Provider Manual

Corporate Compliance

The Corporate Compliance Office is charged with developing and managing the Compliance Program for KCMHSAS and its provider network.  

The primary roles of the office are:

 

  • To ensure KCMHSAS has a functional Compliance Program that meets all federally mandated essential elements and that regulatory and statutory compliance is adhered to across the provider network.
  • To ensure KCMHSAS maintains a comprehensive risk management system that monitors key functions across the provider network, identifies potential risk areas, provides recommendations and solutions for remediation, and monitors the system for systemic compliance and risk management concerns.  

 

 

The office is also available to assist anyone wanting to report alleged Fraud, Waste and Abuse in the Medicare/Medicaid system.  Reporting can be made in various ways.  Employees have a duty to report concerns, compliance is everyone’s responsibility.

 

FAQ
Q.
  What is the Corporate Compliance Hotline?
A.  You may report alleged fraud 24 hours a day, seven days a week by telephone at (866) 939-4823 or during business hours (269) 364-6986.  You may also send an email to compliance@kazoocmh.org.  Click here for a posting for your organization.

 

Q.  Who can file a report?
A.  Anyone who believes or has evidence that fraud, waste, or abuse to KCMHSAS may have occurred or is occurring should file a report.

Q.  May I remain anonymous?
A.  Yes, you may remain anonymous. The Compliance Office strictly honors confidentiality and will not reveal the identity of any informant or source of information without the informant's authorization or by order of a court of law.

Q.  What can be reported?
A.  Any kind of fraud or misconduct can be reported related to Medicare/Medicaid funding. You may report any employee, contractor, or vendor who may be committing fraud, or any practice or act you observe that results in the abuse or waste of Medicare/Medicaid resources.  

Q.  What information should I provide when filing a report?
A.  When reporting suspected fraud, please provide as much information and detail as possible, including who, what, when, where, why, and how.

 
In general, please provide the name of the person(s) involved; explain what is happening and where and when the fraud occurred.  Provide as much information as possible.  If you are aware of misconduct, any information you have is helpful.  If you have documents available, please provide them.

Q.  When I call the hotline, am I being recorded?
A.  No. We do not record calls made to the hotline.

 

KCMHSAS Policy
Corporate Compliance -- Complaint and Investigation Process

 

 

 

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