Standards of Conduct Training today will give you talking

points You need to read through the book

and get comfortable with the information

This replaces two page Standard Acknowledgement must be signed

and sent to HR when all meetings complete

Standards of Conduct Purpose – All MHCC Board memebers,

employees, physicians, volunteers, contractors following the same guidelines

Governing board supports Leadership must support and lead by

example Standards are the outward/public sign of

BRMC compliance to legal and ethical behavior

Standards of Conduct

Education the most critical element of the compliance program

Standards do not address all the complexity of the issues, rules and regulations

Outlines what’s expected of all who have dealings with us

Standards of Conduct A Commitment to Providing Patient

Care Document all care and services given Individual professionalism – being

responsible for your actions and taking pride in your work

Effective communication – using plain language, making eye contact, using proper phone etiquette, smiling and greeting patients and family members

Exceeding the expectations of patients, patient family members, and co-workers

Standards of Conduct

A Commitment to Our Community You are identified with BRMC when in

public DO nothing to embarrass yourself or

BRMC

Standards of Conduct A Commitment to Environmental Health and

Safety Follow all governing rules and regulations, i.e.OSHA,

FDA. CDC, etc. A Commitment to Environmental Health and Safety Workforce members will: • Wear appropriately displayed name badges at all

times and be familiar with others that work in their areas

• Report suspicious persons or situations immediately

• Remain calm, listen, and diffuse verbally hostile situations

Standards of Conduct A Commitment to Proper Employment Practices McLaren Health Care takes reasonable precautions to

ensure the work environment is free of discrimination or harassment

To maintain public trust, Employees may not solicit or accept anything of more

than de minimus value, including a loan, reward, material or property, from a patient or a patient’s family, visitor, contractor, supplier or competitor.

Employees may not use their employment, or any information received through MHC, to obtain financial gain (direct or indirect) for themselves, a member of their family or a business with which they or a member of their family, is associated.

Standards of Conduct A Commitment to Ethical Business

Conduct Outside employment or business activities

must be limited to off-work time Report any situation that may be

considered a conflict of interest Staff and physicians may not share pricing

information, internal reports, communications, procedure schedules

Honest, accurate, and complete reporting of financial transactions

Standards of Conduct A Commitment to MHC Assets and Financial

Transactions Honest, accurate, and complete reporting of financial

transactions • Appropriately representing productivity

• Accurately recording travel expenses and mileage

• Securing money, equipment, or supplies from theft

• Complying with business expense reimbursement policies

Standards of Conduct A Commitment to Accurate Coding and Billing

Transactions Providing and billing only for services that were reasonable

and necessary Billing for services at levels that are supported by medical

record documentation Waiving of co-pays or deductibles only in accordance with

policy and procedure Bundling or unbundling charges appropriately Attempting to collect outstanding balances from a Medicare

or Medicaid patients only when Advance Beneficiary Notices were provided prior to service

Preventing duplicate billing Ensuring the accuracy of diagnostic and procedure codes

Standards of Conduct A Commitment to Physician Relations The organization will maintain

positive working relationships and respect the legal rights of physicians.

provides a uniformly-applied privileging process

teaching facilities and practices to assist in advancing the field of medicine.

Standards of Conduct A Commitment to Confidentiality and Electronic Security Right to confidential communication of PHI

Right to receive a notice of uses/disclosures of PHI

Right to access or receive a copy of their medical records

Right to request a restriction to how PHI is used

Right to request changes (amendments) to their records

Right to receive a listing (accounting of disclosures) if requested the same safeguards used to protect confidential patient

information should be used to protect our business and financial information.

Standards of Conduct A Commitment to Laws and

Regulations Anti-Kickback Stark Laws (Physician Self-Referral

Law) Federal False Claims Act State False Claims Act EMTALA (Emergency Medical

Treatment and Active Labor Act)

Standards of Conduct

A Commitment to Ongoing Monitoring The MHC and BRMC compliance

program BRMC Hot Line 989-894-3945 BRMC Privacy Line 989-894-3970 BRMC Compliance Officer 989-894-

3849