Conflicts of Interest Disclosure Form
1 - Duties of Compliance Personnel
2 - Charitable Contributions
3 - Reporting Potential Issues or Areas of Non-Compliance
4 - Compliance Committee
5 - Excluded or Debarred Persons or Entities
6 - Non-Retaliation
7 - Overview of Relevant Laws
8 - Preventing Fraud, Waste, and Abuse
9 - Exit Interviews
10 - Responding to Government Investigations
11 - Document Retention
12 - Monitoring and Auditing
13 - Compliance Investigations
14 - Overpayments and Refunds
15 - Risk Assessments
16 - Education and Training
17 - Policy and Procedure Development
18 - Business Courtesies to Potential Referral Sources
Envision Physician Services
AMSURG
For questions regarding HIPAA related matters, please contact the Privacy Officer, Alta Whisnant, at 615.665.3538.