Columbia University Irving Medical Center Clinical Compliance Program
As a Medicaid program provider, the CUIMC Clinical Compliance Program outlines the adoption and implementation of a compliance program to meet updated requirements. Effective March 2023, this new guidance requires providers and managed care companies to adopt and implement the necessary changes to their compliance programs, and it is subject to enforcement by the New York State Office of Medicaid Inspector General (OMIG).
Columbia's Commitment to Compliance and Ethics
Columbia University is committed to operating with integrity in compliance with applicable laws, regulations, and policies. The University expects the highest standards of ethical conduct from the members of its community and is dedicated to upholding its reputation as one of the top academic and research institutions in the world.
The Hotline serves as a channel to report or seek guidance on possible compliance issues with the option to report anonymously. It is available to all members of the University community, including faculty, staff, and students.
CUIMC Clinical Compliance Program
The CUIMC Clinical Compliance Program is aimed to, among other things, reinforce a control structure to prevent and detect fraud, waste, and abuse.
Collectively, the CUIMC Clinical Compliance Officer and the CUIMC Clinical Compliance Committee will ensure that the CUIMC Clinical Compliance Program:
- Is well-integrated into CUIMC’s operations and supported by the highest levels of the organization, including the chief executive, senior management, and the University’s governing body.
- Promotes adherence to CUIMC’s legal and ethical obligations; and
- Is reasonably designed and implemented to prevent, detect, and correct non-compliance with Medicaid program requirements, including fraud, waste, and abuse most likely to occur for CUIMC’s risk areas and organizational experience.
As a Medicaid program provider, the CUIMC Clinical Compliance Program outlines the adoption and implementation of a compliance program to meet the requirements of New York State Social Services Law (SOS) § 363-d and 18 NYCRR subpart 521-1, and all related guidance. This Compliance Program is aimed to, among other things, reinforce a control structure to prevent and detect fraud, waste, and abuse.
The CUIMC Clinical Compliance Program is led by the CUIMC Clinical Compliance Officer and supported by the CUIMC Clinical Compliance Committee. The responsibilities and duties of each are outlined in this charter.
The CUIMC Clinical Compliance Committee is responsible for coordinating with the CUIMC Clinical Compliance Officer and ensuring that it is conducting business in an ethical and responsible manner, consistent with its compliance program and will be comprised of senior managers.