ppt课件-corporateresponsibility-presencehealth.pptVIP

Regulatory Compliance “Systems that ensure all students are aware of laws and regulations and act in accordance of those regulations” Compliance Goal Presence Health is committed to compliance with all federal and state laws and regulations. The goal of Presence Health compliance efforts is to ensure all business is conducted ethically, honestly and in accordance with all rules, regulations and standards Office of the Inspector General The enforcement arm of the Department of Health and Human Services. Primary goal is to investigate suspected health care fraud and abuse, specifically: Medicare Medicaid Risk A large portion of the OIG regulations focus on Risk Assessment At Presence Health our highest risk areas are: Coding Billing Documentation/Charting Chain of Command issues Quality of care- Substandard Care Patient/Resident Privacy (HIPAA) OIG - Recommendations Due Diligence Recommendations Standards of Business Conduct education for all employees Senior Oversight of Compliance Programs Background checks, on all employees, vendors, and volunteers before hire and biannually Create a culture of awareness and establish reporting mechanisms. Compliance monitors and audits performed on a regular basis Standards and Compliance procedures for all employees The Presence Health Corporate Responsibility Plan Presence Health’s Standards of Behavior are based on the Presence Health Values: Honesty Oneness People Excellence It is the expectation of all Presence Health students that they act with integrity, honesty, and they approach all customer interactions ethically and confidentially The Presence Health Corporate Responsibility Plan Senior Oversight Arlene Arellano-Brown serves as Presence Health’s Corporate Responsibility and Compliance Officer-773-990-7475 Local Ministry oversight The Presence St. Mary’s Hospital Corporate Responsibility Liaison’s are Theresa Barnes 815-937-3500 and Sandy Kambic 815-937-2477 The Presence Health Corporate Responsibility