Compliance
ACO Compliance Program
Partnership in Health ACO has an effective Compliance Program designed to prevent, detect, and correct noncompliance, including fraud, waste and abuse. The Compliance Program applies to ACO employees, contractors, providers/suppliers, professionals and participants. It promotes an ethical, service-oriented organizational culture and encourages doing the right thing. It reflects ACO governing body and senior management confidence that the ACO can succeed and prosper in a competitive health care environment by practices that are consistent with the spirit and intent of the ACO’s mission, vision and values.
Compliance Officer
Partnership in Health ACO has designated a Compliance Officer who is responsible for the Compliance Program and has oversight authority over the Compliance Committee. The Compliance Officer will:
- Oversee and monitor implementation of the Compliance Program
- Review the program to ensure relevance and compliance with current Federal laws
- Ensure the components of the Compliance Program are implemented to reduce fraud, waste and abuse
- Take corrective action and document compliance issues as necessary
- Encourage reporting of suspected fraud, waste, abuse or mismanagement (without fear of retaliation) through training and other means of communication
- Notify employees of applicable regulations, procedures and guidelines
Compliance Reporting
Partnership in Health ACO has established a compliance hotline that is available to all employees or contractors of the ACO, ACO Participants, ACO providers/suppliers and anyone else performing functions or services related to ACO activities to report suspected problems related to the ACO. All reports go directly to the ACO Compliance Officer. Callers may remain anonymous.
Report any violations or get more information by contacting the ActionLine:
Online: CommuniCareActionLine.ethicspoint.com
By Phone: 1-800-238-1770
It’s confidential, easy to use and always available.
Compliance Plan
Please review a copy of our Compliance Plan here.