Compliance Program, Fraud Prevention, Marketing, and Prohibited Inducements
Sets the Agency's compliance program to prevent, find and correct fraud, waste and abuse in Medicaid and other payers, and the written publicity and marketing policy Louisiana requires, including the prohibition of illegal or coercive inducement, solicitation and kickbacks, misleading advertising, and offers that could steer a client's choice of provider.
About this policy
- Policy number
- LA-HC-ETH-02
- Version
- 1.0
- Main rule
- LAC 48:I.5029.B.3
- Library
- Louisiana home care · 50 policies
- Category
- Ethics
- Sections
- 18
In short
- Never offer or accept anything of value for a client referral. It is illegal under Louisiana and federal law.
- Never offer clients gifts, cash or free services to choose or stay with the Agency.
- Clients choose their provider freely. Do not pressure them to stay or to switch.
- Bill and document only what you actually did. False records or claims are fraud.
- Report any concern to your supervisor or the compliance officer, anonymously if you wish. You are protected from retaliation.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (LAC 48:I.5029.B.3)
- 5. Publicity and Marketing
- 6. No Kickbacks or Inducements
- 7. The Compliance Program
- 8. Investigating Concerns
- 9. Overpayments
- 10. False Claims Laws and Whistleblower Protection
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Show me your publicity and marketing policy and how it prohibits inducements, solicitation and kickbacks.
- Who checks your advertising and website for accuracy?
See Cura Core with your agency's name on it.
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