Compliance: Fraud, Waste and Abuse Reporting, Royal Care, Certified.
At Royal Care CHHA, we are dedicated to upholding the highest standards of healthcare compliance. Our commitment extends not only to providing exceptional medical care but also fostering an environment of trust, transparency and accountability.
To support this, we have established a confidential Reporting Hotline. If you are aware of any compliance concerns, misconduct, or ethical issues, including instances of Fraud, Waste or Abuse, we encourage you to report them. Your anonymity is assured, and your input is invaluable in helping us maintain our high standards.
We want you to feel secure when reporting any concerns. We strictly prohibit intimidation or retaliation against anyone who reports a compliance issue in good faith. Your courage in coming forward helps us uphold our commitment to integrity and accountability.
For compliance issues or concerns regarding Royal Care Certified:
Our Compliance Hotline is 631-230-6622 or you may email complianceofficer@royalcertified.nyc
Information for Vendors, Partners and Third Parties
Dear Valued Partner,
At Royal Care Certified Home Health Care Agency (CHHA), we believe that fostering a spirit of collaboration and compliance strengthens our shared mission of providing exceptional care to those in need.
This guide outlines the compliance expectations and obligations for vendors who do business with Royal Care Certified Home Health Care Agency (Royal Care CHHA) a Medicare and Medicaid participating provider. Our goal is to ensure that all vendors understand and comply with applicable federal, state, and contractual requirements, particularly in relation to patient privacy, billing integrity, and program participation.
Compliance Program Overview
We maintain a formal Compliance Program that aligns with federal regulations and guidance from the Office of the Medicaid Inspector General (OMIG). As a vendor, you are expected to adhere to the standards described in our: Code of Conduct, Policies and Procedures, HIPAA Privacy and Security requirements.
Annual Requirements
To ensure a smooth partnership, we require all vendors to:
Review and acknowledge the Code of Conduct annually.
Certify that you are not excludedfrom participating in federal healthcare programs (OIG and SAM exclusion screening).
Maintain up-to-date insurance, licensure, and registration as required by law or contract.
Participate in compliance attestations or surveys, when requested
HIPAA & Confidentiality
If you handle, transmit, or have access to Protected Health Information (PHI), you are required to:
Enter into a Business Associate Agreement (BAA).
Implement safeguards in line with the HIPAA Security and Privacy Rules.
Report any suspected privacy breach or security incident immediately.
Fraud, Waste, and Abuse (FWA) Prevention
We all play a role in preventing FWA. We expect that our Vendors to:
Accurately bill and document services or deliverables.
Report any suspected FWA to the Compliance Officer or via the Compliance Hotline.
Cooperate fully with internal or external audits or investigations.
Reporting Concerns
If you observe a potential compliance issue or unethical behavior, please do not hesitate to speak up. Here is how you can report your concerns:
Speak with your point of contact at Royal Care CHHA
Contact our Compliance Officer at complianceofficer@royalcertified.nyc
Report anonymously to our Compliance Hotline: 1-631-230-6622
Remember, your good-faith reporting is always welcome and will be protected from any retaliation.
Acknowledgment
As part of your agreement with Royal Care CHHA, your organization is expected to review this guide and comply with its provisions. A signed acknowledgment form may be required as part of onboarding or annual review.
Thank you for being such a vial part of the Royal Care CHHA family. If you have any questions, need clarification, please reach out to the Compliance Office. Together we can continue to create a culture of compliance that reflects our shared values and commitment to excellence.