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OSU Health ACO
Questions or concerns about Coronavirus  
Confidentiality Improper disclosure of confidential patient information such as HIV/substance abuse or other confidential patient information.
Healthcare Fraud and Abuse Violations of MSSP waivers, quality reporting irregularities, diagnosis coding irregularities, cost shifting of care of patients (i.e. referring patients to non ACO providers).
HIPAA privacy/security Violation of protected health information privacy or security rules.
Improper Supplier or vendor activity Supplier or contractor activity in violation of corporate policies and procedures; improper supplier or contractor selection based on personal gain, improper negotiation or diversion of contract awards.
MSSP Operating Agreement Failure to meet CMS’ Medicare Shared Savings Program requirements including conflicts of interest management, reporting to CMS.
Patient Rights/Patient Care Failing to provide notice of ACO participation, failure to fulfill other ACO patient rights, use of unapproved marketing materials, etc.
Physician referrals and payments Failure to fulfill participation agreement terms, payments for referrals to the ACO, etc.
Other All other issues.