Cayuga Health

Our mission is to deliver high-quality care, empower our teams to succeed and improve the wellbeing of the communities we serve.

Corporate Compliance

Cayuga Health has adopted a Regulatory Compliance Program to demonstrate its commitment to comply with all federal and state laws and regulations, with particular emphasis on the standards established by the Department of Health and Human Services (HHS), the Office of the Inspector General of the Department of Health and Human Services (OIG), and the Office of the Medicaid Inspector General (OMIG). The goal of the Program is to promote the highest ethical standards in CHS’ conduct of business. The Program applies to all directors, officers, employees, contracted personnel, medical staff members, volunteers, students, contractors and agents (collectively referred to as “Affected Individuals”).

If you have questions after reviewing this policy, please contact the Corporate Compliance Department at (607) 274-4494.

This compliance program applies to all directors, officers, employees, contracted personnel, medical staff members, volunteers, students, contractors and agents (collectively referred to as “Affected Individuals”).

Our program policies and procedures have been established to ensure that Affected Individuals have access to guidance and protocols that should be followed in performing their duties. The policies and procedures set forth here are mandatory and must be followed as a condition of employment or affiliation with Cayuga Health System.

It is expected that any Affected Individual with knowledge of a suspected compliance issue will report that issue. CHS has established methods for the safe and anonymous reporting of actual or suspected compliance issues. Reports of suspected compliance issued can be made in a number of ways as described below:

  • Reporting orally or in writing to Affected Individual’s supervisor, who in turn is obligated to report such suspected compliance issue to the Compliance Officer;
  • by calling the Compliance Officer at 607-274-4494
  • by calling the Assistant Compliance Officer at 607-274-4495
  • by calling the anonymous Compliance Hotline at 607-274-4170; and/or
  • by completing and submitting the anonymous compliance reporting form found at https://cayugahealth.org/corporate-compliance/.

Every individual employed or otherwise affiliated with the Cayuga Health System is expected to raise issues of concern or suspected violations promptly. We encourage individual responsibility for reporting any activity by any colleague, physician, independent contractor, or vendor, etc. that violates applicable laws and regulations, or Regulatory Compliance Program requirements.

The Regulatory Compliance Committee has adopted a policy and procedure for investigating incidents of potential non-compliance detected through its reporting system. The compliance director and officer will follow this protocol to ensure the investigation, follow-up, and corrective action of the reported violation maximizes the Health System’s right to attorney-client privilege and confidentiality.

There will be no retaliation against anyone who internally reports a concern made in good faith (meaning the individual has reason to believe there is a factual basis for the concern). Concerns are reported to the Corporate Compliance Department staff.

All reported concerns and claims of retaliation will be investigated and any individual whom Cayuga Health System believes has engaged in acts of retaliation will be subject to appropriate corrective action.

Submit an Anonymous Compliance Report

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