Medicare AdvantageAdministrativeMedium impact
Mvp Health Care Inc Code of Ethics And Business Conduct Summary
MVP Health Care·NY·Coding
Effective date
Jan 1, 2025
We identified it
Jul 14, 2026
Summary
MVP Health Care has published a refreshed Code of Ethics and Business Conduct (January 2025) that reinforces compliance obligations for all network providers and billing staff. This policy emphasizes contractor responsibilities around fraud prevention, confidential information protection, anti-kickback compliance, database reviews, HIPAA training, and mandatory reporting of violations through designated hotlines. While not introducing new legal requirements, this serves as a formal restatement of MVP's expectations and establishes clear reporting protocols.
Action Required
By January 31, 2025: (1) Billing team and all clinical staff must review MVP's full Code of Ethics and Business Conduct policy at https://www.mvphealthcare.com/providers/communications-center/important-updates/2025-q1-mvp-health-care-inc-code-of-ethics-and-business-conduct-summary and document completion. (2) Ensure HIPAA Privacy, Security, and Breach Prevention training is current for all staff handling MVP Protected Health Information; recertify if training is expired. (3) Verify that billing team members understand and can articulate the two compliance hotlines: Ethics & Integrity Hotline (1-888-357-2687) for Code violations and Special Investigations Unit hotline (1-877-835-5687) for suspected fraud, waste, and abuse. (4) Billing staff must confirm understanding of anti-kickback prohibitions and documentation requirements to avoid false claims submissions. Failure to comply with this policy may result in contract sanctions, payment recoupment, and termination of the provider agreement with MVP.