Compliance And HIPAA
Florida Autism Center and Fusion Autism Center (FAC) has been developed in the context of our core mission statement to “build a culture of clinical excellence that allows children, their families, and our team members to reach their personal potential” and our commitment to develop a strong ethical environment and a culture of learning. The hallmark of an effective compliance program requires that we exercise due diligence in seeking and preventing illegal and unethical conduct by employees and its agents by establishing our Code of Conduct. FAC has been specially designed to assist employees and business partners to integrate these values, ethics and principles within our Code of Conduct into all aspects of operations. FAC Board Members, officers, employees, contractors, subcontractors, vendors or other entities, with whom FAC has entered into a contract or other arrangement to conduct business on behalf of the company, must review and observe the Code of Conduct to ensure that all actions are consistent with FAC’s values and principles.
As a company, our goal is to maintain a structure and process that promotes ethical behavior and compliance with legal requirements and company policies, resulting in quality care, accurate financial practices and organizational excellence. An important component of my responsibilities is to have a constant and systematic risk assessment, system monitoring and auditing to detect illegal or unethical conduct as well as to have in place and publicize our FAC Compliance Hotline system, whereby employees and other interested persons can report potential noncompliant conduct by others within the organization without fear of reprisal. A compliance program is only effective when standards are consistently enforced through appropriate disciplinary measures as well as by taking reasonable steps, when a problem is discovered, to implement corrective action and any necessary program modifications. Additionally, to ensure that we have a robust compliance program in place, FAC has established a Compliance Committee. Members of the Compliance Committee include but are not limited to the following: Chief Executive Officer, Chief Human Resources Officer, Chief Operating Officer, Chief Clinical Officer, Chief Financial Officer and chaired by the Chief Compliance Officer.
The following eight elements form the core of FAC’s Compliance Program:
- Written Code of Conduct
- Establishment of a robust FAC Compliance Committee
- Education and Training
- Monitoring and Auditing
- Reporting Mechanisms
- Ensuring Delegation of Duties to Ethical Employees
- Compliance Risk Assessments
At FAC, we strive to achieve “Best Practice” and provide top-quality Applied Behavior Analysis (ABA) services. As FAC continues to grow and serve the community with integrity, our staff looks forward to providing a highly ethical environment for our clients.
Florida Autism Center and Fusion Autism Center’s HIPAA Privacy and Security Statement
Our clients’ (children receiving ABA services) personal information is private and confidential. We take this pledge seriously. Whether clients are prospective or current, we respect and safeguard the privacy and confidentiality of the information that we create, collect, and maintain regarding children in our care.
What does “private and confidential” really mean?
Client personal information covers a number of elements that all have one thing in common: they are unique to the Client and, either on their own or in combination, can identify a Client. This means that any files containing information that includes such things as the Client’s name, address, Social Security number and birth date are considered “Protected Health Information” (PHI) and it is our responsibility to ensure the privacy of the PHI of all clients – prospective, current, or former. The files that a behavioral healthcare organization collects or maintains are medical records and include things such as the claims information that we have submitted for the ABA services provided to the Client.
FAC staff and providers know that Client information is private and confidential. In fact, we have training programs for our employees to ensure that they know the procedures they need to follow to ensure that Client information, whether in oral, written or electronic format, is secure and safeguarded. We will not disclose information for any purposes, beyond what is minimally necessary, unless authorized by a parent or legal guardian in writing or required to do so by law.
As a behavioral healthcare provider, we are committed to complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and several important sets of regulations that government agencies have recently issued for HIPAA implementation and compliance. The HIPAA Privacy Regulations require healthcare providers to have a Notice of Privacy Practices (NPP), and each Client’s parent/legal guardian will receive at least one and possibly several of these notices.
In addition to this Notice of Privacy Practices, FAC provides even more specific and detailed information, in the form of a Client Bill of Rights, about how we ensure the privacy of our clients’ protected health information. The Bill of Rights is posted in every FAC center and explains the rights that clients have concerning the privacy of PHI and how to exercise those rights.
FAC, through its Compliance Program, monitors all applicable laws and government regulations. We continually review our policies and procedures to ensure that we are meeting the needs of privacy laws and our commitment to our clients and their families. As new laws are passed, and new regulations are issued or clarified, we will provide clients’ families with revised information with any changes or updates.
For any questions concerning clients’ rights to the privacy and confidentiality of PHI and data that have been entrusted to FAC, please contact Donna Rooney, our Chief Compliance Officer. Questions or concerns may be raised anonymously, and ALL reports to the Chief Compliance Officer will be held in the strictest of confidence possible, consistent with the need to investigate the matter.
Contact the Compliance Department
Donna Rooney, JD, BSN, CHC, Chief Compliance Officer
Direct: (407) 915-7261
Dedicated Voicemail – Compliance Hotline: (844) 280-0005