This 24/7 hotline is available to report suspected instances of noncompliance. The hotline is answered by outside personnel to ensure anonymity.
These reports are investigated, and the results are then reviewed by a Compliance Committee, which makes recommendations to improve controls within MHMR.
The Compliance Program, directed by Compliance Officer Paul Duncan, seeks to ensure that MHMR employees provide ethical services and comply with MHMR’s Standards of Conduct.
The compliance efforts include a full-time auditing staff that reviews billings for compliance with Medicaid rules and regulations. Examples of noncompliance would include:
A compliance program is intended to identify and reduce risk, and improve internal controls. We believe it is the duty of every employee or contractor of MHMR to assist in the prevention, detection and correction of any instances
- Using an incorrect billing code
- Billing for services not provided
- Billing for services with inadequate or missing documentation