Community Health Group's Compliance Officer is Elizabeth Martinez. As chair of the company's Compliance Committee, she wants you to be aware that health care fraud is a significant problem in the United States. As part of a growing national effort to address the problem, CHG encourages you to report suspected health care fraud.

 

To report potential Fraud, Waste or Abuse, or issues of non-compliance, please call the Compliance Hotline at 1 (800) 651-4459.  You may also submit your report directly to the Compliance Officer, Elizabeth Martinez, by calling her directly at (619) 498-6490, or via email at emarti@chgsd.com

 

You may also submit your report anonymously by mailing your report directly to the Compliance Officer at the following address:

 

Compliance Officer
Community Health Group
2420 Fenton Street, Suite 100
Chula Vista, CA 91914

 

 

ADA / Anti-Fraud Resources

Medicare Parts C & D General Compliance Training Web-Based Training Course  

Combating Medicare Parts C and D Fraud, Waste, And Abuse Web-Based Training Course

CHG Diversity Training ADA 

Diversity Awareness Handout 

ADA Training  

CHG Compliance Plan 

5500 Policy on Breach Notification  

5500.1 Incident Report & CAP Form  

5500.2 Privacy Incident Report (PIR)  

5501 Policy on HIPAA – Security Requirements of DHCS Contract  

5502 HIPAA Sanction Policy

5502.1 Report of HIPAA Violation Form  

5503 HIPAA Fax Policy 

5504 HIPAA Work Station Policy

5505 Policy on Individual Rights  

5506 Notice of Privacy Practices  

5507 Use or Disclosure of PHI for Treatment, Payment or Health Care Operations or Pursuant to an Authorization 

5509.1 Health Care Fraud Prevention, Detection and Reporting  

5509.2 Managing Incidents of Suspected Fraud  

5511 Compliance with Deficit Reduction Act of 2005 

5512 Record Management & Retention Policy 

5514 Policy on Privacy Training

5515 Policy on Designated Record Sets  

5517 Policy on Requests for Confidential Communications  

5518 Policy on Uses and Disclosure of PHI Requiring Opportunity to Agree or Object

5519 Policy on Uses and Disclosures of Protected Health Information for Fundraising Activities

5520 Minimum Necessary Policy

5521 Policy on Incidental Uses and Disclosures

5522 Policy on Disclosures by Whistleblowers

5524 Compliance Issues Oversight Policy and Procedures 

5527 First Tier, Downstream and Related Oversight

5528 Non Retaliation Whistle Blowing Policy 

5530 Risk Assessment  

5533 Regulatory Notification of Change of License Information Policy

5534 Glossary of Privacy-Related Terms

Fraud Examples 

Fraud Indicators