Corporate Policies

Policies and procedures are the cornerstone of an effective compliance program. At Baptist Health, we have developed a comprehensive set of policies that define our expectation of compliance with laws, rules and regulations. Our Code of Ethics is a convenient summary of our Compliance Program. In the spirit of transparency, we have also made our policies and procedures publicly available here so that the communities we serve can be informed of our commitment to the highest ethical standards. Should you have any questions regarding our policies, you may contact the Audit & Compliance Department at 786-662-7352 or email ContactCompliance@BaptistHealth.net.

Our Corporate Compliance Policies:

• 801 Departmental Responsibilities and Charter
• 801A Department Charter - Attachment
• 802 Quality Program Assessments
• 803 Risk Assessment Methodology
• 804 Auditor Objectivity
• 805 Duties of Corporate Assistant Vice President of Compliance
• 806 Distribution of Audit Reports
• 807 Compliance Audits and Investigations
• 808 Professional Development
• 809 Preparation of Reports and Associated Workpapers
• 811 Management's Response to Audit Findings
• 812 Follow Up Audits to Management's Action Plan
• 813 Maintaining Workpapers on the Network Shared Drives
• 814 Access to Documentation Maintained by the Audit and Compliance Department
• 815 Background Screening to Identify Parties Excluded from Participation in Federally Funded Health Care Programs
• 816 Retention of Audit and Compliance Records
• 817 Compliance Exit Interviews
• 818 Weekly Reporting of Audit and Compliance Project Hours
• 819 Code of Ethics
• 819A Code of Ethics - Webpage
• 820 Appropriate Discipline for Compliance Program Violations
• 821 Audit and Compliance Department Policies and Procedures
• 822 Non-retaliation for Reporting of Potential or Actual Violations of the Code of Ethics
• 823 Compliance Hotline
• 824 Review and Resolution of Accounts with Potential Billing Discrepancies
• 825 Compliance Training
• 826 Communicating Corporate Compliance Program Standards
• 827 Employee Conflict of Interest
• 828 Vendor-Sponsored Travel and Related Expenses
• 829 Acceptance of Honorariums by Employees
• 830 Employed Physicians’ Outside Financial Relationship with Industry
• 831 Philanthropic Solicitation of Vendors
• 833 Allocation of Audit and Compliance Resources
• 834 Duties of the Corporate Assistant Vice President of Audit
• 836 Duties of Corporate Vice President and Chief Compliance Officer
• 838 Compliance Liaison
• 839 Compliance Advisory Committee
• 840 Duties of Corporate Compliance Director
• 841 Submission of Accurate Information to Government Payers - False Claims Act
• 845 Compliance with Regulations Governing Third Party Billing
• 850 Appropriate Routing of Requests for Information and Notifications of Billing Discrepancies by Federally Funded Programs
• 851 Reporting and Returning Overpayments Received from Federally Funded Healthcare Programs