Policies
Overview
Healthcare compliance includes a vast combination of federal, state, organizational and insurance payer policies and regulations. This section of our website contains brief summaries of the most common areas of oversight.
Note: Both external and internal links are utilized within these summaries. Internal links are only accessible with a ÊÖ»ú¿´Æ¬ NETID.
- Exclusion Screening: Individuals and Organizations can be excluded from participating in the Medicare and Medicaid programs for various reasons, including fraudulent billing, abuse of patients, controlled substance convictions and other prohibited activities.
 - Fraud, Waste, and Abuse: Violations of the Fraud & Abuse laws can result in significant fines, as well as penalties such exclusion from participation in healthcare programs.
 - Conflicts of Interest (COI): A conflict of interest or commitment may occur when an individual’s financial interests, relationships, outside activities, or family interests/relationships influences his/her judgement in the performance of his/her job duties or organizational policies.
 - Reporting Concerns: ÊÖ»ú¿´Æ¬ Health promotes an environment of open communication and collaboration in achieving its mission to envision and implement the future of health.
 - Monitoring and Corrective Actions: A key element in an effective compliance program is to conduct internal monitoring to assure compliance with rules and regulations and identify areas of improvement.
 - No Surprises Act: The No Surprises Act is a U.S. federal law aimed at protecting patients from surprise medical bills.
 - ÊÖ»ú¿´Æ¬H Clinical Practice: ÊÖ»ú¿´Æ¬ formed a direct support organization, University Medical Services Association (UMSA), for the administrative oversight of the ÊÖ»ú¿´Æ¬ Health Faculty Practice Plan.