Legal and Ethics Oversight and Regulatory Disclosures (Code of Ethics)
It is the intent of this organization to operate within the
framework of State and Federal law and professional ethics.
To that end, this organization will report adverse incidents
(including patient death) in accordance with applicable State
law and with the standards of the accrediting agency. In
addition, adverse incidents will be considered as a part of
the quality assessment/performance improvement process with
the anticipation of studying elements which contribute to
such incidents and examined in the paradigm of the risk
Legal services are available through corporate legal counsel.
Voluntary state and national professional associations and
specialty societies are also a resource for legal/ethical
Questions of ethics will be presented to the Medical Director
or Governing Body for judgment regarding those issues which
need clarification by professional staff. Private ethics
counsel is available from the Ethics Departments of the local
hospitals, medical schools and specialty societies.
Governance will be organized along traditional business
standards; i.e., a duly appointed or elected governing body
of the business entity of the clinical provider staff
organization. There will be at least one annual meeting of
each entity; other meetings will be held at the call of the
president of the business entity or the director of the
provider staff organization. When possible, the annual
meetings will be scheduled so that the meeting of the
clinical organization precedes the meeting of the business
entity. In this manner the recommendations of the clinical
organization can be acted upon at the business meeting. The
major role of the provider staff organization is to make
recommendations in the area of staff privileges and related
clinical matters; the organization's bylaws define the issue
of staff credentialing.
The following disclosures are made pursuant to regulatory
requirements and accreditation standards. This information
is also addressed in appropriate sections of the policy and
procedure manuals, as applicable.
1. Disclosure of ownership
This organization is owned and operated by Rakesh Gupta, MD.
2. Confidentiality and Privacy
Confidentiality and privacy issues relating to the
providers, the intellectual property of the organization,
employee information, and patient records are addressed
in the appropriate policy and procedure manual.
The following methods are utilized for marketing and
these methods accurately represent the organization;
the care, treatment and services provided. AREA
PRINT(MAGAZINE AND NEWSPAPER)
ADVERTISEMENTS, BROCHURES AVAILABLE AT THE ORGANIZATION,
NETWORKING WITH OTHER PHYSICIANS AND HEALTH CARE
PROFESSIONALS, AND A WEBSITE: Guptagastro.com
4. Transfer to Acute Care
Patients requiring acute care are transferred to the
acute care facility most capable of rendering appropriate
care. Providers at this organization maintain privileges
at the local hopsital.The decision to transfer may be
made by the
surgeon or designee.
5. Billing Practices
Staff provides billing practice information, including
fees and payment policies, prior to any procedure being
performed on a patient. Patient queries are treated with
A conflict of interest occurs when an individual or
organization has an interest that might compromise their
reliability. A conflict of interest exists even if no
improper act results from it, and can create an appearance of
impropriety that can undermine confidence in the conflicted
individual or organization.
Cures for Conflicts of Interest
The best way to handle conflicts of interests is to avoid
them entirely. There fore any conflict of interest identified
that can not be cured; will be removed.
Full Disclosure will be given regarding ownership of the
organization and individuals that may benefit financially
from the organization.
Those with a conflict of interests are expected to recuse
themselves from (i.e., abstain from) decisions where such a
The following areas may be conflicts of interest, but when
addressed in the following manner and disclosed, they are not
considered conflicts of interest.
Conflicts of Interest:
6. Relationship with Health Care Providers Credentialed to
Work in this Organization
7. Relationship with Referrals and Referral Sources
There is no contractual relationship between this
organization and any external referral sources.
Providers in this facility do not engage in fee-
8. Relationship with Third Party Payers
This organization does not hold any stock nor have any
relationship which results in financial gain with the
third party payers save legally-entitled payment for
Additionally, decisions are base on the patients care,
treatment and service needs, regardless of how the
organization compensates or shares financial risk with
its leaders, managers, staff, and licensed independent
At times indications for such care, treatment, and
services can contradict the recommendations of an
external entity, i.e. insurance companies, managed care
reviewers, state payers, etc. If such a conflict
arises, care, treatment, service, and discharge
decisions are made based on the patient's needs,
regardless of the recommendations of the external
9. Relationship with Educational Institutions
This organization does not have relationship with any
Approved by Governing Body