Quality/Compliance

Compliance Hotline  (315) 338-4095

LIFEPlan CCO NY has established a Compliance Hotline intended to supplement normal administrative channels, such as QA or Human Resources. For routine compliance concerns, attempt to speak to your  Care Manager or the Care Manager Supervisors.  Any concerns regarding improper or unethical activity such as violations of professional standards of practice or business ethics, breach of member privacy or confidentiality, information system security breach, inaccurate billing, or conflicts of interest should be reported. This list does not include all the possible violations that should be reported to the Compliance Department but provides examples of the different type of things that the Compliance Office would like to hear about. Information provided to the hotline is treated as confidential to the extent permitted by law. The Compliance hotline phone number 315-338-4095 is a dedicated voice mailbox accessible only by Compliance staff.


Compliance Statement

LIFEPlan CCO NY is dedicated to providing services in compliance with all State and Federal laws governing its operations and consistent with the highest standards of business and professional ethics.

LIFEPlan staff, contractors, vendors and are responsible for understanding and complying with the Company’s Compliance Program, meeting all regulatory requirements, reporting all known or suspected violations of fraud or abuse, and assisting in the resolution of compliance issues. Failure to perform these duties is a violation in itself.

Examples of Compliance violations that would need to be reported include, but are not limited to, the following:

· Disclosing or using confidential information regarding the Company, staff or Members.

· Billing for services that were not provided.

· Falsifying Company financial documentation.

· Accepting a bribe from a vendor or contractor for Member referrals.

· Falsifying Member documentation(Life Plans, Progress notes, monthly summaries) to justify payment.

· Documenting & billing for services provided by another staff person.

Compliance with False Claims Laws

All staff of LIFEPlan have a responsibility to report concerns about any real or potential non-compliance with applicable federal, state, or local laws, and LIFEPlan policies and procedures. Federal and State False Claims laws extensively regulate healthcare activities to prevent fraud and abuse. As part of LIFEPlan’s Compliance Program, staff will receive training about these regulations, which are summarized below. Staff who have questions about the application of these laws should consult with their immediate supervisor or the Compliance Officer