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COMPLIANCE, It's the law.

The purpose of compliance programs is to promote organizational adherence to applicable federal and state law, and private payer healthcare requirements. An effective compliance program can help protect practices against fraud, abuse, waste, and other potential liability areas.

HOPE is committed to a strong Compliance Program which prevents, detects and responds to conduct that is inconsistent with federal and state laws and our values.

Training Videos

HEAT Training on the FFCA / Federal False Claims Act & Federal Whistleblower Protections | provided by the Health Care Fraud Prevention and Enforcement Action Team

- The Federal False Claims Act & Federal Whistleblower Protections 

https://youtu.be/BbZ78QTLztQ

- How to Report Fraud to the OIG 

https://youtu.be/nH7p30j7dOw

HEAT Training on the OIG’s Self Disclosure Protocol | provided by the Health Care Fraud Prevention and Enforcement Action Team

- OIG Self Disclosure Protocol 

https://youtu.be/QKUOzbV1zSU

HEAT Training on the Importance of Documentation | provided by the Health Care Fraud Prevention and Enforcement Action Team

- Importance of Documentation

https://youtu.be/1M7kKGqSa14

HEAT Training on the Provider Self-Referral Law | provided by the Health Care Fraud Prevention and Enforcement Action Team

- Provider Self-Referral Law 

https://youtu.be/hmWG4o5zrvQ

HEAT Training on the Anti-Kickback Statute | provided by the Health Care Fraud Prevention and Enforcement Action Team

- Anti-Kickback Statute 

https://youtu.be/a4KhqqeAaUg

HEAT Training on the OIG Exclusion Requirement | provided by the Health Care Fraud Prevention and Enforcement Action Team

- OIG Exclusion Checks 

https://youtu.be/R3vAeH9XQQs

Tennessee Medicaid Compliance Training | provided by Amerigroup, a TennCare Managed Care Provider | This training guide includes an overview of the following topics:

*  Federal & Tennessee Medicaid False Claims Act

*  Federal & Tennessee Whistleblower Protections

*  Reporting Healthcare Fraud In Tennessee

*  Nondiscrimination & Title VI

*  Age Discrimination

*  Rehabilitation Act of 1973

*  TennCare Member Rights

*  Deficit Reduction Act (DRA) of 2005

- Medicaid Compliance 

https://provider.amerigroup.com/docs/gpp/TN_Provider_Non-discrimination_Training.pdf?v=202010310023

 

https://provider.amerigroup.com/docs/gpp/TN_CAID_FalseClaimsEducation.pdf?v=202010310023

 

https://provider.amerigroup.com/docs/gpp/TN_CAID_ComplianceWebinar.pdf?v=202010310023

TennCare Nondiscrimination Compliance Training | provided by the State of Tennessee Division of Health Care Finance & Administration

-  Nondiscrimination Training 

https://www.tn.gov/content/dam/tn/tenncare/documents/TennCareComplaintProcedures.pdf