Commitment to Compliance
Sol Physicians Network maintains a compliance program consistent with federal and state healthcare regulations and CMS guidelines.
Affirmation Statement
Utilization Management (UM) decision making is based only on appropriateness of care and service and existence of coverage. Sol Physicians Network does not specifically reward practitioners or other individuals for issuing denials of coverage or service care.
Sol Physicians Network does not offer financial incentives to UM decision makers that encourage decisions that result in underutilization.
Our practitioners are ensured independence and impartiality in making referral decisions that will not influence hiring, compensation, termination, promotion, or any other similar matters.
Fraud, Waste and Abuse (FWA) and Compliance Education
Educational resources are available through the Centers for Medicare & Medicaid Services (CMS). Providers and staff are encouraged to review these materials to better understand compliance obligations related to Medicare programs.
The following CMS resources provide additional information and training related to compliance and FWA prevention.
Provider Participation Review Criteria
- Licensure and credentialing status
- Professional qualifications
- Compliance with regulatory requirements
- Network needs and specialty availability
CMS Educational Resources
The following CMS resources provide additional information and training related to compliance and FWA prevention.
Fraud, Waste, and Abuse Training
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Medicare Learning Network Educational
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Medicare Parts C & D Compliance Training
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Medicare Provider Compliance Information
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Non-Discrimination Statement
Sol Physicians Network does not discriminate on the basis of race, color, national origin, age, disability, sex, religion, or any other protected classification in accordance with applicable laws.
Provider Dispute Process
Providers who have questions or concerns regarding administrative matters, credentialing decisions, or participation policies may submit a request for review. The IPA will review concerns in a timely manner and respond appropriately after evaluation.
Privacy Policy
Sol Physicians Network is committed to protecting personal and healthcare information in accordance with applicable privacy regulations including HIPAA. Information submitted through the website will be handled in accordance with applicable privacy laws.