Integrity Standards Handbook - Penrose-St. Francis

Table of ContentsA Message for Centura Health Workforce....................................................................................3Introduction to Centura Health’s Corporate Responsibility Program ...........................................5Integrity Standards.......................................................................................................................6INTEGRITY STANDARD 1: FOSTER AN ETHICAL CULTURE...............................................6Honest Communication................................................................................................................6Cooperation With Governmental Agencies ..................................................................................6Credentials/Provider Qualifications .............................................................................................8Exit Interviews.............................................................................................................................9INTEGRITY STANDARD 2: PROTECT OUR ASSETS...............................................................9Internal Controls..........................................................................................................................9Centura Assets and Financial Information...................................................................................9Cost Reports ..............................................................................................................................10Record Retention.......................................................................................................................10INTEGRITY STANDARD 3: ADHERE TO REGULATORY COMPLIANCE............................10Compliance with Laws and Regulations ....................................................................................10Anti-Kickback and Anti-Competition (Antitrust).......................................................................11Documentation Standards ..........................................................................................................12Emergency Medical Treatment and Active Labor Act (EMTALA) .............................................12Fraud, Abuse or False Claims/Billing and Coding Accuracy.....................................................13Physician Contracting................................................................................................................15Tax Exempt Status .....................................................................................................................16Medicare, Medicaid And Other Governmental Payers Compliance ...........................................16Employment Laws......................................................................................................................17Environmental Laws/Safety, Health and Protection ...................................................................17Drug-Free Workplace.................................................................................................................17Staff Rights ................................................................................................................................17INTEGRITY STANDARD 4: AVOID CONFLICTS OF INTEREST ...........................................18Gifts From And/Or To Business Sources....................................................................................18Contractor Relations ..................................................................................................................19Outside Employment and Business Activity/Consulting ............................................................21Participation on Outside Boards of Directors/Trustees...............................................................22Political Activities and Governmental Interaction .....................................................................221