Ethics, Safety & Fraud Prevention
At iSmart Home Care, we are committed to maintaining the highest standards of ethics, safety, and integrity in every aspect of the care we provide. We believe that open communication, transparency, and accountability are essential to building trust with our clients and their families.
Ethics at iSmart Home Care
We have established an Ethics Committee dedicated to providing a confidential and safe space for clients, families, and employees to voice any ethical concerns or dilemmas. This committee helps ensure that everyone’s rights are respected and that professional boundaries and conflicts of interest are carefully managed.
The Ethics Committee reviews concerns related to:
- Client and employee rights
- Conflicts of interest
- Professional conduct and boundaries
- Ethical decision-making in care delivery
If you face an ethical dilemma or have concerns you would like reviewed, please contact our Ethics Officer at tmata@ismarthomecare.com
Safety is Everyone’s Responsibility
Your safety and well-being are our top priorities. We encourage clients and their families to take an active role in their care and to immediately report any safety or quality concerns. This helps us respond quickly and effectively to any issues.
If you have questions or concerns about the care you or your loved one is receiving, please reach out directly to your clinical manager, care coordinator, or any member of the iSmart management team.
Additionally, you can contact us for anonymous reporting:
Fraud Prevention and Your Role in Protecting Everyone
Fraud, waste, and abuse undermine the quality and availability of healthcare services and violate both legal standards and ethical principles. At iSmart Home Care, preventing fraud is a critical part of our mission, and it requires vigilance and cooperation from clients, families, and staff alike.
What is Healthcare Fraud?
Healthcare fraud occurs when someone intentionally deceives or misrepresents information to gain an unauthorized benefit. Examples include billing for services not provided, falsifying records, or misusing client information.
How iSmart Home Care Prevents Fraud:
- We maintain thorough and accurate documentation of all care services provided.
- All billing is carefully reviewed to ensure it reflects only the care actually delivered.
- Staff and caregivers undergo regular training on fraud prevention and ethical behavior.
- We conduct audits and quality reviews to detect and prevent suspicious activities.
- Our Compliance Hotline is available 24/7 for reporting any suspected fraud, abuse, or unethical behavior.
Your Role in Fraud Prevention:
- Verify the services you receive match what is billed and reported.
- Review your billing statements carefully and report any discrepancies immediately.
- Protect your personal health information (PHI) to prevent identity theft or misuse.
- Do not allow anyone to use your health insurance or benefits fraudulently.
- Report any suspicious activity or concerns to your care manager or via the Compliance Hotline.
Examples of Fraud to Watch For:
- Being billed for visits or services that did not happen.
- Caregivers providing services not authorized or requested.
- Unauthorized sharing or misuse of your personal or insurance information.
- Requests for unusual payments or incentives related to your care.
We Value Your Feedback and Transparency
Your feedback helps us maintain the highest quality of care and uphold ethical standards. If you ever feel uncomfortable or have questions about any part of your care, please speak up. We are here to listen and take prompt action.
Remember, iSmart Home Care is dedicated to protecting your rights, your privacy, and your safety every step of the way.
Contact Information
Ethics Officer: Tywan Mata, tmata@ismarthomecare.com
Compliance Hotline: Marlon Stewart, mstewart@ismarthoecare.com
Clinical Manager: Roslyn Benedetto, RBendetto@ismarthomecare.com