You have settled into the community nicely, but you are now significantly troubled about the comment of the CEO

You have settled into the community nicely, but you are now significantly troubled about the comment of the CEO. Although it is true, you know that small town characteristics is not a defense to actions by the federal government. This gets you thinking about whether other “favors” or actions might be occurring because so many people are related or friends. The questions that come to mind are:

Are people having their bills “written off” when they can pay?

Are there “sweetheart deals” being done with any of the doctors or other providers?

Is anyone receiving anything of value for referring patients to our hospital?

How do we know that all of the procedures are medically necessary and that our billing and coding is correct?

You know that as chair of the board, you cannot know everything, but you are concerned that you don’t know what you do not know.

What processes can you put into place that will instill good compliance and protect the hospital?  What would it look like? What legal issues are you trying to address in this program?

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