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Office of Compliance Programs

Compliance Training for LSUHSC-NO Students

Revised: November 7,  2017

Objectives

What is a Compliance Program?

A compliance program is a voluntary undertaking by a health care entity (like LSUHSC-NO) to ensure compliance with all federal and state laws and regulations. The Patient Protection and Affordable Care Act (Obamacare) requires that all healthcare providers that bill Medicare and Medicaid have an effective compliance program in place.

Laws, Regulations and Policies That Affect LSUHSC-NO

LSUHSC-NO is subject to numerous laws, regulations and policies. Some examples include but are not limited to:

History of the LSUHSC-NO Compliance Program

Compliance Program Elements

The Department of Health and Human Services, Office of Inspector General, in its Compliance Program Guidance for Recipients of PHS Research Awards, lists the following elements of an effective compliance program:

  1. Implementing written policies and procedures including a Code of Conduct.
  2. Designating a compliance officer to oversee the day-to-day operations of the compliance program.
  3. Conducting effective training and education.
  4. Developing effective lines of communication including one or more methods of reporting complaints anonymously.
  5. Conducting internal monitoring and auditing.
  6. Enforcing standards through well publicized disciplinary guidelines
  7. Responding promptly to detected problems and undertaking corrective action.
  8. Clearly defining roles and responsibilities and assigning oversight responsibility.

Compliance Staff

What is YOUR Role in Compliance?

In order for a compliance program to be successful, everyone must take responsibility for ensuring that all university activities comply with applicable laws, regulations and policies. Some of the things you can do personally to ensure the university's compliance are:

Mandatory Compliance Training

As part of your enrollment at LSUHSC-NO, you are required to complete compliance training in accordance with Federal and State laws and regulations within 90 days after you start your program, unless your school has a stricter requirement. Additional information about mandatory compliance training is available here.

The training modules are automatically assigned to you based on your current academic program through our web based training facility-KDS (Knowledge Delivery system).

You will receive an email with an explanation of the mandatory student training requirements as well as instructions on how to satisfy your student training obligations once you are set up in KDS. 

You will be prompted by KDS whenever any of your training expires, or if any new training has been added to the system.

Compliance Hotline

For suspected privacy breaches, employee wrongdoing, noncompliance with any federal or state laws, or University policy you can:

All reports will be kept in the strictest confidence in accordance with Federal and State laws and LSUHSC-NO whistleblower policy. (CM-53 Section E)

Additional Hotlines

Other agencies provide hotlines to report fraud waste and abuse in their areas of jurisdiction. A complete list can be found here.

Consequences of Non-Compliance

The consequences are not limited to those who are not compliant. Non-compliance affects everyone at LSUHSC-NO.

Examples of Settlements Associated with Noncompliance

Debarment And Sanctioned Individuals

Prevents companies and individuals who have violated Federal laws and regulations from participation in government contracts, subcontractors, loans, grants, and other assistance programs.

Protects LSUHSC-NO from doing business with an individual/company that pose a business risk.

A debarment of an individual or entity will result in no federally funded payments for anything an excluded person or entity furnishes, orders, or prescribes regardless of who submits the claims.

Excluded entities or individuals must apply for reinstatement before they can participate in any Federal programs.

Actions That Lead To Debarment/Exclusion Include:

CM-56 – Students Responsibilities and Rights

Student Responsibilities:

Any student who violates this policy when involved in any school or school related activity/function, whether on or off campus, will be subject to disciplinary action.

Student Rights:

Donation of State Assets

The funds, credit, property, or things of value of the State or of any political subdivision shall not be loaned, pledged, or donated to or for any person, association, or corporation, public or private. Some Exceptions include:

If you feel your activity may qualify for an exception, please check with the Compliance Office before proceeding.

Relevant University Policies & LSU Publications

Getting Help

If you have any questions, please contact the Office of Compliance Programs by: