Code of Ethics, Ethics Review and Compliance Program

Contains the Agency's written code of ethics and the process for reviewing ethical issues that 19 CSR 30-35.010(1)(G) requires, the rules on gifts, money and conflicts of interest, and the compliance program that guards against fraud, kickbacks and improper inducements under Missouri and federal law, including how concerns are reported without retaliation.

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About this policy

Policy number: MO-HSP-ETH-01
Version: 1.0
Main rule: 19 CSR 30-35.010(1)(G)
Library: Missouri hospice · 59 policies
Category: Ethics
Sections: 21

In short

Follow the Agency's code of ethics: treat every patient with dignity, respect their choices and keep their information private.
Never take money, gift cards or gifts worth more than $25 from a patient or family, and never take part in their wills or finances.
If you are unsure what is right in a patient's care, ask the registered nurse coordinator for an ethics review.
Write only what you did, when you did it. Never change or back-date a record.
Report any concern about fraud or kickbacks. No one will be punished for reporting in good faith.

What's inside

21 sections. The full text comes with the One-time Policy Pack.

Full text with a package

Terms of Reference
1. Purpose
2. Scope
3. Definitions
4. Policy Statement (19 CSR 30-35.010(1)(G))
5. Code of Ethics
6. Process for Reviewing Ethical Issues
7. Gifts, Money and Conflicts of Interest
8. Compliance Program
8.1 Kickbacks, referrals and inducements
8.2 False claims and records
8.3 Self-reporting and overpayments
8.4 Deficit Reduction Act attestation
9. Reporting Concerns and No Retaliation
10. Responsibilities
11. Records and Compliance Monitoring
12. Staff Training
13. References
14. Related Policies and Forms
15. Approval
16. Revision History

An inspector may ask

Show me your written code of ethics. How do staff learn it?
Describe your process for reviewing ethical issues. Show me the last ethics review.

Missouri hospice

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Rules it follows

19 CSR 30-35.010(1)(G)19 CSR 30-35.010(1)(F)3.ARSMo §197.266RSMo §191.905RSMo §191.907RSMo §191.910.313 CSR 70-3.030(3)(A)842 U.S.C. §1320a-7b(b)42 U.S.C. §1320a-7a(a)(5)42 U.S.C. §1395nn31 U.S.C. §§3729-373342 U.S.C. §1396a(a)(68)42 U.S.C. §1320a-7k(d)42 CFR §1001.952

Forms included

MO-HSP-ETH-01-A Code of Ethics Acknowledgment and Annual Compliance Attestation
MO-HSP-ETH-01-B Ethics Consultation Request and Record

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