OSHA stands for - Occupational Safety and Health Administration
CSHO stands for - Compliance Safety & Health Officers
Debridement Coding - Errors in coding surgical debridement vs active wound care management
How many steps are in OIG? - 7 steps
ARRA (American Recovery and Reinvestment Act) - Includes provisions making improvements in the
privacy & security standards for Health info.
Indirect Expense - Expense that is not directly related to the service. (Cleaning company, IT dept.)
What is abuse? - Practices either directly or indirectly result in unnecessary costs to Medicare Programs.
Knowingly and willfully intentional.
Variable expense - Expenses that change depending on patients seen
(Ex: Office supplies, PPE)
Stark Violations - Physicians referring patients to services which they have a financial interest with or a
family member has financial interest.
Fixed Expense - Constant
Does not change with the volume of service.
(Ex) Rent, salaries, loans
, PHI (Protected Health Information) - Health information that is electronically stored via computer based
technology
(Should be shredded, proper disposal of)
Business Associates - Individuals, groups, or organizations, who are not members of a covered entity's
workforce, that perform functions or activities on behalf of or for a covered entity.
sexual harrassment: quid pro quo - Unwelcome sexual advances, requests for sexual favors, jokes,
voicemails affecting an individuals work environment. (This for that)
Americans with Disabilities Act - prohibits discrimination against the disabled
Who can be audited? - Anyone required to pay taxes
What is fraud? - Billing services the physician did not perform
Malicious software (malware) - Software that is designed to infiltrate or affect a computer system
without the owner's informed consent. The term "malware" is usually associated with viruses, worms,
Trojan horses, spyware, rootkits, and dishonest adware.
Access - The ability to read, write, modify or communicate data
HITECH Act - Health Information Technology (supports electronic health records)
HIPAA Privacy Rule - Law that regulates the use and disclosure of patients' protected health information
(PHI).
direct expenses - Expenses directly related to the cost center. (X-ray films for X-ray Dept.)
Organizational Charts - provide a clear guideline of who is responsible for a given task and which
employees are responsible for others' performance
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