Provider Resources
Overview
Information related to Tennessee State and Federal Provider policies/procedures/laws.
ETSU HIPAA Compliance Office
Lindsay A. Daniel
HIPAA Compliance Officer
email: daniell@etsu.edu
423-439-8528
Helpful Links:
- ETSU HIPAA Compliance
- U.S. Department of Health & Human Services
- http://www.hhs.gov/hipaa/
Federal False Claims Act
Helpful Links:
- Department of Health and Human Services Centers for Medicare & Medicaid Services
- Medicare Fraud & Abuse: Prevention, Detection, and Reporting
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Fraud_and_Abuse.pdf
Tennessee Medicaid False Claims Act
Helpful Links:
Note: the TennCare Policy Manual contains information on the Federal False Claims Act (as clarified by Section 4 of the Fraud Enforcement and Recovery Act (FERA) of 2009 (Page 2) and the Tennessee Medicaid False Claims Act (Page 3) and the Whistleblower Protections (Page 4).
Health Care Fraud Prevention and Enforcement Action Team (HEAT)
Compliance Training videos and audio podcasts:
- HEAT Provider Compliance Training Videos
- https://oig.hhs.gov/newsroom/video/2011/heat_modules.asp
For Reporting Fraud, Abuse or Waste:
Employees should report suspected fraud, abuse, or waste to the East Tennessee State University Speech-Language-Hearing Clinic Site Coordinator.
By Phone: (423)439-4584
By Mail:
ETSU Speech-Language Hearing Clinic
Attn: Site Coordinator
PO Box 70643
Johnson City, TN 37614-1702