CMS regulations require Medicare Shared Savings Program (MSSP) ACO’s like IHANY to have a compliance plan that meets certain minimum elements as specified in §425.300 Compliance Plan of the MSSP regulations, as well as compliance policies. For detailed information about IHANY’s compliance plan and policies, please click below.
IHANY Compliance Policies
- ACO Code of Conduct
- Avoidance of At Risk Beneficiaries
- Beneficiary Notifications
- Compliance Reporting System
- Compliance Training
- Data Submission and Quality Reporting
- FWA False Claims Statutes
- Marketing Materials
- Prohibited Referrals and Arrangements
- Public Reporting Requirements
IHANY promotes an environment that encourages all Participants to seek answers to questions and report issues and concerns. Participants are expected to report, in good faith, any actual or suspected fraud, waste, and abuse, violations of law, regulation, professional standards or IHANY policies. Participants may choose one or more of the following methods for reporting:
- Participant Organization Management: Participants are encouraged, but not required, to report compliance matters directly to their direct supervisor, to other management of their organization, or to their own organization’s compliance officer;
- IHANY Compliance Officer: Participants may at any time report compliance matters directly to IHANY’s Compliance Officer, Jacqueline George.
Compliance Hotline: IHANY has established a Compliance Hotline that is available to all Participants to confidentially report any issues or concerns or to seek advice or clarification on compliance and other issues. You have the option to remain anonymous when reporting if you so choose. The Compliance Hotline is available 24 hours a day, 365 days a year and is supported by an outside organization. You may file a report via telephone at 1-866-477-4661 or online at www.mycompliancereport.com. When prompted for an access ID, individuals should use THO.