Baystate Health Corporate Compliance

The mission of Baystate Health is to improve the health of the people in our communities every day with quality and compassion.

Our Corporate Compliance Program:

  • defines and guides the conduct expected of Baystate employees through corporate policies and a Code of Conduct,
  • monitors for fraud, waste, and abuse,
  • offers guidance on resolving questions related to business conduct and ethical issues,
  • and provides a mechanism by which employees can report possible violations of these standards and laws.

To raise concerns or report a violation, employees may contact:

  • Their supervisor, manager, or vice president
  • Baystate Health Compliance Office: 413-794-7955
  • 24-hour Hotline: 1-877-874-RIGHT (7444) (anonymous and confidential)

We encourage employees to reference the following list to decide if they should take any action or make a report:

  • Does the action comply with the Baystate Health policies and procedures?
  • Is the action legal?
  • How would the action look to your family and friends, our clients and the general public if it was published on the front page of the newspaper?
  • Would the action make you feel bad if you did it?

Conflicts of Interest

A potential Conflict of Interest exists any time a reasonable person might question whether a covered individual’s personal interests could bias, or give the appearance of biasing, the individual’s ability to make impartial decisions focused exclusively on the best interests of Baystate. It is essential, therefore, that conflicting interests be fully disclosed and treated in a fair and open manner. Additionally, some disclosures are specifically required for the Internal Revenue Service and Commonwealth of Massachusetts Attorney General Office.

Baystate Health physicians, advanced practitioners, key employees, and governance members are required to disclose potential conflicts of interest and to acknowledge annually the requirements of the Policy. All decisions and actions taken by employees of entities within Baystate in the conduct of Baystate business, including patient care and administrative work, shall be made in a manner that promotes the best interests of Baystate.

Fraud, Waste, and Abuse Laws

Baystate’s Compliance Program works to detect, correct, and prevent fraud, waste, and abuse in accordance with the law.

  • False Claims Act: Prohibits the submission of false or fraudulent claims to the government
  • Anti-Kickback Statute: Prohibits asking for or receiving anything of value in exchange for referrals
  • Physician Self-Referral Statute: Limits physician referrals to entities with which they have a financial relationship

Downloads and Notices:


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