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Fraud |
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Manual: Home Care Corporate Compliance Manual (Ver 1) Department: HOME CARE
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Home Care Corporate Compliance Manual includes this customizable template, Fraud. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Fraud:
| | DEFINITION:
Fraud is defined as the intentional deception or misrepresentation that an individual makes knowing that the deception or misrepresentation could result in some unauthorized benefit to himself/herself or some other person.
POLICY:
Employees, independent contractors or agents may not engage in any activity that perpetrates a fraud upon the organization, its clients/patients, suppliers or others. All employees, independent contractors and agents will comply with all federal and state laws prohibiting fraudulent or abusive practices whenever conducting organization business.
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| Second excerpt: |
| | ... ordering, or leasing of any goods or services that will be reimbursed by federal healthcare programs or state healthcare programs that are supported by the federal government i.e., Medicaid.
Compliance with this Policy:
When confronted with a situation that may violate any portion of this policy, employees should inform the Corporate Compliance Officer.
Employees who have knowledge of a potential conflict of interest situation and who do not report it can and will be held liable for... |
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