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Fraud & Abuse Hotline

Fraud, Abuse and Privacy Hotline

The Fraud, Abuse and Privacy Hotline is a toll-free number available to all staff and faculty to use anonymously to report suspected wrongdoing, including waste, fraud, abuse and violations of any federal or state laws.

The Hotline: 1 (800) 898-7679

Is a toll-free number you can call at anytime to report suspected wrongdoing, fraud, waste, abuse, and violations of any federal or state laws.

  • Is available 24 hours a day, 365 days a year by calling 1 (800) 898-7679.
  • Is staffed by helpful, trained professionals who will guide you through the process.
  • Guarantees anonymity. All calls are confidential and do not require you to identify yourself.
  • Reports all allegations to UTMB's Office of Institutional Compliance.

You may also report suspected fraud, waste, and abuse to the State Auditor’s Office Hotline at 1-800-TX-AUDIT (1-800-892-8348).  The State Auditor’s Office provides additional information at its website, http://sao.fraud.state.tx.us.

That’s all there is to it!
PDF Version of the Fraud & Abuse Brochure
Click on the picture to view a PDF version of the Fraud & Abuse Brochure

Frequently Asked Questions

 

 

 

 

 

 

 

 

 

 

 

 

What is the Hotline’s purpose?

The purpose of the Hotline is to provide UTMB employees an alternative method of reporting instances of wrongdoing, fraud, waste and abuse, other than using regular administrative channels. While you are encouraged to report compliance issues directly to your immediate supervisor, UTMB recognizes that this may not always be an option and has made available the Fraud and Abuse Hotline for this very reason.

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How does the Hotline Work?

The hotline is a resource available to UTMB staff and faculty 24 hours a day, 365 days a year.
A company contracted by UTMB located off the UTMB campus and staffed with specially trained personnel answer all incoming UTMB Hotline calls. UTMB employees do not answer calls. When you call into the hotline you will be asked to describe the suspected compliance problem in as much detail as possible. You do not need to tell them who you are. Upon completion of your call, the specially trained personnel will promptly relay the information to UTMB's Office of Institutional Compliance for investigation.

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Am I required to identify myself?

No. You do not have to reveal your identity to call the Hotline. Calls are not traced and are not recorded. No one will know you called unless you tell them you called or you willingly identify yourself during the call.

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Can the call be traced back to me?

No. The hotline does not record calls and does not have caller ID capability. Calls cannot be traced back to anyone at anytime.

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What if I only suspect something is wrong?

Most instances of fraud and abuse are discovered through tips and complaints from honest people who are not sure of all the facts. This type of call is encouraged as well as acceptable. The hotline will take the information you provide and forward it immediately to UTMB's Office of Institutional Compliance for investigation.

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Are all calls to the hotline accepted?

Although the hotline was established to report suspected waste, fraud and abuse, any type of call or compliant that is made will be reported to UTMB's Office of Institutional Compliance.

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What type of situations should be reported to the hotline?

Calls to the hotline should be made in good faith and report misconduct rather than employee dissatisfaction.
Typical calls could pertain to billing fraud; suspected Medicare/Medicaid abuse; suspected embezzlement; time or expense abuses; conflicts of interest; kickbacks; discrimination; waste; anti-trust issues; harassment; environmental issues; and other violations of federal and state laws. While this list is not inclusive of all call types, any issue that appears to be in violation of the laws, regulations and policies reflected in UTMB’s Standards of Conduct Guide, The Portrait of Integrity, should be reported.

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What legal protection do I have when I call?

There are federal are and state laws that protect individuals who provide confidential information regarding possible illegal activities in the workplace. Therefore, under the law UTMB, as well as other UTMB employees, are not allowed to penalize those employees providing good-faith reports of this nature. UTMB has a specific policy prohibiting retaliation against an employee who makes a report in good faith. The university is committed to maintaining the confidentiality and anonymity of caller to the extent allowed by law.

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How do I know an investigation is taking place based on my call?

UTMB is committed to investigating all reports promptly and will maintain the confidentiality and anonymity of all parties involved to the fullest extent of the law. Because of this, not all situations are made public. Results of the investigation are reported to the Institutional Compliance Officer, and corrective action plans are implemented as soon as possible. The specific action taken will depend on the nature and severity of the violation.

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What is the UTMB Institutional Compliance Program?

UTMB's Office of Institutional Compliance was established to:

  • Develop standards and procedures to help ensure UTMB’s compliance with all federal and state laws and regulations, such as Medicare and Medicaid.
  • Establish compliance awareness and responsibility in every employee through general and specific compliance training.
  • Monitor activities to ensure policies and procedures established for compliance are effective.
  • Participate in any external audit review process, resolve compliance issues, and respond to legal or administrative inquiries related to compliance issues or audits.
  • Provide advice and direction to senior management, staff and employees, to maximize compliance with statutory, regulatory and case law requirements.

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