En Español   |   English
A A A
top workplaces logo
“It’s the Community That Counts”
ABOUT CHG | MEMBERS | PROVIDERS | HEALTH PLANS | COMPLIANCE | PROVIDER DIRECTORY | CONTACT US
  Dear Valued Contracted Health Care Providers and Business Partners:

We appreciate all you do to maintain the highest ethical standards in your business interactions. You help enable us to do the same, while also contributing meaningfully to our success. We value our mutually beneficial relationship and are grateful for your partnership.

Our Corporate Compliance Program can help you with troubling or confusing matters, or you can reach out to your CHG business leader. A compliance staff can be reached by calling the Compliance Help Line at 1-800-651-4469.

Thank you for your continued participation as a contracted health care provider or business partner. When we do the right thing in the right way for the right reasons, we are all successful.
 
  Community Health Group’s FDRs

Community Health Group is committed to complying with all applicable Centers for Medicare & Medicaid Services (CMS) regulations, while upholding the highest ethical business laws, rules, and regulations. Community Health Group’s commitment to compliance includes ensuring all employees (including Board Members), First Tier, Downstream, and Related Entities (FDRs), and members are responsible for understanding and operating in compliance with applicable law and regulatory guidance. Non-compliance with these laws and failure to report such actions will be subject to further disciplinary action up to, and including, termination. With established company-wide policies to promote a compliant workplace, such as non-retaliation, internal investigation, and self-reporting, we are committed to maintaining this culture.

As a Medicare sponsor, Community Health Group can contract with FDRs to perform certain functions on its behalf, however, the sponsor maintains ultimate responsibility for fulfilling the terms and conditions of its contract with CMS and for meeting the Medicare program requirements, including ensuring that FDRs are in compliance with all applicable laws, rules and regulations with respect to Parts C and D delegated responsibilities. This page provides Community Health Group FDRs with the tools and information to ensure compliance with CMS rules. If you have any questions, please feel free to contact the Compliance Department.
  RESOURCE DOCUMENTS
    CMS Quarterly Provider Updates
    Community Health Group Compliance Plan - CMC
    Community Health Group Compliance Plan - Medi-Cal
    Compliance Fraud and PHI Flyer
    Compliance Policies
    FWA Attestation Form 2016
    Report Fraud Form

TRAINING
    Medicare Parts C & D Fraud, Waste, and Abuse Training and General Compliance Training
    HIPAA Training
    CHG Diversity Training ADA
    Diversity Awareness Handout
    ADA Olmstead Training

EDUCATIONAL TOOLS
    Reporting Issues of Non-Compliance
    How to Use the Fishbone Tool for Root Cause Analysis
    Five Whys Tool for Root Cause Analysis

OTHER COMPLIANCE RESOURCES
    Fraud Examples
    Fraud Indicators