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Compliance

Our Corporate Compliance Program is designed to enhance our understanding of acceptable behavior and appropriate decision-making.

Mission

The Office of Corporate Compliance, Internal Audit and Privacy supports the mission, vision and values of Health Quest by facilitating compliance with healthcare-related laws and standards and promoting the organization's commitment to lawful and ethical behavior.

Vision

To ensure that the Health Quest Compliance Program continues to meet the elements of an effective compliance program, while adapting to the ever-changing healthcare environment.

Our Program

Our Corporate Compliance Program is designed to enhance our understanding of acceptable behavior and appropriate decision-making. It is everyone's duty to promptly report any activity that appears to violate the Health Quest Code of Conduct or any laws, regulations or organizational policies. All employees must not only act in compliance with all applicable legal rules and regulations, but also strive to avoid the appearance of impropriety

Our Corporate Compliance Program is based upon the US Department Health & Human Services-Office of the Inspector General Guidance, as well as Section 363-D of the NYS Social Services Law. Both of which detail the elements of an effective compliance program. These elements, which are incorporated in our program, include:

  1. The development and distribution of written standards of conduct, as well as written policies and procedures that promote the hospitals' commitment to compliance;
  2. The designation of a chief compliance officer and other appropriate bodies, e.g., a corporate compliance committee, charged with the responsibility of operating and monitoring the compliance program, and who report directly to the CEO and the governing body;
  3. The development and implementation of regular, effective education and training programs for all affected employees;
  4. The maintenance of a process, such as a hotline, to receive complaints, and the adoption of procedures to protect the anonymity of complainants and to protect whistleblowers from retaliation;
  5. The development of a system to respond to allegations of improper/illegal activities and the enforcement of appropriate disciplinary action against employees who have violated internal compliance policies, applicable statutes, regulations or Federal healthcare program requirements;
  6. The use of audits and/or other evaluation techniques to monitor compliance and assist in the reduction of identified problem area; and a system for identification of compliance risk areas specific to the provider type, for self-evaluation of such risk areas;
  7. The investigation and remediation of identified systemic problems and the development of policies addressing the non-employment or retention of sanctioned individuals.

The goals of our Corporate Compliance Program are to:

  1. Empower our employees;
  2. Demonstrate our commitment to conducting business in an ethical manner;
  3. Serve as a resource when dealing with difficult, complex or confusing issues;
  4. Provide an outlet for addressing concerns;
  5. Ensure we follow Local, State and Federal laws that apply.

Our Compliance Program serves to:

  1. Provide employees with a central resource for addressing compliance issues;
  2. Provide employees with information and policies for successful job performance;
  3. Encourage reporting concerns and resolving issues;
  4. Minimize the risk of fraud & abuse;
  5. Provide constant monitoring;
  6. Protect our reputation in the community and ensure our continued success.

Questions/Complaints

If you have a question, wish to obtain guidance on ethics, a compliance issue or a HIPAA issue, please feel free to contact us by email or phone call using the contact information below. Please provide us with all the information related to your question. Depending upon the nature of your concern we will either respond by e-mail or call you within 3 business days of receiving your initial contact.

If you wish to remain anonymous you may do so by simply not supplying contact information or by utilizing the Corporate Compliance Hotline number as detailed below. However, please realize that should you wish to remain anonymous via any means other than the Hotline, we may have no way of following up with you or providing you with a status regarding your issue or concern.

Our Staff

Ernesto Marrero Jr.
Chief Compliance Officer
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9757
emarrero@health-quest.org

Renee Nesheiwat, CIA, CHC, CHPC
Director, Corporate Compliance, Internal Audit & Privacy
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9763
rnesheiw@health-quest.org

Corporate Compliance and Privacy

Health Quest Medical Practice (HQMP)
Health Quest Urgent Care, P.C. (HQUC)
Hudson Valley Cardiovascular Practice, P.C.

Patricia Hubbard, CPC, CPMA, COBGC, CHC,CHPC
Associate Compliance & Privacy Officer
6511 Springbrook Avenue
Rhinebeck, NY 12572
(845) 871-4246
phubbard@health-quest.org

Hudson Valley Home Care
Patricia Hubbard, CPC, CPMA, COBGC, CHC,CHPC
Associate Compliance & Privacy Officer
6511 Springbrook Avenue
Rhinebeck, NY 12572
(845) 871-4246
phubbard@health-quest.org

Northern Dutchess Hospital
Patricia Hubbard, CPC, CPMA, COBGC, CHC,CHPC
Associate Compliance & Privacy Officer
6511 Springbrook Avenue
Rhinebeck, NY 12572
(845) 871-4246
phubbard@health-quest.org

Putnam Hospital Center
Kristina Stolzenberg
Associate Compliance & Privacy Officer
1351 Route 55
Lagrangeville, New York 12540
TBD
kstolzen@health-quest.org

Timothy Johnson
Compliance & Privacy Analyst
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9755
tjohnso9@health-quest.org

Thompson House
Patricia Hubbard, CPC, CPMA, COBGC, CHC,CHPC
Associate Compliance & Privacy Officer
6511 Springbrook Avenue
Rhinebeck, NY 12572
(845) 871-4246
phubbard@health-quest.org

Vassar Brothers Medical Center
Kristina Stolzenberg
Associate Compliance & Privacy Officer
1351 Route 55
Lagrangeville, New York 12540
TBD
kstolzen@health-quest.org

Timothy Johnson
Compliance & Privacy Analyst
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9755
tjohnso9@health-quest.org

Internal Audit

Amanda Roller, CPA
Senior Internal Auditor
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9607
acernigl@health-quest.org

Karen Nelthrope, CPA
Senior Internal Auditor
1351 Route 55
Lagrangeville, New York 12540
(845) 475-9751
knelthro@health-quest.org

 Hotline

You may contact the Corporate Compliance Hotline at 844-YES-WeComply and speak directly with a representative. The Hotline is available 24 hours a day, seven days a week. The Hotline is not set up for caller ID and cannot trace calls. However, you may decide to identify yourself in order to provide information that may be necessary in an investigation. Information you provide will remain confidential to the extent possible. You will be given a case number and a call-back date. You may call back again on or after the call-back date to find out whether action has been taken, but the nature and outcome of an investigation is always confidential.