Policies

Overview

Healthcare compliance includes a vast combination of federal, state, organizational and insurance payer policies and regulations. This section of our website contains brief summaries of the most common areas of oversight.  

Note:  Both external and internal links are utilized within these summaries.  Internal links are only accessible with a USF NETID.  

• Exclusion Screening: Individuals and Organizations can be excluded from participating in the Medicare and Medicaid programs for various reasons, including fraudulent billing, abuse of patients, controlled substance convictions and other prohibited activities.
• Fraud, Waste, and Abuse: Violations of the Fraud & Abuse laws can result in significant fines, as well as penalties such exclusion from participation in healthcare programs.
• Conflicts of Interest (COI): A conflict of interest or commitment may occur when an individual’s financial interests, relationships, outside activities, or family interests/relationships influences his/her judgement in the performance of his/her job duties or organizational policies.  
• Reporting Concerns: USF Health promotes an environment of open communication and collaboration in achieving its mission to envision and implement the future of health.
• Monitoring and Corrective Actions: A key element in an effective compliance program is to conduct internal monitoring to assure compliance with rules and regulations and identify areas of improvement.  
• No Surprises Act: The No Surprises Act is a U.S. federal law aimed at protecting patients from surprise medical bills. 
• USFH Clinical Practice: USF formed a direct support organization, University Medical Services Association (UMSA), for the administrative oversight of the USF Health Faculty Practice Plan.