medical workers smiling

Ethics and Compliance

We are committed to the highest standards of ethics and compliance – individually, as a team and a company.

Our operating philosophies are grounded by a clear commitment to doing the right thing. It’s about acting with integrity and behaving ethically and responsibly. It’s fundamental to our mission, helping us to earn the trust of our patients and fulfill our obligations to the many stakeholders we serve.

Resources, Governance & Policies

Tenet’s Ethics and Compliance program helps to ensure that employees understand and comply with all related laws and policies as outlined in our Code of Conduct. We regularly engage with team members on the policies and procedures that govern our business as outlined in the Code of Conduct.


tenet-way-appResources to help every team member

Employees are encouraged to speak up if something is not right, if they need guidance about an ethics question or want to report a concern.

Our Ethics Action Line is available to help, 24 hours a day, seven days a week, by calling 1-800-8-ETHICS (1-800-838-4427). Employees may also send an email to [email protected]. We respect your confidentiality if you decide to remain anonymous.

We also have a mobile app, The Tenet Way, which serves as a guide for all stakeholders to use as a resource for policies, making ethical decisions and to report concerns. The free app is available on the Apple App Store and  Google Play Store.

 


Governance measures to maintain a strong culture of compliance

Our Ethics and Compliance Program functions in accordance with a Quality, Compliance and Ethics Program Charter and reports to the Board of Directors. Every Tenet employee is expected to follow the Charter requirements which include:

  • Follow the Code of Conduct as a condition of employment;
  • Participate in annual and refresher ethics training and role-based compliance training;
  • Work with facility and enterprise compliance teams to resolve compliance matters; and
  • Contact the Ethics Action Line if concerns are not resolved timely or to their satisfaction.

Policies and procedures that reflect our values

At Tenet, we hold ourselves to rigorous standards for ethics and compliance that reflect our values. That includes promoting open identification, discussion, reporting and resolution of ethics and compliance matters without fear of retaliation.

Read more about the policies that support our Ethics and Compliance Program by accessing the Policy Library below:

Policy Library

Doc Coding Billing and Reimb Policies

Title Type Size
L21PR01 NonPhysician Practitioners in the Inpatient Rehab Facility pdf 93 KB Download
GP06 Medicare Bad Debts pdf 215 KB Download
EAC0801 Tenet Coding Compliance Program pdf 155 KB Download
Tenet Quality Compliance and Ethics Program Charter pdf 280 KB Download
EAC0304 Inpatient Rehabilitation Facility Patient Assessment Instrument pdf 121 KB Download
COMPRCC 512 Medicare National and Local Coverage Determination pdf 153 KB Download
COMPRCC 509 Laboratory Annual Notice to Physicians pdf 86 KB Download
EAC0601 Reflex Testing pdf 82 KB Download
EAC0302 Outpatient Therapy in the Hospital Provider Based Setting pdf 117 KB Download
COMPRCC 507 Protocol Orders pdf 111 KB Download
COMPRCC 508 Standards for Specimen Handling Charges pdf 72 KB Download
COMPRCC 504 Automatic Linked or Exploding Codes pdf 137 KB Download
COMPRCC 505 Standing Orders For Outpatient Tests or Services pdf 91 KB Download
COMPRCC 503 Laboratory Panels pdf 108 KB Download
COMPRCC 502 Outpatient Laboratory Requisitions pdf 145 KB Download
COMPRCC 462 Scribes in the Hospital Provider Based Setting pdf 219 KB Download
COMPRCC 501 Orders for Outpatient Tests and Services pdf 196 KB Download
COMPRCC 500 Medical Necessity and Advance Beneficiary Notice of NonCoverage of Outpatie pdf 171 KB Download
COMPRCC 461 EHR Carry Forward and Auto Populate Functionalities pdf 125 KB Download
COMPRCC 435 Reporting of Overpayments to Federal Health Care Programs pdf 261 KB Download
COMPRCC 436 Supervision of Outpatient Diagnostic and Therapeutic Services pdf 203 KB Download
COMPRCC 446 Medical Billing Audit pdf 114 KB Download
COMPRCC 432PR02 Inpatient Psychiatric Facility Medicare Interrupted Stay pdf 78 KB Download
COMPRCC 434 Reporting of Overpayments to Commercial Managed Care Plans pdf 192 KB Download
COMPRCC 423 Outpatient Dialysis Provided to ESRD Medicare Patients pdf 158 KB Download
COMPRCC 433 Compliance with Federal Health Care Claims and Cost Reporting Requirements pdf 128 KB Download
COMPRCC 417 Legal Medical Records pdf 239 KB Download
COMPRCC 405 Billing and Discounting Outpatient SelfAdministerable Drugs pdf 97 KB Download
COMPRCC 432 Medicare Interrupted Stay in IPPS Exempt Units pdf 84 KB Download
COMPRCC 408 Skilled Nursing Facilities Consolidated Billing Requirements pdf 186 KB Download
COMPRCC 416 Compliance With Medicare Acute Care IPPSExempt Operational Requirements pdf 174 KB Download
COMPRCC 407 Medicare Bundling Requirements pdf 164 KB Download
COMPRCC 403 HIM Operations Hospital Chart Completion Documentation and Security pdf 174 KB Download
COMPRCC 402 Reduction or Waiver of Copayments and Deductibles pdf 196 KB Download
COMPRCC 404 Establishing Facility Charges pdf 123 KB Download

COMPRCC 421 Internal Reporting of Potential Compliance Matters

by Taylor Arledge on Nov 20, 2024, 16:25 PM

Download

pdf - 165 KB

Licensure Policies

Ref Sources and Bus Prac Policies

Title Type Size
COMPRCC 426 Marketing Advertising and Community Events with Physicians pdf 214 KB Download
COMPRCC 302 Controls and Monitoring of Payments to Physicians or Other Referral Sources pdf 118 KB Download
L25 Referral Source Fair Market Value pdf 214 KB Download
L22 Hospital Assistance for Relocation of NonPhysician Practitioners to Physician Practi pdf 185 KB Download
L23 Personal Services Arrangements With Non Physician Referral Sources pdf 235 KB Download
L21 NonPhysician Providers Engaged By Hospitals pdf 199 KB Download
L20 Relationships with Ambulance and EMS Providers pdf 117 KB Download
L17 Limitations on PreAuthorization Services pdf 97 KB Download
L19 Purchasing Implantable Medical Devices From PhysicianOwned Distributorships pdf 122 KB Download
L18 Remediation of Noncompliance with Referral Source Arrangement Policies pdf 118 KB Download
L16 Monitoring Use of Resources Provided to or Received From Referral Sources pdf 171 KB Download
L15 Electronic Contract Approval Term Sheet eCATS pdf 189 KB Download
L14 Mission Support Arrangements pdf 160 KB Download
L12 Charitable Contributions pdf 181 KB Download
L13 Courtesy Discounts for Physicians and Governing Board Members pdf 128 KB Download
L08 Ambulatory Surgery Center Joint Ventures pdf 143 KB Download
L11 Loans and Guarantees to Physicians and Other Potential Referral Sources pdf 147 KB Download
L10 Physician Employment Arrangements pdf 200 KB Download
L09 Purchases by Physicians and Other Referral Sources pdf 147 KB Download
L07 Complimentary Local Transportation pdf 206 KB Download
L06 HospitalProvided PostDischarge Assistance to Federal Health Care Program Beneficiar pdf 172 KB Download
L05 Personal Services Arrangements with Physicians pdf 247 KB Download
L04 Office Space and Equipment Leases With Physicians and Other Potential Referral Source pdf 219 KB Download
L03 Medical Directorships pdf 216 KB Download
L02 Physician Relocation pdf 248 KB Download
COMPRCC 456 Implementation of Tenets Compact With Uninsured Patients pdf 131 KB Download
L01 Business Courtesies to Physicians and Immediate Family Members pdf 182 KB Download
EA0103 Anti-Bribery and Anti-Corruption pdf 155 KB Download
COMPRCC 457 Cash Pay Rates pdf 228 KB Download
COMPRCC 455 Payment of Patient Insurance Premium pdf 144 KB Download
COMPRCC 524 Corporate Integrity Agreement pdf 111 KB Download
COMPRCC 453 Financial Assistance for Uninsured Patients pdf 155 KB Download