Compliance Program, Ethics and Referral Integrity
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.
About this policy
- Policy number
- OH-HSP-ETH-01
- Version
- 1.0
- Main rule
- OAC 3701-19-09(C)
- Library
- Ohio hospice · 60 policies
- Category
- Ethics
- Sections
- 18
In short
- 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.
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 (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
An inspector may ask
- 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?
See Cura Core with your agency's name on it.
Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.