CUMPLIMIENTO, Es la ley.
El propósito de los programas de cumplimiento es promover el cumplimiento organizacional de las leyes federales y estatales aplicables, y de los requisitos de atención médica de los pagadores privados. Un programa de cumplimiento eficaz puede ayudar a proteger las prácticas contra el fraude, el abuso, el despilfarro y otras áreas potenciales de responsabilidad.
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HOPE está comprometida con un sólido Programa de Cumplimiento que previene, detecta y responde a conductas que son inconsistentes con las leyes federales y estatales y con nuestros valores.
VÃdeos de formación
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
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- How to Report Fraud to the OIG
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HEAT Training on the OIG’s Self Disclosure Protocol | provided by the Health Care Fraud Prevention and Enforcement Action Team
- OIG Self Disclosure Protocol
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HEAT Training on the Importance of Documentation | provided by the Health Care Fraud Prevention and Enforcement Action Team
- Importance of Documentation
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HEAT Training on the Provider Self-Referral Law | provided by the Health Care Fraud Prevention and Enforcement Action Team
- Provider Self-Referral Law
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HEAT Training on the Anti-Kickback Statute | provided by the Health Care Fraud Prevention and Enforcement Action Team
- Anti-Kickback Statute
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HEAT Training on the OIG Exclusion Requirement | provided by the Health Care Fraud Prevention and Enforcement Action Team
- OIG Exclusion Checks
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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
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- 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
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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
Formularios previos al empleo
Acuerdo de seguridad y gestión de acceso
Acuerdo de uso de registros médicos electrónicos y de tecnologÃa
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Formulario de autorización de verificación de antecedentes (próximamente)
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Información personal y formulario de contacto de emergencia (próximamente)
Información del estudiante y formulario de contacto de emergencia
Privacidad del paciente y acuerdo de confidencialidad HIPAA
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En construcción: Próximamente habrá más formularios.