ADA / Anti-Fraud Resources

Message from Compliance Officer, Francisca Chavez

"As chair of Community Health Group's Compliance Committee, I want 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, Francisca Chavez, by calling her directly at 1-619-498-6578 , or via email at FChave@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

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

HIPAA Basics for Providers

Cultural Competency

CHG Compliance Plan

CHG Code of Conduct

5500 Policy on Breach Notification

5502 HIPAA Sanction Policy

5502.1 Report of HIPAA Violation Form

5503 - HIPAA Compliance Fax Policy

5504 - HIPAA Workstation Policy

5505 Policy on Individual Rights

5506 Notice of Privacy Practices

5507 Use of 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