{"ref":"FL-HSP-ETH-01","title":"Compliance Program, Referral Integrity and Fraud Prevention","category":"Ethics","summary":"Sets the Agency’s compliance program: a compliance officer, written standards, training, a way to report concerns without retaliation, monitoring of hospice risk areas (eligibility, length of stay, levels of care, live discharges, marketing), and the rules against kickbacks, patient brokering, false claims, inducements to patients and conflicts of interest, with prompt return of overpayments.","inShort":["Never offer, pay or accept anything of value for referring patients.","Document and bill only care you actually gave. Never change dates or records.","Do not accept money, gifts beyond a small token, loans or anything in a patient’s will.","Report any compliance concern to your supervisor or the compliance officer. You may report without giving your name.","You will not be punished for a good-faith report."],"primaryCitation":"42 U.S.C. §1320a-7b(b)","citations":["s. 817.505, F.S.","s. 456.054, F.S.","s. 68.081 et seq., F.S.","s. 409.920, F.S.","s. 409.913, F.S.","s. 448.102, F.S.","s. 408.809(4), F.S.","s. 408.810(5)(a)3., F.S.","Rule 59A-38.004(3)(a)4.e., F.A.C."],"federalCitations":["42 U.S.C. §1320a-7b(b)","42 U.S.C. §1395nn","31 U.S.C. §3729 et seq.","42 U.S.C. §1320a-7a","42 U.S.C. §1320a-7k(d)","42 CFR §401.305","42 U.S.C. §1320a-7"],"surveyorAsks":["Who is your compliance officer, and how do staff report a concern?","Show me your annual compliance training and the signed attestations."],"forms":[{"ref":"FL-HSP-ETH-01-A","title":"Annual Compliance and Conflict of Interest Attestation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (s. 817.505, F.S.; s. 456.054, F.S.; 42 U.S.C. §1320a-7b(b))","5. Elements of the Compliance Program","6. Referral Relationships, Gifts and Conflicts","7. Hospice Risk Areas and the Audit Plan","8. Reporting and Investigating Concerns","9. Overpayments","10. False Claims","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}