Hometown Health Administrative Guidelines | Page 106

All Hometown staff will receive FWA education and training . The education and training include the following FWA topics :
• Examples of FWA by providers , vendors and staff
• A dedicated hotline to report suspected or actual FWA
• Information on how to contact the Compliance Manager to report FWA
• How to report suspected FWA to Hometown Health
V .
Monitoring
To effectively monitor adherence to applicable laws , statutes and regulations , Hometown Health conducts periodic review and analysis to determine if there are any changes that impact compliance .
All providers under corrective action plans will be re-reviewed after one year to determine whether or not their patterns of suspicious claims activity have changed . Additionally , routine randomized audits will be undertaken annually to ensure providers are conforming to acceptable health insurance billing .
VI .
Contact
Hometown Health
• Customer Service Department at 775-982-3232 or 800-336-0123
• Compliance Department Office at 775-982-3025
• Renown Confidential Reporting Line at 800-611-5097
Centers for Medicare and Medicaid Services ( CMS )
• Office of Inspector General Hotline – Maintains a confidential hotline
Phone : 800-447-8477 Email : Mail :
HHSTips @ oig . hhs . gov
Office of the Inspector General HHS TIPS Hotline P . O . Box 23489 Washington , DC 20026
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