Compliance & Ethics Program

It is IAHD’s policy to comply with all applicable federal, state and local laws and regulations and payer requirements, as well as our own Code of Conduct. All internal policies and protocols must be adhered to by all parties. Transparency is paramount to our agency’s successes. In addition to rules and standards for corporate compliance, there are expectations and standards regulating other areas of IAHD operations. These expectations are outlined in the Code of Conduct as well as in the IAHD Employee Handbook. 

The following are policies and procedures enacted at IAHD:

• Conflict of Interest
• Compliance Reporting and Investigations
• Whistleblower
• Incident Reporting
• Gift Acceptance
• Social Media

Below are links to some of these policies:

IAHD Corporate Compliance Program

IAHD Compliance Reporting And Investigations Policy And Procedure

IAHD Corporate Compliance Policy

IAHD Medicaid Exclusion List Checks Policy

IAHD Whistleblower Policy

The Chief Quality Enhancement Officer is Elizabeth K. Matthews and is appointed the Compliance Officer for IAHD. This position has a direct line of communication to the Chief Executive Officer, Board of Directors and IAHD Counsel. The Compliance officer is responsible for investigating, or delegating the investigation of, any concerns or issues reported pertaining to inappropriate practices, in violation of statutes, regulations and/or IAHD policies. The Compliance officer is also responsible for ensuring all “affected individuals” receive training and information on how concerns may be reported.

The Compliance Officer may be contacted at:

• Direct Telephone: 914-220-4383
• Anonymous Reporting Hotline 914-220-4397
• Email: EMatthews@iahdny.org

The Compliance Officer is also responsible for, but not limited to, performing risk assessments to identify any areas of concern pertaining to compliance related matters, and to remedy any deficiencies detected.

The Corporate Compliance Committee meets to monitor any compliance activity, review outcome of investigations and recommend corrective actions (where necessary), as well as evaluate the effectiveness of the Compliance Program and the Compliance Workplan.  

IAHD is committed to complying with all federal and state requirements for education and training Compliance training is conducted during orientation for all new employees and within three months of appointing new board members.

On an annual basis, all employees are trained on Corporate Compliance through our online learning management system, Relias, with pre and post testing to measure comprehension. Completion of training is a condition of continued employment. For those whose responsibilities will include billing, the appropriate supervisor will provide more targeted, detailed billing training.

Members of the Board of Directors and volunteers receive in person training on an annual basis, with a pre and post test to measure comprehension of the materials.

In addition to periodic training, the Compliance Officer will disseminate any relevant, or updated compliance information to relevant parties through monthly emails to all IAHD employees and board members.

IAHD is committed to ensuring open communication throughout the organization.  All employees, board members, volunteers, vendors, consultants, contractors or other associates of IAHD may use the same methods of reporting any concerns or suspected violations that are available to IAHD employees.

Anyone may report concerns regarding fraud, abuse or waste in one the following ways:

• Direct Telephone: 914-220-4383
• Email: EMatthews@iahdny.org
• Reporting Email: compliance@iahdny.org
• Anonymous Reporting Hotline 914-220-4397

All reports and communications received will be deemed confidential and privileged.

Every employee and board member is expected to uphold IAHD’s high ethical standards and any violation of the Code of Conduct, policies or procedures is subject to a disciplinary action, which could result in disciplinary action, up to and including termination or removal from the Board.

To assess compliance in our operations, IAHD conducts periodic audits internally. These audits are supervised by the Compliance Officer. Audits will include various departments and are designed to address payments, billing, training and other relevant compliance issues. All audit findings will be reviewed by the Committee and shared with Board of Directors.

The Committee reviews auditing, assessment, and monitoring activities designed to detect and prevent ethical or legal violations. The Corporate Compliance Committee conducts risk assessments that help to ensure that IAHD's practices are evaluated for consistency in application of policies and procedures and the implementation of appropriate corrective action(s) have been taken.

All concerns or reports of non-compliance brought to the Compliance Officer will be thoroughly investigated. Recommendations may be made as a result of the investigative findings.