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New Associate OrientationHIPAA

&Corporate Compliance

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UC HealthUC Health

Corporate Compliance Corporate Compliance DepartmentDepartment

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 anEffective 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

- 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 RoseDirector, 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 oRelated to compliance with Medicare and Medicaid

regulationsoPerformed 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 HealthCommitment 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!