Office of Regulatory Affairs & Compliance, Compliance Office 210-567-2014, Compliance Line 1-877-507-7317
 

Reporting Compliance Concerns

 

If you ever have a question about a particular legal or ethical requirement or if you become aware of another employee's breach of his or her legal or ethical responsibility, you should first consult your immediate supervisor. In some cases, however, you may feel uncomfortable about this approach. You may feel intimidated or fear that someone may retaliate against you for reporting a problem. You may believe that your supervisor will not follow-up and take necessary action to correct the problem or the problem may involve your supervisor. You may even feel that it is simply not worth getting involved. The danger is, if you allow these feelings to prevent reporting, the problem may go unnoticed.

 

Types of violations that should be reported:

  • Billing for services not rendered or items not provided
  • Falsifying claim forms to receive overpayment for services provided
  • Falsifying certificates of medical necessity and billing documents for services not medically necessary
  • Duplicate billing
  • Any inaccurate billing that could result in the University receiving reimbursement
  • Any event that would require the University to disclose wrongful activity to a governmental agency, including unallowable costs in any claims for reimbursement.

Employees can report allegations of wrongdoing through established administrative processes and procedures of the Health Science Center, including but not limited to those established:

  • For fraud, embezzlements, misappropriations and other fiscal irregularities, see Section 2.7.3 of the Handbook of Operating Procedures (HOP), "Fraud Policy".

    Assistant Vice President for Internal Audit & Consulting Services
    Phone: (210) 567-2370, Fax: (210) 567-2373
    E-mail: internalauditoffice@uthscsa.edu

  • For discrimination, sexual harassment and sexual misconduct, see Sections 4.2.1 and 4.2.2 of the HOP, "Nondiscrimination Policy and Complaint Procedure" and "Sexual Harassment and Sexual Misconduct".

    Bonnie Blankmeyer, Ph.D.
    Executive Director, Academic, Faculty, Student Ombudsperson and ADA Compliance Office
    Phone: (210) 567-2691
    E-mail: blankmeyer@uthscsa.edu

  • For complaints concerning wages, hours of work, working conditions, performance evaluations, merit raises, job assignments, reprimands and human resource issues, see Section 4.9.5 of the HOP, "Grievance Policy and Procedures".

    Michael Tesh, MBA
    Vice President for Human Resources
    Phone: (210) 567-2597, Fax: (210) 567-6790
    E-mail: tesh@uthscsa.edu

  • To report compliance issues, wrongdoing, improper or illegal conduct, see Section 2.5.1 of the HOP, "Office of Regulatory Affairs & Compliance".

    Gail Madison-Brown, RN, JD, CHC
    Chief Compliance Officer for Regulatory Affairs & Compliance
    Institutional Compliance Officer/Privacy Officer
    Phone: (210) 567-2014, Fax: (210) 567-9285
    E-mail: madisonbrown@uthscsa.edu

  • For billing practices that cause you to suspect potential fraud and abuse.

    Department of Health & Human Services
    Office of Inspector General hotline
    Phone: 1-800-HHS-TIPS
    Phone: 1-800-447-8477

  • You may also report suspected fraud, waste and abuse to the:

    State Auditor's Office Hotline
    Phone: 1-800-TX-AUDIT (1-800-892-8348)
    The State Auditor's Office provides additional information at it's web site, http://sao.fraud.state.tx.us.

The University has established a dedicated ComplianceLine, a "1-800" external reporting mechanism for identifying improper or illegal conduct of University employees, students, vendors, or independent contractors. You may also contact the Office of Regulatory Affairs & Compliance in person, by telephone, or by written communications.

All reports to the Office of Regulatory Affairs & Compliance will be reviewed. If wrongdoing is discovered, the University will take appropriate action. You have the University's pledge that no retaliation will be taken against anyone making a report in good faith. In addition, every effort will be made to protect your privacy whenever possible.

Reporting compliance wrongdoing is a serious issue, and it should not be used frivolously or to harass another employee.

ComplianceLine Number: 1-877-507-7317

If the alleged wrongdoing is significant or widespread or applies to The University of Texas System as a whole, or if you are uncomfortable reporting the matter to any of the above offices, you may submit a report to one of the following:

 
 
 
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