Code of Conduct & Annual Training
Posted on November 23, 2015
Code of Conduct
It is Health New England’s policy to conduct its business in compliance with all applicable federal and state laws and regulations and to assure that HNE operates in a manner consistent with the letter and the spirit of the laws. HNE expects Covered Individuals to adhere to this Code of Conduct when conducting business on behalf of HNE and its subsidiaries. (Refer to the HNE Code of Conduct, Section E, for definitions of Covered Individuals.)
The full statement of our Code of Conduct is posted to the hne.com Compliance page: www.healthnewengland.com/quality/compliance.html
Reporting Concerns
All covered individuals are required to promptly report potential compliance or Fraud, Waste, or Abuse (FWA) issues of which they have knowledge or a good faith belief.
a) Call the HNE Compliance Hotline at (800) 453-3959 (available 24/7, toll-free; reports can be made anonymously)
b) Potential fraud may also be reported directly to the Department of Health and Human Services (HHS) Office of Inspector General (OIG) Hotline.
Contacting the HHS OIG Hotline
Phone: (800) HHS-TIPS or (800)-447-8477 Fax: (800) 223-8164
E-Mail: HHSTips@oig.hhs.gov
Web Site: http://oig.hhs.gov/fraud/report-fraud/index.asp
TTY: (800) 377-4950
Mail: US Department of Health and Human Services
Office of Inspector General
Attn: OIG HOTLINE OPERATORS
Washington, DC 20026
Annual Training Requirement
FDRs who have not met the FWA certification requirements through enrollment into the Medicare program or accreditation as a DMEPOS must certify that they have taken the CMS-developed or comparable training in 2015. As of January 1, 2016 CMS will only accept the general compliance and FWA training located on the CMS Medicare Learning Network (MLN). Go to the MLN Provider Compliance page for the CMS-developed training: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance.html
