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Commitment to Excellent Corporate Citizenship
UATN/UAHC is committed to maintaining the highest level of professional and ethical standards in the conduct of its business. The Company places the highest importance upon its reputation for honesty, integrity and high ethical standards through the implementation of the UATN/UAHC Compliance Program. The Compliance Program shall be applicable to all staff and independent contractors whose functions and responsibilities involve compliance, and are subject to the laws and regulations of the United States, the State of Tennessee, and UATN/UAHC policies, procedures and standards of conduct.
These standards can only be achieved and sustained through the actions and conduct of all personnel of the Company. All employees of UATN/UAHC are obligated to conduct themselves in a manner that ensures the maintenance of these standards. UATN/UAHC will promote compliance through the continuous utilization of education, communication, monitoring and corrective action. The primary objectives of the Compliance Program are to:
- Generate written standards of conduct, policies and procedures for all staff
and independent contractors.
- Appoint a compliance/privacy officer and other designated personnel, who
are authorized to oversee that UATN/UAHC’s operations comply with the written standards of conduct, policies and procedures; and to ensure that the Compliance Program functions properly.
- Facilitate continuing education and training programs on corporate
compliance.
- Promote effective lines of communication between the compliance
manager, management, staff and independent contractors that will encourage constant adherence to the Compliance Program.
- Implement regular monitoring and auditing procedures that will proactively
identify and reduce issues in problematic areas; and identify any activity that does not comply with the standards of conduct, policies and procedures.
- Formulate standards and implement processes to report, detect and
investigate any activities that do not comply with the Compliance Program.
- Develop corrective action plans that will enforce disciplinary processes that
are appropriate, efficient and timely for management, staff and independent contractors who do not comply with the Compliance Program.
- Handle inquiries by employees, subcontractors or other individuals regarding
any aspect of compliance.
- Investigate any information or allegation concerning possible unethical or
improper business practices and recommend corrective action when necessary.
- Provide guidance and interpretation to the board of directors, the chief
executive officer and company personnel on matters related to the Compliance Program.
- Plan and oversee, in conjunction with the operations auditor, regular, periodic
audits of the Company’s operations in order to identify and rectify any possible barriers to the efficacy of the Compliance Program.
- Ensure that independent contractors and agents who furnish medical services
to the Company are aware of the Company’s Compliance Program including, without limitation, its policies with respect to the specific areas of documentation, coding, billing and competitive practices.
- Work with the Board of Directors, Corporate Compliance Committee, chief
executive officer, chief financial officer, director of operations and other members of senior management in the preparation, development, oversight and the implementation of written guidelines on specific federal and state legal and regulatory issues as well as matters involving ethical and legal business practices applicable to the Company.
- Prepare an annual report to the board of directors, Corporate Compliance
Committee and the chief executive officer concerning the compliance activities and actions undertaken during the preceding year, the proposed Compliance Program for the next year, and any recommendations for changes in the Compliance Program.
- Track applicable laws and regulations in the jurisdictions where UATN/UAHC
conducts business.
- Ensure that UATN/UAHC complies with applicable laws and regulations.
Click here to download the Corporate Compliance Document (PDF 219KB).
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All logos and trademarks in this site are property of their respective owner. The comments are property of their
posters, all the rest © 2007 by UAHC Health Plan of Tennessee
View the UAHC Health Plan of Tennessee:
Privacy Statement, Legal Disclaimer, and Financial Incentive Statement.
*Assurance of Non-Discrimination: No person on the grounds of handicap, and/or disability, race, color, national origin, sex, age, religion,
marital status or veteran’s status shall be excluded from participation in, be denied the benefits of, or be subjected to discrimination
under any program or service by UAHC Health Plan. |
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