OUR COMPLIANCE PROGRAM
Putting core values into action Guidelines, education and tools to help all of us to fulfill our ethical, professional and legal commitments
Ensemble Health Partners Revenue Cycle Management Compliance Program
The Compliance Program helps ensure better understanding and compliance with healthcare laws and rules and provides a means for associates to ask questions and report concerns, even anonymously.
Our team of compliance professionals have a combined 50+ years of HIPAA, revenue cycle and general compliance experience and have worked for and with hospital systems, physician practices and revenue cycle organizations. They work closely with leaders across our organization to develop, implement and continuously enhance our Compliance Program, ensuring that it is integrated into the daily job responsibilities of all Associates.
“My philosophy is simple: Ethics and honesty are important and these traits shall be integrated into the day to day lives of all Ensemble associates.
Every associate on our team is expected to follow a set of principles that we call the Ensemble difference. These principles help our associates to not only understand what we expect as an employer, but also what kind of behavior to expect from our leadership team in support of their role.
We are committed to conducting business activities in full compliance with all applicable federal and state laws, rules, and regulations. Our commitment extends to payor requirements with an emphasis on preventing fraud and abuse.
Judson Ivy, Founder + CEO, Ensemble Health Partners
Our chief compliance officer, who reports to the CEO and has a direct reporting line to our board of directors, oversees the day-to-day activities of our compliance program. The CCO works closely with two groups of leaders within Ensemble to design, maintain, implement and enforce the program.
The Compliance Advisory Group (“CAG”) comprises leaders from each of the functional areas of our organization. The primary role of the CAG is to assist the CCO in ensuring the Compliance Program (e.g.. standards of conduct, policies, procedures, training, risk assessment, auditing and monitoring) is tailored to our business.
The Executive Compliance Committee (“ECC”) comprises our most senior executives. This group works closely with the CCO and other company leaders to promote an organizational culture that encourages ethical conduct and legal compliance. They ensure the compliance program is reasonably designed, implemented and enforced and is generally effective in preventing and detecting misconduct.
Reporting concerns + seeking guidance
At Ensemble, each of us has a duty to speak up to ensure that Ensemble remains a model of responsible and ethical practices. At the same time, we recognize that it is not always easy or comfortable to talk about suspected misconduct. Consequently, we have contracted with an independent outside entity to operate a toll-free Compliance Hotline and Web-Based Portal that are available 24-hours a day, seven days a week to provide Associates with a mechanism to report, anonymously if desired, suspected violations of Ensemble’s Compliance Program.