Rutgers Biomedical and Health Sciences Healthcare Compliance Program

Program Overview

Rutgers is committed to the highest levels of ethics in all of its academic and other functions and to an effective Ethics & Compliance Program that helps maintain a culture promoting the prevention, detection and resolution of potential violations of law or University policies. The University’s program is tailored to its academic, research, clinical and community service goals, which are delivered within an ethical business environment. The goal ultimately is to achieve excellence in quality patient care and education. It defines and sets forth the standards and policies by which the Rutgers Healthcare community is expected to meet and promote. All employees, agents, medical staff members, and students are expected to act in accordance with university compliance policies, applicable governmental and professional standards and requirements; to act and conduct operations with the highest level of integrity and ethics; and take initiative in instituting and exercising best practices.

The strengths of the RBHS Compliance Program is rooted in the 7 elements of an effective compliance program as set forth under the U.S. Federal Sentencing Guidelines.

  • Rutgers has appointed a Senior Vice President and Chief Healthcare Officer to exercise effective oversight and have direct reporting authority to both the Audit Committee and to the University President;
  • The RBHS Corporate Compliance Committee meets every quarter and is charged with the responsibility of operating and monitoring the compliance program
  • Our Compliance Officers are charged with effecting compliance and practice standards at the unit level and to also provide guidance to the Rutgers community. In addition, our compliance officers play an integral role in
    • developing and implementing regular and effective education and training programs;
    • keeping units current on relevant law, policies, and compliance matters;
    • identifying potential compliance risks within each unit;
    • responding appropriately to detected offenses; and
    • assisting in the development and implementation of corrective action plans
  • Our Compliance Auditors routinely conduct internal monitoring and auditing to perform a review and evaluation of the university’s adherence to billing and coding guidelines and laws, and to assist in the reduction of identified problem areas
  • Policies and Procedures have been established to promote the Rutgers commitment to compliance and to address specific areas of potential violations of law and to enforce disciplinary standards. They can be accessed via the university’s policy library.
  • Our University-Wide Compliance Hotline provides a mechanism for members of the Rutgers Community, including the general public, to report compliance matters anonymously or to receive guidance on possible compliance issues. A complaint can be filed directly with our office, by web submission via this link, or by phone 1-800-215-9664.
  • The Investigations Group is charged with investigating billing and coding issues, conflicts of interest, falsification of documents, fraud, patient confidentiality breaches, and violations of law or policy, not only at RBHS, but also as part of our Institutional Compliance Program.

If you have a question or need guidance, please reach out to one of our compliance officers:

  • Deborah L. Carlino, CHC, CHRC
    Director of Special Projects, Compliance Audit and Process Improvement
  • Anthony G. Caroleo, MA, CHC
    Senior Compliance Officer – UBHC, RWJ, CINJ, SPH