{"ref":"OH-HSP-ETH-01","title":"Compliance Program, Ethics and Referral Integrity","category":"Ethics","summary":"Sets the Agency's compliance program and code of conduct: respect for patients and their property, honest eligibility decisions and billing, no kickbacks or inducements to referral sources or patients, conflicts of interest, gifts, truthful marketing, how staff report concerns without retaliation, and how overpayments are returned.","inShort":["Treat every patient and their property with respect. Never take, borrow or use anything that belongs to a patient.","Never accept money, gifts, loans or a place in a will from a patient or family.","Document only what you did and saw, and never sign for someone else.","Never offer or accept anything of value in return for referrals.","Report any concern about fraud or unsafe care to the compliance officer. The Agency does not allow retaliation."],"primaryCitation":"OAC 3701-19-09(C)","citations":["OAC 3701-19-09(C)","OAC 5160-1-17.2(A)-(E), (G), (H)","ORC 2913.40","ORC 3712.05(A)","OAC 3701-19-06(C)(3)(a)"],"federalCitations":["42 U.S.C. §1320a-7b(b)","42 U.S.C. §1395nn","31 U.S.C. §§3729-3733","42 U.S.C. §1320a-7a(a)(5)","42 U.S.C. §1320a-7k(d)","42 U.S.C. §1396a(a)(68)","42 CFR §418.24","42 CFR §418.22"],"surveyorAsks":["Who is your compliance officer, and how does a staff member report a concern anonymously?","How do you make sure patients you admit and keep on service meet hospice eligibility?"],"forms":[{"ref":"OH-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 (OAC 3701-19-09(C); OAC 5160-1-17.2)","5. Code of Conduct","6. Eligibility, Certification and Level of Care Integrity","7. Referral Relationships and Marketing","8. Conflicts of Interest","9. Reporting Concerns and Non-Retaliation","10. Investigation, Correction and Overpayments","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":"oh-hospice","state":"Ohio","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}}