclosed for a proper public purpose - such as to public health authorities that are authorized by law to collect or receive such information to aid them in their mission of protecting the health of the public.
- All of the above
24The following are examples of reasonable safeguards to minimize an improper disclosure of PHI: *
- Avoid conversations involving a consumer while other people or consumers are nearby and can overhear personal information.
- Lower your voice when discussing consumer information in person and/or over the telephone.
- Avoid conversations about consumers while in public places, such as elevators, public hallways, or the cafeteria.
- All of the above
25It is always permissible to enter SCCMHA's electronic health record and review the records of an SCCMHA consumer if they are related to you. *
- True
- False
26The general rule is that email which contains PHI should only be sent using (1) a secure line or (2) encryption. *
- True
- False
27Email sent within SCCMHA (both sender and receiver have an email address ending in "sccmha.org") should contain the following comment in the header: PHI Content Caution *
- True
- False
28Email sent outside SCCMHA (either the sender or receiver, or both, do not have an sccmha.org address) the preferred method is the Sentri II messaging system. *
- True
- False