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New Associate Orientation HIPAA & Corporate Compliance

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UC Health
Corporate Compliance Department

New Associate Orientation 2012

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What is Compliance?
Compliance is doing the right thing because it is the right thing to do.
In addition, compliance: • Fosters Quality of Care

• Builds Trust
• Ensures Cost and Resource Efficiency • Enables Receipt of Accurate and Timely Reimbursement
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What are the Elements of an Effective Compliance Program?
• • • • • • Compliance Policies Compliance Education & Training Compliance HelpLine/Hotline Compliance Officer Compliance Steering Committee Compliance Auditing & Monitoring

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What are the Code of Corporate Compliance and the Code Supplement?
CORE VALUES IN ACTION
• Together they are the key Compliance Policy authorized by the Board of Trustees

• Represent mandatory UC Health Policy
• Call for Ethical Behavior • Make the Right Decisions • Focus Attention on Integrity and Respect
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Key Regulations Covered in the Code of Corporate Compliance and the Code Supplement
• • • • • • • The False Claims Act The Medicare/Medicaid Anti-Kickback Statute The Stark Laws Civil Monetary Penalties Law Exclusionary Statute Emergency Treatment & Active Labor Act Ohio State Laws applicable to the Medicaid Program • Protection for “Whistleblowers”
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An Important Part of an Effective Compliance Program is a Compliance HelpLine

Corporate Compliance HelpLine

1-866-585-8030


You Can Remain Anonymous
There is No Retaliation for Reports Made in Good Faith

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What is the Corporate Compliance HelpLine Process?
• Available 24 hours a day, 7 days a week
• After a brief recorded message, you will speak with a live person • Ask a question or state a concern • At the end of the call, you will be given instructions on when and how you may check the status of your question or concern
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What Additional Resources Are Available When You Have Questions?
• •

Organization Management Corporate Compliance Department
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Contact us directly by phone, email, or in person Email us at CorporateCompliance@uchealth.com Visit our Intranet web site
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The Corporate Compliance Website. . .

. . .is accessible through Services & Departments on the UC Health intranet.
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ASK. . .

your Supervisor, a member of Management, the Corporate Compliance Office, or call the HelpLine

if you have questions about:
a) whether a law, regulation, or standard applies to a situation, b) what a law, regulation, or standard means, or c) whether something violates an applicable law, regulation, or standard.
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Who are Your Compliance Contacts?
• Christa Nordlund
Director of Corporate Compliance Phone: 585-6453 • Jeri Rose Director, Compliance & Program Review Phone: 585-6312
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Compliance Steering Committee
• Membership includes representatives from each UC Health facility, the UC Health physicians, Integrated Management Services, and key centralized departments. • A list of the members can be found on the Corporate Compliance intranet website. • Your Compliance Steering Committee representative is also a compliance resource for you.
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Compliance Auditing & Monitoring
• A program of annual reviews
o Related to compliance with Medicare and Medicaid regulations o Performed by Corporate Compliance

• Reviews performed of services provided by all UC Health facilities and key centralized UC Health departments. • Contact: Holly Losekamp, Manager

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What Does UC Health Expect of Associates?
• Review and Understand the Code and the Code Supplement
• Uphold the Code and the Code Supplement in Making Decisions • Seek Advice • Speak Up

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The UC Health Commitment to You
• • •

We will follow the Code of Corporate Compliance and the Code Supplement We will enforce the Standards fairly We will support decisions you make when following the Code of Corporate Compliance and the Code Supplement We will protect any Associate who reports violations or concerns in good faith

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Conclusion

The Code of Corporate Compliance and the Code Supplement equal our Core Values in Action


Compliance is doing the right thing
If it feels wrong—or you have questions, ask your supervisor, manager, director, corporate compliance directors, or call the HelpLine Compliance is YOUR responsibility

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Thank you and Welcome!

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