Medicare corporate compliance program

Alan C. Horowitz, Esq. He is a former assistant regional counsel, Office of the General Counsel, U. Department of Health and Human Services. He also has clinical healthcare experience as a registered respiratory therapist and registered nurse.

He can be reached at alan. He is a former assistant regional counsel Office of the General Counsel, U. As counsel to CMS, he was involved with hundreds of enforcement actions and successfully handled appeals before administrative law judges, the HHS Departmental Appeal Board and in federal court.

Horowitz ». May 11, by Alan C. Facilities must establish an appropriate program contact to whom individuals may report suspected violations, and must provide a method of anonymously reporting suspected violations without fear of retribution. Consistently enforce appropriate disciplinary actions, including a failure to detect and report a violation to the compliance and ethics program. Toggle navigation Menu. Provider Manual. Provider Resources. Thank you for your partnership with Harvard Pilgrim to help us provide exceptional service to our Medicare members.

For monitoring and auditing purposes, Harvard Pilgrim or CMS may request that you provide evidence of your compliance with any of the referenced requirements. You have been directed to this website because you have contracted with Harvard Pilgrim to provide administrative or health care services for our Medicare Advantage Stride members.

Harvard Pilgrim maintains a corporate-wide Code of Conduct that outlines the values and standards that guide our business practices and day-to-day actions. You may to choose to adopt our Standards should you not have your own.