The compliance program helps make sure that Broward Health follows the rules set by the government. These rules are in place to prevent things like fraud, unfair payments or other illegal acts.
Below are some important rules that we must follow.
It is illegal to give or receive gifts, money, or other rewards in exchange for business or for referring patients to a particular doctor or hospital. This is important to make sure that medical decisions are based on what is best for the patient, not because the provider will receive a gift or payment.
No one should try to influence a patient’s choice of doctor or hospital by offering them a gift.
Healthcare entities must be honest when it comes to government grants, contracts, or other agreements. If someone lies or hides information, they can be punished.
Individuals or companies can be banned from receiving payments from federal health care programs if they have done something seriously wrong, such as submitting fraudulent claims.
This rule allows the government to take back money if someone tries to submit a claim for a payment they don’t deserve, such as when a doctor or hospital sends a bill for a service that wasn’t really provided. Providers must be careful to only send true and correct bills to the government.
This rule requires doctors and hospitals to share patient information when they need to. It stops anyone from preventing the release of information if it is needed for the patient’s care.
No workforce member shall be disciplined or suffer any adverse employment action or other retaliation by Broward Health solely for making a compliance report in good faith where there has been a known or suspected compliance violation. However, discipline may be imposed if Broward Health reasonably determines that any complaint or report was knowingly fabricated or knowingly exaggerated, distorted or minimized so as to injure another or protect the reporting party or others who might be subject to discipline for a compliance violation.
This is not an exhaustive list Corrective actions may include:
Doctors may not send patients to receive care or treatment from a company they own or their family member owns, unless there is a good reason. This is to make sure that treatment decisions are made based only on what is best for the patient, not so a provider or their family member will benefit financially.