Does the medical claim submitted by the billing company for payment match the documentation in the medical chart at Dimock? Are Dimock’s Boards of Directors aware of what is considered a conflict of interest as they serve their terms as members? Is Dimock adhering to the regulatory guidelines from State and Federal agencies like DPH; HIPAA; OSHA, and grants? Do Dimock staff have someone they can talk to if they think fraud may be occurring within our established billing or other procedures?
To monitor these practices, Dimock created a new program called Compliance, which is being implemented by the Compliance Committee. The main goal for this program is to reduce the risk that we are billing incorrectly, or incorrectly documenting the services we are billing for. Another goal is to improve our systems to be able to identify and detect poor billing practices, or actual fraud. These risks can be managed by chart audits and other reviews of our practices, and by educating staff about proper Coding procedures. By monitoring compliance of the billing process, and by working to adhere to state and federal regulations, Dimock can be sure it meets its regulatory obligations, and practices within the law.
• Confidentially by phone: COMPLIANCE HOTLINE 617-442-8800 x. 1485
• Contacting the Chief Quality Assurance and Compliance Officer directly – 617 442-8800 x. 1481
• Email: firstname.lastname@example.org
• By writing:
The Dimock Center
55 Dimock Street
Roxbury, MA 02119
The telephone reporting system is not intended to respond to routine questions that can be answered by a supervisor or manager.