{"ref":"TX-HSP-ETH-01","title":"Compliance Program, Solicitation and Referral Integrity","category":"Ethics","summary":"The Agency’s written policy to comply with the Texas law against soliciting patients, and its compliance program covering kickbacks, referral relationships, marketing, eligibility integrity, exclusion screening, reporting concerns without retaliation, and responding to problems.","inShort":["Never give or accept money, gifts or favors in exchange for referrals or patients.","Never pressure anyone to choose hospice, to stay on hospice or to leave it.","Document only what is true. Never change records to make a patient look eligible.","Report any concern to your supervisor, the compliance officer at (512) 555-0100, or the governing body. You can report without giving your name.","No one will be punished for reporting a concern in good faith."],"primaryCitation":"26 TAC §558.255","citations":["26 TAC §558.255","Tex. Occ. Code §102.001","Tex. Occ. Code §102.006","Tex. Hum. Res. Code ch. 36","26 TAC §558.241(c)","26 TAC §558.243(b)(1)(H)","26 TAC §558.250(e)"],"federalCitations":["42 U.S.C. §1320a-7b(b)","42 U.S.C. §1395nn","31 U.S.C. §3729","42 CFR §424.516(a)(3)","42 U.S.C. §1396a(a)(68)"],"surveyorAsks":["Show me your written policy on solicitation of patients under Texas Occupations Code Chapter 102.","What do your marketing staff give to physicians, discharge planners or facilities? Who approves it?"],"forms":[{"ref":"TX-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 (26 TAC §558.255)","5. Rules for Staff","6. Referral Relationships and Business Courtesies","7. Compliance Program","8. Reporting Concerns","9. Investigation and Corrective Action","10. Responsibilities and Records","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}