Government Investigations Policy for Hospitals and Health Systems

Provide your health system clients with a form policy and procedure document addressing both formal and informal government requests (e.g., from law enforcement). Ensure your clients and their workforce members comply with requests from government entities, including law enforcement agencies. Outline procedures for responding to both formal and informal requests. Ensure compliance while safeguarding patient privacy rights.

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Related Content

• Policy on Policies (Hospitals and Health Systems)
  Use this template policy and procedure document as the foundation of your healthcare clients’ policy management systems. Establish a process for managing the life cycle of policies—including ownership, drafting, approval, version control, and storage—and to ensure your clients maintain well-developed and understandable policies and procedures.
• Financial Assistance Policy Compliance Checklist (Hospitals and Health Systems)
  Assist tax-exempt, nonprofit hospitals and health systems in preparing their financial assistance programs. Comply with I.R.C. § 501(r)(4) which requires that nonprofit hospitals and healthcare facilities establish a financial assistance policy (FAP) for emergency and other medically necessary care to support patients who are unable to pay for that care. Ensure that financial constraints do not prevent patients from receiving necessary medical services via this checklist, which provides clear guidance on the development, implementation, and monitoring of an organization’s FAP.
• Healthcare State Law Comparison Tool—Healthcare Fraud and Abuse Laws Topic
  Compare state and federal healthcare fraud and abuse laws using Practical Guidance’s State Law Comparison Tool. Review how different jurisdictions define and apply laws on false claims, kickbacks, and physician self-referrals.

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