It is in that spirit of transparent compliance that PSI shares the agreement we entered into with the Office of the Inspector General in January 2020. Please know that we adhere to the OIG Advisory Opinions that govern our model of patient assistance. By embracing the contents outlined in our integrity agreement we will be able to continue serving the patients and families who so desperately need assistance. We are always available to answer any questions you may have about our integrity agreement or our OIG Advisory Opinions.
Patient Services, Inc. is committed to assisting patients and meeting their needs according to the highest ethical standards, and we have made a commitment to detecting, correcting, and preventing fraud, waste, and abuse.
Preventing fraud, waste, and abuse is a critical factor in reducing healthcare costs and providing everyone with a better healthcare experience.
What is Fraud, Waste, and Abuse?
Fraud is generally defined as knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any government health care benefit program or to obtain (by means of false or fraudulent pretenses representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program. (18 U.S.C. § 1347)
Waste is the overutilization of services or other practices that, directly or indirectly, result in unnecessary costs to the health care system, including the Medicare and Medicaid programs. It is not generally considered to be caused by criminally negligent actions, but by the misuse of resources.
Abuse involves payment for items or services when there is no legal entitlement to that payment. In cases of abuse, there is knowing or intentional misrepresentation of facts to obtain payment.
If you suspect fraud, waste, or abuse, you can report it to us through our Compliance Officer, Deanna Callahan, and we will examine the situation.
Your report is confidential to the extent allowed by law.
Any person reporting suspected fraud, waste, or abuse is protected by PSI’s anti-retaliation policy. Whether the concerns prove to be true or false, PSI wants to prevent victimization and other retaliatory behavior against the reporter. It is important that people speak up about any concerns so that PSI can work to resolve them as soon as possible. Ensuring that reporters can come forward without fear of retaliation is important to PSI’s commitment to the highest ethical standards.
You can access PSI’s anti-retaliation policy here.