COMPLIANCE PROGRAM AT MCHS
Compliance programs are crucial to ensure adherence to state and federal laws related to healthcare fraud and abuse. MCHS follows the OIG's seven elements of a compliance plan, emphasizing education, training, policies, procedures, and a hotline for reporting violations. Enforcement measures are in place to address fraud and abuse, underscoring the significance of reporting any wrongdoing at MCHS to uphold integrity and accountability.
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Presentation Transcript
COMPLIANCE PROGRAM AT MCHS
WHY DOES COMPLIANCE EXIST? TO ENSURE OUR HOSPITAL SYSTEM FOLLOWS STATE AND FEDERAL LAWS THAT RELATE TO HEALTHCARE FRAUD AND ABUSE.
THE OIGS SEVEN ELEMENTS OF A COMPLIANCE PLAN CHIEF COMPLIANCE & PRIVACY OFFICER COMPLIANCE COMMITTEE MCHS COMPLIANCE STANDARDS OF CONDUCT (YOU HAVE THE BOOK IN YOUR PACKET. IN THE BACK YOU ARE ATTESTING TO THIS TRAINING AND TO THE MONITORING OF YOUR ACCESS OF PHI)
SEVEN ELEMENTS (CONTINUED) http://ts3.mm.bing.net/th?id=H.4994751683495122pid=1.7w=250h=183c=7rs=1 EDUCATION TRAINING & POLICIES & PROCEDURES
SEVEN ELEMENTS (CONTINUED) HOTLINE *Hotline 1-800-805-1642 *Compliance Hotline On MCH Intranet under Featured Links *Walk-In The Compliance Office hours M-F, 8a.m.-5p.m. *In-House Hotline 640-1900 *Integrity Boxes located on each unit and MCH Urgent Care Clinics & MCH ProCare Clinics *Compliance Committee Members MAINTAIN LOG OF CALLS
ENFORCEMENT Fraud and Abuse can lead to Jail time. We have corrective actions at MCHS for violations. Report wrong doing so you don t become culpable. I, I promise I didn t do it.
IT TAKES US ALL!! YOU ARE THE EYES AND EARS OF MCHS. YOU MAKE A DIFFERENCE WHEN YOU REPORT WRONG DOING.