Continue Care has adopted a formal Corporate Compliance Program to monitor and enforce compliance with federal, state and local laws and regulations. The purpose of our Compliance Program is to promote honest and ethical behavior and to prevent, detect, and correct any improper and/or illegal conduct in the day-to-day activities and overall operations of our organization.
The Board of Directors and company leaders have embraced the principle of “zero tolerance” when dealing with fraud, abuse and waste. Proper conduct is expected of each representative, at all times, when conducting business and performing services on behalf of the Company. Additionally, we will not employ or contract with individuals or companies that have been debarred, excluded or have otherwise become ineligible for participation in federally funded healthcare programs.
Each Company representative, regardless of status or position, is responsible for adhering to the Compliance Plan and the company’s Code of Conduct. Compliance training is required, initially and on an ongoing basis, for all individuals working on behalf of the organization.
If any person has concerns about the integrity of the services we deliver, claims generated and/or billing processes, it is his/her obligation to bring these matters to the attention of local supervisor(s) and/or the Company’s Compliance Officer. The Company will not discriminate nor retaliate against any person who, in good faith, reports a compliance problem, raises a compliance concern, or seeks compliance guidance.
The Company has established a confidential Corporate Compliance Hotline (1-800-391-5582) and a secure email address listed below which can be utilized to ask questions or report any compliance concerns. The Compliance Officer, in accordance with the authority granted by the Company’s Board of Directors, ensures that appropriate action, including disciplinary action (up to and including termination of employment), is taken with respect to any confirmed area of noncompliance.
The Company cannot detect or correct problems if we do not know about them. Should you have any compliance questions, concerns or wish to report a compliance issue, please contact the Compliance Officer at:
HIPAA: Health Information Privacy and Security
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and its regulations (the “Privacy Rule” and the “Security Rule”) protect the privacy of an individual’s health information and govern the way certain health care providers and benefits plans collect, maintain, use and disclose protected health information (“PHI”).
The goal of the HIPAA Act is to assure that individual’s health information is properly protected while allowing the flow of health information needed to provide and promote high-quality health care and to protect the public’s health and well-being. HIPAA strikes a balance that permits important uses of information, while protecting each individual’s privacy when receiving medical care.
The Privacy Rule makes sure that individuals’ health information is properly protected and The Security Rule protects patient information that is created, maintained, received or transmitted electronically (by computer).
HIPAA states that all personal health information should be protected. This includes information that is verbal, written, or handled by computers. Health information is any information about a person’s physical or mental health. Financial information, such as how medical care is paid for, is also protected. Any medical record information is private. Any information that personally identifies a person must also be protected.