PPT-Compliance 101: An Overview of Health Care Compliance and Integrity Programs

Nina W Tarnuzzer MHACPACPC Assistant Dean Physician Billing Compliance University of Florida College of Medicine Monday November 7 2011 Helpful Disclosure Warning These printed materials are not designed to include all points that will be presented in class or include information helpful to know for purposes of testing. Prevention as the goal. Antitrust & Competition Law Compliance Network. http://www.compliance-network.com. . . Compliance & Ethics Programs. Compliance and ethics programs have been recognized as . Ownership Investment. “The Owners/Operators of your respective facilities have endorsed this program as one of the paramount programs that exist within their respective organizations which by its very presence helps ensure quality care for the residents we serve.” Owners Certification accompanying compliance manual. . Objectives. After reviewing this training and successful passing of the quiz, you will be able to:. Understand your responsibilities in maintaining a culture of compliance in the workplace. Learn where compliance policies and documents are located for easy reference. Presented by. The Office of Corporate Integrity. 1. Purpose of a Compliance Program . As defined in the Office of Inspector General (OIG) Compliance Guidance for Hospitals . “Fundamentally, compliance efforts are designed to establish a culture within a hospital that promotes . False Claims Act (42 U.S.C. 1320a-7b(b)). The False Claims Act is a federal law that prohibits any person from:. Knowingly presenting, or causing to be presented, to an officer or employee of the U.S. Government a false or fraudulent claim for payment or approval. . Fraud, Waste and Abuse. . (FWA). Training. 12/11/2013. FRAUD, WASTE AND ABUSE (FWA). EXECPTION-NOTICE. There is one exception to the FWA training and education requirement. Regulations effective June 7, 2010 implemented a “deeming” exception which exempts FDRs who are enrolled in Medicare Parts A or B from annual FWA training and education. Therefore, if an entity or an individual is enrolled in Medicare Parts A or B, the FWA training and education requirement has already been satisfied. If you are unsure if this “deeming” exception applies to you please contact an IEHP Compliance Manager at . After reviewing this training and successful passing of the quiz, you will be able to:. Understand your responsibilities in maintaining a culture of compliance in the workplace. Learn where compliance policies and documents are located for easy reference. Fraud, Waste, and Abuse. HIPAA. Copyright © 2017, Jade Health Care Medical Group, Inc. . Medicare . Parts C and D General Compliance Training . Copyright © 2017, Jade Health Care Medical Group, Inc. . New Hire and Annual Employee Compliance Training. CTS Introduction. Coordinated Transportation Solutions, Inc.. CTS is a 501(c)(3) not-for-profit entity founded in Connecticut in 1997. We manage non-emergency transportation programs for government agencies, managed care organizations, school districts and businesses throughout the northeast and mid-Atlantic region. We do not have drivers and vehicles of our own that perform trips. Rather, we coordinate transportation using a network of credentialed and contracted, local transportation companies. . Presented by King’s Daughters Medical Center. Why Compliance Matters. The Medical Center is dedicated to providing quality, cost-effective health care while complying with all applicable state and federal laws. To evidence this dedication, the Medical Center’s Board of Directors adopted, developed and implemented its Corporate Compliance Plan. This Plan is based on the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) Compliance Program Guidance for Hospitals and the United States Federal Sentencing Guidelines.. Corporate Compliance and Integrity Team. Heather Marcum. Executive Director/. Compliance & Privacy Officer. x80161. Tonia Hall. Compliance & Privacy . Manager. x84451. What is a Corporate Compliance program?. Annual Compliance Training. Disclaimer: This module has been modified from the CMS and McLaren Health Care Corporation training for the . McLaren High Performance Network learning module. Hyperlinks have remained functional. . Laura G. Hoffman, Esq. . & . J. . Zoë Beckerman, Esq.. . The Seven Elements of Effective Compliance Programs. Presenter: Laura G. Hoffman, Esq.. Associate at . Feldesman Tucker Leifer Fidell LLP. m. echanisms . for . energy . e. fficiency . p. rograms in APEC economies. Mark Ellis. Mark Ellis & Associates. 1. Today. Context to the . A. PEC EGEE&C Compliance Project. Progress with the APEC Compliance Survey.