Page 21 - CARF - Section 1

THE CCO SHALL INITIATE AND CONDUCT INVESTIGATIONS OF ALL REPORTED ALLEGED INCIDENTS.
a. The Corporate Compliance Officer will make one of three possible findings: Founded: The suspected violation of the Code of Conduct was found to have occurred.
b. Unfounded: The suspected violation of the Code of Conduct was found not to have occurred.
c. Undetermined: It cannot be determined whether or not a violation of the Code of Conduct has occurred
9. If remedial action is deemed necessary, the affected staff member will be notified, prior to the initiation of the action, and informed of the concerns regarding his/her performance.
10. Should the organization initiate corrective or disciplinary action, it will do so in accordance with existing and applicable personnel policies.
11. Education and training will serve as the core of the Light of Truth Center, Inc. prevention efforts to ensure minimal violations of law, ethics, and code of conduct.
CORPORATE COMPLIANCE FOR LEIE
1. Mandatory Exclusions are where the OIG is required by law to exclude participation in Federal
programs. Examples of mandatory exclusion grounds include the following reasons: a.Various types of criminal offense felony convictions,
b. Fraud
c.Financial misconduct
d. Patient abuse or neglect,
e.Unlawful kickback arrangements,
f. Defaulting on education or scholarship obligations.
2. Permissive Exclusions are when the OIG uses it own discretion to exclude individuals and entities based on the following reasons:
a.Misdemeanor convictions of various types,
b. Fraud,
c.Financial misconduct,
d. Licensure, credentialing, or professional competence issues, e.Unlawful kickback arrangements,
f. Defaulting on education or scholarship obligations, and
g. Controlling a sanctioned entity.
3. Self-Disclosure Information:
a. Office of Inspector General (OIG) has several self-disclosure processes that can be used to report potential fraud in Department of Health and Human Services (HHS) programs.
RESPONSIBILITY
Executive Director
Compliance Officer
RELEVANT DOCUMENTATION Policy and Procedure Manual Effective Date
March 2017