• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Hippa violations

fifer.bobbie

Guest
Messages
5
Best answers
0
Can someone help me clarify hippa violations and whatever it would be called if the practice is upcoding?
I started working for a practice in April and I had numerous log ins for numerous websites and I was required to keep all my log ins and passwords in a notebook so everyone could use them. Except our billing software which everyone had their own for. I tried to quit this place and they guilted me into working from home and I had to leave my notebook of passwords there for them to use. I finally quit and they are still using my info on these websites. I know this because while I was working there I had to reset all of them to my info as they were still using previous employees information. I'm wondering if this is a violation.

Also when the main provider/owner comes to me on three separate instances and says to me "we're in trouble if we ever get audited" what am I supposed to do with that? I have no experience with auditing so I didn't know if they are doing something fraudulent or not but I do know that she was referring to Medicare and she was so worried that they actually opted out of Medicare. I also noticed on numerous claims from the past before me they were billing Medicare for things that were absolutely not documented anywhere. I even inquired about some of them. These were all significant enough for me to leave this place and in the two weeks since I've left 3 more people are leaving and another in the next two weeks.
I'm just not sure how to proceed with this. I believe they are violating various regulations but I don't know the regulations well enough or what to even do. Can anyone give me some direction?
 
If the practice has a compliance officer or one that performs the task of a compliance officer, you should first report the concern to that person. If there is a hotline, you can call that as well.

You can review the OIG Compliance Program for Individual and Small Group Physician Practices
https://oig.hhs.gov/authorities/docs/physician.pdf

I would also recommend reading about technical safeguards.
http://www.hhs.gov/sites/default/fi...dministrative/securityrule/techsafeguards.pdf

Do you best.
Scott Burk, MBA, CPCO
 
Top