Whistleblowing In Healthcare New 2023 /Questions
And Answers
Quiz :What is whistleblowing? - Answer :Disclosure of info by an employee
about unsafe, unethical, and inappropriate procedures occuring in the
workplace by the institution, or by fellow coworkers.
Quiz :This includes: - Answer :-Medical Identity theft
-Billing for unneccessary services or items
-Billing for services or items not furnished
-Upcoding: when someone bills for services at a rate that does not equal what
was actually done.
-Unbundling: instead of combining services into one bill, services are billed
separately to maximize payout
-Kickbacks: offering soliciting, paying, or receiving renumeration to induce, or
in return for referral of patients.
Quiz :Why people decide not to report... - Answer :-fear of losing job
-fear of hurting their co-workers
-fear of misinterpretation
-fear of "overstepping" bounds on their client's personal lives
Quiz :ACA - Answer :-Title 1 protects employees from retaliation by employer
if they report violations of the ACA
-If retaliation occurs, contact OSHA
Quiz :Methods to report Medicare/Medicaid Fraud - Answer :-report to
supervisor
-file complaint with tate medical boards
-call state insurance health bureau
-contact office of the inspector general
Quiz :Cost - Answer :-Approximately 900 million dollars were falsely billed for
after a bust in mid-june of this year!
Quiz :Quality - Answer :-Increased fraud=decreased trust in employees and
employers
-Types of services can mislead patients if they are not applicable to their
treatment
-Decreased trust in the healthcare system
And Answers
Quiz :What is whistleblowing? - Answer :Disclosure of info by an employee
about unsafe, unethical, and inappropriate procedures occuring in the
workplace by the institution, or by fellow coworkers.
Quiz :This includes: - Answer :-Medical Identity theft
-Billing for unneccessary services or items
-Billing for services or items not furnished
-Upcoding: when someone bills for services at a rate that does not equal what
was actually done.
-Unbundling: instead of combining services into one bill, services are billed
separately to maximize payout
-Kickbacks: offering soliciting, paying, or receiving renumeration to induce, or
in return for referral of patients.
Quiz :Why people decide not to report... - Answer :-fear of losing job
-fear of hurting their co-workers
-fear of misinterpretation
-fear of "overstepping" bounds on their client's personal lives
Quiz :ACA - Answer :-Title 1 protects employees from retaliation by employer
if they report violations of the ACA
-If retaliation occurs, contact OSHA
Quiz :Methods to report Medicare/Medicaid Fraud - Answer :-report to
supervisor
-file complaint with tate medical boards
-call state insurance health bureau
-contact office of the inspector general
Quiz :Cost - Answer :-Approximately 900 million dollars were falsely billed for
after a bust in mid-june of this year!
Quiz :Quality - Answer :-Increased fraud=decreased trust in employees and
employers
-Types of services can mislead patients if they are not applicable to their
treatment
-Decreased trust in the healthcare system
