Our Corporate Compliance Plan has been developed in accordance with applicable law and policies issued by state and federal authorities. We are committed to providing high quality care and services. Our team of caregivers are trained to handle a variety of medical conditions and are equipped with the skills and knowledge to provide compassionate care and assistance. Our first responsibility is to our clients and their families.
A key element of Family First Homecare Compliance Program is our Code of Conduct and Ethics, which serves as the foundation of our Compliance Program. The Code of Conduct and Ethics is derived from our mission and guiding principles, and affirms the values and professional standards that already exist among our employees and colleagues.
We are committed to maintaining high standards of business and professional integrity. We will provide patient care and conduct business in accordance with all applicable laws, regulations, and policies.
Family First Homecare have already adopted numerous policies and procedures to provide the best care possible to our clients and to ensure that operations are conducted in accordance with law. The Homecare Administrator and the Chief Executive Officer will also coordinate the development of specific policies designed to address record keeping, contracting, billing, reimbursement and care assistant issues as well. Family First Homecare policies and procedures will be regularly reviewed to assess their effectiveness. When appropriate or required, the Homecare Administrator will direct revisions to these policies and procedures to correct errors, to make operations more efficient, or to improve the quality of care provided to our patients.
Family First Homecare recognizes the need to monitor and audit its operations to determine the effectiveness of the policy and procedure implementation and the company’s overall compliance with applicable law. The Homecare Administrator will supervise all auditing systems, conducting periodic and annual audits of its employees. Audit procedures will be implemented which are designed to determine accuracy and validity of coding and billing submitted to Medicaid and other federal health programs, to ensure compliance with Medicaid Conditions of Participation, and to detect other instances of potential noncompliance by Family First Homecare employees as quickly as possible. Auditing techniques will include on-site visits, mock surveys, sampling reviews of claim submissions, and interviews of key personnel. Each audit will generate a Compliance Report, which shall be forwarded to the CEO for review and action.
Each and every employee of Family First Homecare is required to report all instances of suspected misconduct or potential violations of law to the Homecare Administrator. Employees may also report potential compliance issues to the Homecare Administrator or Supervisor. Family First Homecare will review all reports received and will conduct an appropriate investigation into all instances of claimed misconduct or noncompliance. Family First Homecare employees are required, when requested, to assist the Homecare Administrator in these investigations. At the conclusion of an investigation, the Homecare Administrator, in conjunction with Family First Homecare legal counsel, will implement corrective action initiatives and, where required, make the appropriate disclosures to governmental agencies. It is important to emphasize that Family First Homecare will not tolerate retaliation against employees or agents who report suspected abuse in good faith, nor will Family First Homecare allow abuse of its reporting processes.
HIPAA stands for Health Insurance Portability and Accountability Act. It provides data privacy and security provisions for safeguarding medical information. You are responsible for two key regulations: the Privacy Rule and the Security Rule.
The Privacy Rule protect the privacy of all protected health information, or PHI as it’s call for short, regardless of how it is stored or transmitted.
The Security Rule deals specifically with standard for protecting electronic copies of PHI, called ePHI. The include databases, computer files, email messages, and websites.
Home Care Pulse caregiver compliance training tailored to state's requirements. Going beyond compliance with ongoing caregiver training, role-specific training, and soft skills training. Specialist training in Alzheimer’s and dementia care, infection control, behavioral healthcare, preventing readmissions, restorative care, and palliative care. Provide Spanish, Russian, and Mandarin-speaking care staff with courses customized to their unique needs, learning goals.
We shall promote the preparation and maintenance of timely and accurate patient records, and billing for rendered services as documented in a patient’s medical records. We will promote the correct coding and billing for services as provided and documented in a patient’s medical record. We will ensure that claims submitted for payment are properly coded, documented, and billed in accordance with all applicable laws and regulations. We will not knowingly submit, or cause to be submitted, for payment or reimbursement a claim that we know to be false, fraudulent, or fictitious. We will promote the periodic review of bills, reimbursement, and medical records to ensure compliance with applicable billing, coding, and documentation requirements.
We will respond to all questions and complaints related to a patient’s bill in a direct, truthful, and timely manner.
We are available 24/7 to provide support and care to our clients. Our caregivers are always just a phone call away, and we are committed to providing prompt and reliable services. Our office can be reached at (701) 354-3355, 24 hours a day.