Regulatory Compliance
Compliance is the foundation of Our Heart Home Care’s business operations. We believe maintaining a workforce that embraces their individual compliance responsibility will ensure that the organization maintains its status as a good corporate citizen.
All individuals representing our organization have a personal responsibility to learn and comply with regulatory standards related to their daily activities. Compliance encompasses a variety of areas including patient privacy, the security of information, healthcare fraud and abuse, reimbursement practices, and state and federal regulations.
Our Heart Home Care maintains an internal, voluntary compliance program including the appointment of a Compliance Officer and written policies, to oversee company activities and provide guidance to the Compliance Officer.
CFHH employees receive training throughout employment through CFHH’s Corporate Compliance Program. The Company maintains an ‘open disclosure’ philosophy to ensure employees report perceived or actual regulatory violations without fear of retribution. Reports of actual or potential violations are investigated and actions are taken to ensure CFHH remains in compliance with regulations. Members of the Compliance team include experienced professionals who are knowledgeable about Medicare and Medicaid.
COMPLAINT POLICY PROBLEM-SOLVING PROCEDURE:
Our goal is to assist you in returning to your maximum level of functioning and to provide all services possible to help you stay at home in your usual and customary surroundings. We are committed to assuring that your rights are protected. If you feel that our staff has failed to follow our policies or has in any way denied you your rights, please follow these steps without fear of discrimination or reprisal.
1. Agency Problem Solving Procedure:
- Grievances must be submitted to the Administrator within thirty (30) days of the date the person filing the grievance becomes aware of the alleged action.
- A complaint may be filed verbally with an agency staff member, in writing by contacting the Administrator at Our Heart Home Care, 2250 Ridge Ave, Philadelphia, PA 19121, or by telephone at 215-309-3885 containing the name and address of the person filing it ("the grievant"). The complaint must state the problem or action alleged and the remedy or relief sought by the grievant.
- The Administrator (or his/her representative) will conduct an investigation of the complaint to determine its validity. This investigation may be informal, but it must be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint.
- The Administrator will issue a written decision on the grievance no later than thirty (30) days after its filing.
- The grievant may appeal the decision of the Administrator by filing an appeal in writing to the agency within fifteen (15) days of receiving the Administrator’s decision.
- The agency will issue a written decision in response to the appeal no later than thirty (30) days after its filing.
- The Administrator or designee will maintain the files and records of the agency relating to such grievances.
- The agency will make appropriate arrangements to ensure that disabled persons can participate in or make use of this grievance process on the same basis as the non-disabled. Such arrangements may include but are not limited to, the provision of interpreters for the deaf, providing taped cassettes of material for the blind, or ensuring a barrier-free location for the proceedings. The Administrator or designee will be responsible for providing such arrangements.
