Corporate Compliance
约翰霍普金斯健康系统公司合规部协助和建议所有员工-董事, officers, hospital staff, 以及相关或附属的合同工——关于如何预防, detect, and correct employee violations of the Federal, State, or local laws, or institution policy and procedure violations.
合规计划成立于1998年,旨在:
- Protect our organization, employees, and patients.
- 保持霍普金斯大学为人所知的正直.
- 维持有效的内部控制,促进遵守法律和道德标准.
- 促进预防、发现和解决非法或不道德的行为.
- 鼓励继续努力做正确的事情.
Have compliance questions? First check out our compliance documents below. 您可以通过电话联系合规部 1-844-SPEAK2US,或联系公司合规部代表(见下文)获取更多信息.
Additional Resources
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约翰霍普金斯医疗系统公司合规部的成立是为了防止, detect, and correct employee violations of the federal, state, or local laws, or institution policy and procedure violations.
约翰霍普金斯医疗系统公司(JHHSC)及其所有附属公司都非常重视医疗欺诈和滥用. JHHSC承诺遵守所有适用的法律法规, 特别是那些针对医疗欺诈的法案, waste, abuse, and disrupt the proper billing of Medicare, 医疗补助和其他政府资助的医疗保健项目. 这包括联邦虚假申报法和州法律或其他相关的执行政策.
Since 1998, 我们的主要责任是为JHHS实体提供监督支持, audits, ongoing monitoring, 并就所提供服务的设施计费相关事宜进行机构培训.
Compliance Enforcement
我们的大部分工作都集中在符合参加政府保险的必要监管要求和条件方面. 为了让我们参加这些项目(如 Medicare and Medicaid), 我们必须遵守医疗记录和患者同意文件标准, facility and practitioner licensing processes, coding and billing claims for payment claims, among other things.
Failure to comply with these regulations, 条件和标准可能导致民事和刑事制裁, monetary penalties, and elimination from those programs.
Non-Compliance Enforcement
有许多联邦和州执法机构的经费完全用于调查和起诉犯有"医疗保健欺诈"的个人或实体,并追回非欺诈性的超额付款. Some of these agencies include the Office of Inspector General (OIG), the Department of Justice (DOJ) and state Medicaid Fraud Control Units (MFCU).
The OIG, for example, 是否可以自行调查与医疗保健相关的欺诈指控, 并审计医院对联邦付款人(如医疗保险)的账单模式. 监察长或司法部可以根据“举报人”(通常是提供内部信息以调查和起诉该组织的案件的雇员)提供的信息对医疗保健欺诈调查进行调查。.
这些诉讼将根据联邦虚假申报法(FCA)提起。, 事实上,它是政府武器库中最强大的武器之一. FCA通常指控的“欺诈”类型包括, among others, 对未提供的服务和被认为不是"医疗上必需的"或超出所提供的服务的收费,以及为影响提供保健服务而收取的回扣.
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- 利益冲突与承诺冲突(CC0007)
- Corporate Compliance Plan (CC0010)
- 联邦和州虚假申报法和举报人保护:教育和承诺(CC0006)
- Issue Reporting Policy
- JHHS Trustees & Officer Conflict of Interest Policy (CC0012)
- JHACH、HCGH、SIbley和Suburban的医师非金钱补偿(CC0001)
- 约翰霍普金斯医院和约翰霍普金斯湾景医疗中心医师非金钱补偿政策(CC0005)
- Physician Contracting Policy (CC0008)
- 医生个人服务安排付款政策(CC0002)
- 约翰霍普金斯卫生系统合规部门审计评级政策(CC0004)
- Sunshine Act Policy
- 受托人对与约翰霍普金斯大学密切合作的公司的投资(CC0011)
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Johns Hopkins Health System
Pamela T. Owens, Esq.
VP and Chief Compliance Officer
410-955-7930
[email protected]Rhonda Tucker
Deputy Chief Compliance Officer
410-955-4508
[email protected]Stephanie Mackowiak, RN, Esq.
高级法律顾问兼副首席合规官
410-955-8577
[email protected]Kimberley Droboniku
Director of Compliance Education
410-502-5614
[email protected]Mark Gibbs
Compliance Systems Architect Manager
443-287-0410
[email protected]Janice Taft
Associate Compliance Program Manager
410-614-6693, 410-614-2326
[email protected]Megan Zinn
Business Analyst II
443-287-4243
[email protected]The Johns Hopkins Hospital
Ashley Ambrose
Senior Compliance Program Manager
410-955-7151
[email protected]Johns Hopkins Bayview Medical Center
Yvonne Bradle, MPA
Senior Compliance Program Manager
410-550-5262
[email protected]Johns Hopkins Howard County Medical Center
Regina Holmes
Compliance Program Manager
410-502-7780
[email protected]Johns Hopkins All Children's Hospital
Jenny Tarsha, RN, MSHCA
Director of Corporate Compliance
727-767-4507
[email protected]Johns Hopkins Health Plans
John Wells
Executive Director of Compliance JHHP
410-424-4400
[email protected]Mary Donnelly, RN, CFE, CPC
公司合规性高级主管-医疗保险优势
410-424-4855
[email protected]Amanda Walter
USFHP公司合规- ehp助理主任 & Priority Partners
410-424-4700
[email protected]Johns Hopkins Home Care Group
Melissa Kaufman, CHC, MBA
Director of Corporate Compliance
410-288-8154 or 443-386-6198
[email protected]Sibley Memorial Hospital
Jonathan Martin, JD, CHC
Compliance Program Manager
202-660-6802 (Sibley Memorial)
410-614-1787 (Baltimore)
[email protected]Suburban Hospital
Alice M. Elford
Compliance Program Manager
301-896-2669 (Suburban Hospital)
410-614-6560 (Baltimore)
[email protected]