Med-Net Compliance Program: Tools & Resources

Med-Net facilitates Compliance and Ethics Committee meetings to develop, implement, and evaluate the Program periodically throughout the year. The Program Compliance Resource Bundle includes all materials needed to facilitate the meetings, as well as to review and analyze risk exposures and vulnerabilities through a compliance lens. The Program culminates each year with the completion of a comprehensive self-assessment, which includes all requirements set forth by the United States Sentencing Guidelines for organizations, Office of Inspector General, Centers for Medicare & Medicaid Services, Department of Justice, state Medicaid Fraud Control Units, and state Departments of Health for an effective compliance and ethics program.

Access to Med-Net’s e-learning platform, Med-Net Academy, which contains the core annual staff compliance courses listed below, along with additional courses covering topics from fraud, waste, abuse, privacy, safety, human resources, and more.

• Understanding the Elements of a Compliance and Ethics Program and Code of Conduct
• Privacy and Data Security Compliance
• Harassment and Discrimination in the Workplace
• Preventing Sexual Harassment in the Workplace

The Compliance Officer Boot Camp is a feature of the Med-Net Compliance and Ethics Program and is part of Med-Net’s Compliance and Ethics Officer Training Path. The Compliance Officer Boot Camp focuses on the integration of federal and state regulatory requirements applied to the long-term post-acute care sector and defined in the Med-Net Compliance and Ethics Program. The Boot Camp curriculum includes four components applicable to compliance and ethics program management:

• Compliance and Ethics Overview
• The Seven Elements of an Effective Compliance Program
• Program Features and Benefits
• Operationalizing Policies and Procedures

Med-Net facilitates clients’ mandated Governing Body meetings periodically to evaluate the effectiveness of the Compliance and Ethics Program. Med-Net also facilitates the coordination of the Governing Body’s agenda to include Program operational and compliance metrics; compliance discussions; and reports, minutes, and action plans. Concerns related to facility participation, if any exist, are raised during these meeting.

Telephone and email support are provided by Med-Net to clients’ compliance and ethics officer, Compliance and Ethics Committee, Governing Body, and facility management, with respect to the Compliance and Ethics Program.

An anonymous, toll-free compliance and ethics Hotline is provided and managed by Med-Net on behalf of employees, residents, and families. Reports are provided to the compliance and ethics officer and administrator for client’s own internal investigations.

Med-Net’s medical record request review service facilitates and supports clients in their effort to satisfy statutory and regulatory requirements as enforced by federal and state regulatory authorities, and to reduce potential HIPAA privacy breaches, fines, and penalties involving medical record request reviews.

Med-Net provides its electronic, interactive Compliance and Ethics Policy and Procedure Manual for implementation by the Compliance and Ethics Committee and the compliance and ethics officer.

Med-Net’s Rapid Response Program offers clients a real-time triage to address Critical Events, and constitutes a good faith effort to minimize and mitigate risk to the facility.

Med-Net provides the Compliance and Ethics Committee with periodic service reports that include metrics and narratives regarding facility participation, resources provided, and completed tasks and meetings.