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Corporate Compliance (Physicians)

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CORPORATE COMPLIANCE PROGRAM
HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Purpose of the Corporate Compliance Program ,[object Object],[object Object]
Physicians and all TSC Employees ,[object Object],[object Object],[object Object],[object Object]
CORPORATE COMPLIANCE PROGRAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CORPORATE COMPLIANCE: AN ONGOING PROCESS 1.Prevent 2. Detect/Correct 3. Defend/Mitigate RISK
REPORTING A VIOLATION TSC Hotline 973-477-7217 email megoser@thestonecenter.org ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Corporate Compliance (Physicians)

Editor's Notes

  1. The focus on compliance was fueled by the financial audit of the Department of Health and Human Services’ audit of the Healthcare Financing Administration (HCFA) now known as CMS
  2. Legislation passed afterwards made it easier for the government to prove violations of reimbursement. Resources were increased devoted to enforcing healthcare laws and regulations (hiring lawyers, FBI involvement, etc.) Healthcare fraud under HIPPA became a criminal offense. This applies to all claims under health benefit programs, regardless if government funded or not.