Mission Statement

Southern Illinois University School of Medicine ("SOM"), and SIU Physicians & Surgeons ("SIU P&S"), the approved clinical faculty practice plan of the School of Medicine, wish to ensure that its affairs are conducted in accordance with applicable laws relating to health care compliance, including but not limited to, professional fee billing and reimbursement. Compliance in this area is challenging because the regulatory requirements governing such matters are complex and changing.

The Compliance Program is hereby established and shall be implemented by the SOM and SIU P&S as a means of assuring that professional care rendered to patients is in compliance with promulgated rules of Health and Human Services governing Medicare payment for physician services as well as guidelines issued by the Illinois Department of Healthcare and Family Services  and other federal and state laws and regulations.

This Compliance Program will, at a minimum, include the following components: 1) written policies and operating procedures governing compliance; 2) awareness and understanding of applicable rules, regulations, policies and procedures through education and training of all clinical faculty, residents and related staff; and, 3) formal monitoring and review program.

Implementation of the Compliance Program shall be under the direction of the Office of Compliance in close cooperation with the Administrative Offices of SIU P&S and its Compliance Office.

This Compliance Program shall be applicable to all those full-time and part-time employees of the University and/or SIU P&S whose job descriptions include the provision of medical services or employees who provide the related business and operations functions to carry out medical services for which billings may be submitted under federal and state health care programs and/or third party payors.