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RESOURCEGUIDE
2015 Healthcare Compliance
hcca-info.org
Educational opportunities Books and other resources Solution providers Online networkingHCCA membership information
Look inside for
Our wall calendar is packed with dates from major corporate scandals. Use it to remind people about the importance of compliant, ethical behavior.
AND DON’T MISS HCCA’S
SCALENDAR
2 www.hcca-info.org
OUR MISSIONHCCA exists to champion ethical practice and compliance standards in the healthcare community and to provide the necessary resources for compliance professionals and others who share these principles.
Inside
HCCA’s membership benefits & application .......................................................................................4
HCCA’s 2015 events .........................................................................................................................................................................6
Compliance training materials ....................................................................................................................................9
Solution providers ........................................................................................................................................................................21
HCCA’s 2015 Scalendar: educational opportunities & corporate scandals ..................................................................45
www.hcca-info.org 3
It is my pleasure to share with you HCCA’s 2015 Resource Guide.As we all seek to maximize the effectiveness of compliance and ethics programs in a time of limited resources, this guide is designed to provide you with a convenient tool for finding the products, solutions and educational opportunities you need to keep your career and your compliance and ethics program moving forward.
Inside the Guide you’ll find:
• Solution provider listings. Use them to find the right solutions for your organization.
• Online resources. From Twitter to LinkedIn, we have you covered, and inside you’ll learn how to take advantage of all of these opportunities.
• Educational opportunities. We’ve mapped out our educational opportunities—where they’ll take place and when—so you can determine which one has the most information for your unique needs.
• Compliance training materials. HCCA has developed a wide range of books and other tools for helping you efficiently and effectively improve your program.
• The corporate Scalendar. Want to know when Bernie Madoff was arrested? When Martha Stewart sold her stock? Our corporate scandal calendar provides humor and the groundwork for a year’s worth of reminders to your workforce about the consequences of unethical, non-compliant behavior.
We hope you find the new HCCA Resource Guide to be a valuable resource to your career and program. We look forward to serving you in 2015 and beyond.
Sincerely,
Roy Snell Chief Executive Officer Health Care Compliance Association
4 www.hcca-info.org
HCCA member benefitsAbout HCCAThe Health Care Compliance Association (HCCA) is the only national, non-profit organization solely dedicated to improving the quality of healthcare compliance.
We serve our members by:
• Facilitating the development and maintenance of healthcare compliance programs
• Providing a forum for understanding the complex healthcare compliance environment
• Offering tools, resources, and educational opportunities for those concerned with compliance in the healthcare industry
Never face a compliance challenge aloneMeet and collaborate with ethics and compliance professionals year round and around the clock. HCCAnet®, HCCA’s healthcare compliance social network, puts you directly in touch with your peers. Get your questions answered. Learn from what others are doing. Share and download your experience, policies, and other documents.
To get started, visit www.hcca-info.org/hccanet. It’s fast, easy, and can help improve both your work and the profession as a whole. And it’s open to everyone.
Become a member of HCCA for just $295/year, and you’ll enjoy:
• Member discounts on all HCCA products, programs, and services.
• A free subscription to HCCA’s monthly magazine, Compliance Today, which provides articles on a variety of issues compliance officers grapple with each day. Members can also read it on our magazine app, available for iPad, Kindle, and Android users.
• A subscription to HCCA’s weekly e-newsmagazine, This Week in Corporate Compliance, available via e-mail or online.
• Discounts to HCCA’s national, regional, and web compliance conferences, offering a variety of education and networking opportunities.
• Access to HCCA’s members-only section of the website.
www.hcca-info.org 5
PLEASE PRINT OR TYPE
Mr. Mrs. Ms. Dr.
First name MI Last name
Credentials (CHC, CHPC, CHRC, CCEP, etc.)
Job title
Name of employer
Street address
City/Town State/Province Zip/Postal code
Phone Fax
How did you hear about HCCA? Booth at meeting Magazine ad Colleague Mailing Conference brochure Other (please list above)
Please list your organization’s type (i.e., hospital, nursing home, law firm, health system, etc.)
Membership application
YES, please accept my application for membership:
Individual Membership . . . . . . . . . . . . . . . . . . . $295 $295 per individual annually.
Group Employee Membership . . . . . . . . . . . . $250 $250 per employee annually. Must have four or more
applicants from the same organization to qualify. Please fill out one form for each applicant.
Corporate Membership . . . . . . . . . . . . . . . . . $2,500 $2,500 annually. Includes four individual memberships
plus corporate publicity benefits.
Student Membership . . . . . . . . . . . . . . . . . . . . . $150 $150 annually. To qualify you must be a full-time
or part-time student and unemployed.
TOTAL $
Check enclosed (payable to HCCA)
Invoice me
I authorize HCCA to charge my credit card (choose card below)
Due to PCI Compliance, please do not provide any credit card information via email. You may email this form (without credit card information) and call HCCA at 888-580-8373 or 952-988-0141 with your credit card information.
CREDIT CARD: American Express MasterCard Visa Discover
Credit card account number
Credit card expiration date
Cardholder’s name
Cardholder’s signature
Health Care Compliance Association6500 Barrie Road, Suite 250, Minneapolis, MN 55435phone 888-580–8373 | fax 952-988–0146helpteam @ hcca-info.org | www.hcca–info.org
MAIL to HCCA, 6500 Barrie Road, Suite 250, Minneapolis, MN 55435
FAX to 952-988-0146
2015RG
6 www.hcca-info.org
Managed Care Compliance ConferenceFebruary 15–18 • Las Vegas, NV
Audit & Compliance Committee ConferenceFebruary 23–24 • Scottsdale, AZ
19th Annual Compliance Institute April 19–22 • Lake Buena Vista, FL
Research Compliance ConferenceMay 31–June 3 • Austin, TX
Clinical Practice Compliance ConferenceOctober 11–13 • Philadelphia, PA
Healthcare Enforcement Compliance InstituteOctober 25–28 • Washington DC
HCCA’s 2015 Conferences
Start planning now for
Basic Compliance AcademiesJanuary 19–22 • New York, NY
January 26–29 • San Juan, PR
February 9–12 • San Francisco, CA
March 9–12 • Las Vegas, NV
April 27–30 • Orlando, FL
June 8–11 • Scottsdale, AZ
August 10–13 • New York, NY
September 14–17 • Chicago, IL
Sept 28–Oct 1 • Scottsdale, AZ
October 19–22 • Las Vegas, NV
October 26–29 • Nashville, TN
November 16–19 • Orlando, FL
Nov 30–Dec 3 • San Diego, CA
Healthcare Privacy Basic Compliance AcademiesMarch 2–5 • San Diego, CA
June 15–18 • Las Vegas, NV
November 2–5 • Orlando, FL
Research Basic Compliance AcademiesMarch 2–5 • San Diego, CA
November 2–5 • Orlando, FL
Regional Compliance Conferences
January 23 • Atlanta, GA
February 6 • Orlando, FL
February 13 • Portland, OR
February 20 • Dallas, TX
February 26–27 • Anchorage, AK
March 6 • St Louis, MO
March 13 • Washington DC
March 20 • Charleston, SC
April 30–May 1 • San Juan, PR
May 8 • Columbus, OH
May 15 • New York, NY
June 5 • Philadelphia, PA
June 12 • Seattle, WA
June 19 • Santa Ana, CA
September 11 • Boston, MA
September 18 • Minneapolis, MN
September 25 • Overland Park, KS
October 2 • Indianapolis, IN
October 9 • Pittsburgh, PA
October 15–16 • Honolulu, HI
October 23 • Denver, CO
November 6 • Louisville, KY
November 13 • Scottsdale, AZ
November 20 • Nashville, TN
December 4 • San Francisco, CA
December 11 • Houston, TX
Web Conferences Explore hot topics in healthcare compliance with instant and up-to-date education from the convenience of your office. HCCA announces new conferences regularly, and prior sessions are available for purchase. Visit www.hcca-info.org to learn more.
VISIT HCCA-INFO.ORG TO LEARN MORE
Conference dates and locations are subject to change.
www.hcca-info.org 7
20Celebrating
COMPLIANCEINSTITUTE
HCCA’Syears
Make your hotel reservations now!APRIL 17–20, 2016 ✴ ARIA ✴ LAS VEGAS
20th AnnualComplianceInstitute
ARIA Las Vegas 3730 Las Vegas Boulevard South Las Vegas, NV 89518 ONLINE RESERVATIONS: https://resweb.passkey.com/go/HCCAM16
PHONE RESERVATIONS: 866-359-7757 or 702-590-7757The group rate is $179 per night; rates quoted are for single/double occupancy plus tax (currently at 12% per room per night and subject to change). In addition to the guest room rate there is a mandatory daily resort fee of $25 plus taxes (currently at 12%). Payment for the Resort Fee will be requested at the time of check in. The daily resort fee includes the following: Internet Access (in Suite and Campus Wide at City Center), Local and toll-free number phone calls, Access to The Spa at ARIA Fitness Center, Daily newspaper and Airline Boarding Pass Printing. When making your reservation via telephone, please reference the group Health Care Compliance Association–Annual Compliance Institute 2016 to receive the special rate. These rates are good until Thursday, March 24, 2016, or when the group room block is full (whichever comes first). Reservation requests received after this cut-off date or after the group block is filled (whichever comes first) will be accepted on a space and rate availability basis only. Hotel accommodations are not included in your conference registration fee.
Hotel Guarantee Policy: All reservations require a first night’s room/suite rate deposit, plus resort fee and tax at time that reservation is made. If you need to cancel your reservation you must do so 48 hours in advance of your confirmed arrival date to receive a refund of this deposit.
Hotel Cancellation Policy: If you wish to cancel, please do so 48 hours prior to your scheduled arrival to avoid cancellation penalties.
Extra Person Charge: Rates are based on single or double occupancy. If there are more than 2 people in the room, there will be a $35.00 USD additional charge per person (regardless of age) per night. Maximum of four people per room.
Vdara Hotel & Spa2600 West Harmon AveLas Vegas, NV 89158ONLINE RESERVATIONS: https://resweb.passkey.com/go/HCCA2016
PHONE RESERVATIONS: 866-745-7767 or 702-590-2767The group rate is $159 per night; rates quoted are for single/double occupancy plus tax (currently at 12% per room per night and subject to change). In addition to the guest room rate there is a mandatory daily resort fee of $25 plus taxes (currently at 12%). Payment for the Resort Fee will be requested at the time of check in. The daily resort fee includes the following: Internet Access (in Suite and Campus Wide at City Center), Local and toll-free number phone calls, Access to The Spa at Vdara Fitness Center, Daily newspaper and Airline Boarding Pass Printing. When making your reservation via telephone, please reference the group code HCCA16 or Health Care Compliance Association–Annual Compliance Institute 2016 to receive the special rate. These rates are good until Thursday, March 24, 2016, or when the group room block is full (whichever comes first). Reservation requests received after this cut-off date or after the group block is filled (whichever comes first) will be accepted on a space and rate availability basis only. Hotel accommodations are not included in your conference registration fee.
Hotel Guarantee Policy: All reservations require a first night’s room/suite rate deposit, plus resort fee and tax at time that reservation is made. If you need to cancel your reservation you must do so 48 hours in advance of your confirmed arrival date to receive a refund of this deposit.
Hotel Cancellation Policy: If you wish to cancel, please do so 48 hours prior to your scheduled arrival to avoid cancellation penalties.
Extra Person Charge: Rates are based on single or double occupancy. If there are more than 2 people in the room, there will be a $35.00 USD additional charge per person (regardless of age) per night. Maximum of four people per room.
In 2016 HCCA is offering a choice in hotels. You may choose to stay at ARIA, the official conference hotel, or Vdara, an all-suite, non-gaming, non-smoking property located a short walk away from the ARIA Convention Center. All meeting space for the conference is located in the ARIA Convention Center.
COMPLIANCE-INSTITUTE.ORG
hcca-2016-ci-july-ct-insert-2pgreg.indd 1 6/5/15 9:57 AM
8 www.hcca-info.org
SOCIALIZEJoin the online conversation with HCCA and your compliance colleagues
hcca-info.org
hcca-info.org/hccanet
Blog
hcca-info.org/linkedin
hcca-info.org/google
instagram.com/thehcca
twitter.com/theHCCA
slideshare.net/thehcca
YouTube.com/ComplianceVideos
facebook.com/HCCA
pinterest.com/thehcca
complianceandethics.org
hcca-2015-on-social-networks-1pgad.indd 1 3/4/15 5:19 PM
www.hcca-info.org 9
TRAINING MATERIALSCompliance
10 www.hcca-info.org
Health Care Auditing & Monitoring ToolsThis toolkit provides tool templates, report formats, model policies and procedures, and more, to help establish or enhance your compliance auditing and monitoring efforts. Find just one tool to help your program improve, and you’ve achieved a positive return on investment.
The more than 1,000 pages of materials cover:
y Building a compliance program
y Risk assessment and plan development
y Policies and procedures
y Tools for specific program audits
y Program effectiveness reviews
The print and CD-ROM format allows you to reference and tailor documents already created, tried, and implemented by your peers in the profession. Bi-annual updates are available.
The HCCA HIPAA Training Handbook, Third EditionThis reorganized, updated handbook is for anyone who needs a basic understanding of the privacy and security regulations launched by HIPAA, HITECH Act, and Omnibus Rule Implementation. Suitable for staff training courses, it covers:
y Who must comply with the regulations
y When and by whom is the use or disclosure of protected health information (PHI) permitted?
y What rights does an individual have regarding his or her PHI?
y What are the basic safeguards required to protect the security of e-PHI?
y What happens if a breach occurs?
y What are the penalties for noncompliance?
HCCA MEMBER DISCOUNTS# of books cost per book
10–24 .........................$23
25–49 .........................$20
50–74 .........................$18
75–99 .........................$16
100+ ...........................$15
The Health Care Compliance Professional’s Manual with Quarterly Update SubscriptionPublished by CCH and HCCA
The Health Care Compliance Professional’s Manual gives you all the tools you need to plan and execute a customized compliance program that meets federal standards. Available via print or online, the Manual walks you through the entire process, start to finish, showing you how to draft compliance policies, build a strong compliance infrastructure in your organization, document your efforts, apply self-assessment techniques, create an effective education program, pinpoint areas of risk, conduct internal probes, and more. Hard copy subscribers receive quarterly updates; online subscribers receive updates as soon as they are issued. (Product delivery and subscription fulfillment via Wolters Kluwer.) Note: Academy particpants receive the Manual as part of their registration. This does not include updates.
Members $25Non-members $30
Members $395Non-members $445
Members $419/year Non-members $459/year
www.hcca-info.org 11
Now available in electronic format for e-readers and tablets. Visit Amazon.com or Kobobooks.com.
Compliance 101: Third EditionDebbie Troklus, CHC-F, CCEP-F, CHRC, CHPC and Greg Warner
Author Debbie Troklus and Greg Warner have updated Compliance 101 to reflect recent developments in compliance regulations, including HIPAA, HITECH, and the Federal Sentencing Guidelines. Compliance 101: Third Edition provides a comprehensive review of the fundamentals in healthcare compliance. This practical book is based on the popular HCCA educational program known by the same name. You’ll learn about the seven essential elements of an effective compliance program. The text includes:
y Step-by-step instructions on setting up and maintaining a compliance program
y A chapter dedicated to HIPAA and HITECH regulations
y A glossary with compliance terms and definitions
y Sample compliance forms and policies
This book is ideal for compliance professionals new to the field, compliance committee members, compliance liaisons, board members, and others who need a foundation in compliance principles.
Research Compliance Professional’s Handbook: Second EditionClinical research is highly regulated, so the role of compliance professionals is vital to meeting the demands of a wide range of governing entities. HCCA’s manual offers up-to-date guidance to get you on the right track. Written by experts with hands-on experience in clinical research compliance, this book is intended for anyone with compliance duties or a need to understand such key areas as:
y Human subject protections
y Biosafety and biosecurity
y Conflicts of interest
y Grant and trial accounting
y Records management
y Role of oversight entities
y Integrating research compliance into corporate compliance
y Scientific misconduct
y Animal research
y Clinical trial billing
y Privacy and security
y Data monitoring committees
y Auditing & monitoring
Members $50Non-members $60
Members $149Non-members $169
A selection of 2014 conferences
Stark Law Boot Camp for Compliance Professionals Held October 21, 2014yy Understanding the elements of the Federal physician
self-referral (Stark Law) prohibitions
yy Navigating the statutory and regulatory exceptions, CMS guidance, the self-disclosure protocol, and the Stark Law’s connection to the Federal civil False Claims Act
yy Applying the Stark Law to everyday compliance hypotheticals
Facilitators: Asha Scielzo, Special Counsel, Pillsbury Winthrop Shaw Pittman LLP; Michael Paddock, Partner, Pillsbury Winthrop Shaw Pittman LLP
OCR is Coming! Be Prepared for OCR Audits and Breach InvestigationsHeld September 29, 2014yy Understanding the law: breach notification basics
yy Practical tips for responding to an OCR Investigation
yy Preparing for an OCR audit
Facilitators: John M. Bailey, MA, JD, HIPAA Privacy Officer, St. Jude Children’s Research Hospital; Andrew W. Mahler, JD, HIPAA Privacy Officer, The University of Arizona
Risk-Based Auditing for Physician GroupsHeld March 4, 42014yy An overview of physician practice risks and trends in
E/M coding
yy Techniques to identify high-risk billing and coding practices
yy Tools and methodologies to conduct coding audits for those with limited resources
Facilitators: Cheryl Golden, Director, Deloitte & Touche LLP; Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP; Kim Ramey, Senior ManagerDeloitte & Touche LLP
Credential With ConfidenceHeld February 25, 2014yy Guidelines to successful insurance enrollment and the
importance of credentialing process
yy Tips for the credentialing process and credentialing facts
yy The strict requirements and regulations of the provider enrollment application process
Facilitator: Olga Khabinskay, COO, WCH Service Bureau, Inc
Access recently held training with HCCA Web Conferences on CDLearn about timely compliance and ethics topics from the comfort of your computer. Each Web conference offers our expert speakers’ original multimedia presentation—a complete audio recording synced to the corresponding PowerPoint presentation, all on one CD. No special technology is needed—just a computer with a CD drive, audio speakers (or headphones) and a standard Web browser. As an added benefit, you can earn 1.2 CCB CEUs for each 90-minute conference. Note: Each part of a multi-part conference may be purchased separately or as a cost-saving bundle.
ONE CONFERENCE: Members $99 | Non-members $119
TWO CONFERENCES: Members $180 | Non-members $220
THREE CONFERENCES: Members $270 | Non-members $330
FOUR CONFERENCES: Members $85 per CD | Non-members $105 per CD
TEN OR MORE CONFERENCES: Members $75 per CD | Non-members $99 per CD
To order these CDs and view the entire catalog, visit www.hcca-info.org/webcds
www.hcca-info.org 13
A Supplement to Your Deficit Reduction Act Compliance Training Program: An Overview of the False Claims Act and Federal Health Care ProgramsThe Deficit Reduction Act of 2005 (DRA) brought greater educational responsibilities for compliance officers whose organizations receive $5,000,000 or more in Medicaid. You can educate your employees about the federal False Claims Act and whistle-blower protections with this 15-page guide. This training handbook from HCCA is an easy way to train your employees on some of the increasingly complex laws and regulations facing healthcare organizations today.
Monitoring & Auditing Practices for Effective Compliance: Second EditionEdited by John E. Steiner, Jr., JD
This book assists compliance officers and compliance committee members with designing and maintaining an effective corporate compliance program. The second edition of this important resource adds a chapter on recent improvements in statistical sampling and a chapter on databases for Stark Law and Anti-Kickback statute compliance. Other key elements of compliance programs covered include:
y Developing an effective compliance team
y Developing a voluntary disclosure and refund process
y Preparing for a visit from an Independent Review Organization
y Structuring financial relationships with physicians
y Ensuring attorney-client privilege in the context of healthcare investigations
Health Care Privacy Compliance Handbook, Second EditionThis second edition helps privacy professionals sort through the complex regulatory framework and significant privacy issues facing healthcare organizations. Written by the faculty of HCCA’s Basic Privacy Compliance Academy, it offers up-to-date guidance on:
y HIPAA privacy and security
y HITECH and the Omnibus Rule
y FERPA
y The Federal Privacy Act
y 42 CFR, Part 2
y Privacy and research
y Vendor relations
y Payor privacy issues
y Auditing & monitoring
Members $149 Non-members $169
Members $49.95Non-members $59.95
Non-members $30.00 (pack of 10)
HCCA MEMBER DISCOUNTS# of 10-packs cost per pack
1–9 ............................$25.00
10–24 ........................ $20.00
25–74 ........................ $15.00
75–249 ...................... $10.00
Over 250 .....................$7.50
Non-members, add $200 to join HCCA, and pay member prices for your order.
14 www.hcca-info.org
HIPAA Rules and ComplianceProduced by DuPont Sustainable Solutions
The Health Insurance Portability and Accountability Act (HIPAA) has undergone several modifications since its enactment in 1996, from the Genetic Information Nondiscrimination Act (2010) to the HITECH Act to the HIPAA Omnibus Rule. HIPAA Rules & Compliance, a 15-minute DVD, reviews basic, unchanged requirements, qualified standards and the latest critical changes. Its learning objectives:
y Identify the requirements of the HIPAA Privacy rule
y Identify the requirements of the HIPAA Security rule
y Recognize the HIPAA Breach Notification requirements
y Understand how HIPAA is enforced and the penalties for non-compliance
The DVD comes with an electronic leader’s guide and a customizable PowerPoint® presentation.
Compliance and Ethics: An Introduction for Health Care ProfessionalsHCCA’s video provides everything you need to conduct compliance and ethics training:
y 23-minute video with 7 sections that can be viewed one at a time
y Trainer’s Guide with suggested program agenda and discussion outlines
y Reproducible participant materials
y Available in DVD or VHS—DVD includes viewer’s menu for easy customization of training sessions
Suitable for new employee orientations and staff refreshers. Topics include:
y Documentation accuracy
y Patient privacy
y Ethics
y Security of ePHI
y Anti-kickback
y Conflict of interest
y Stark law
Members $350 Non-members $395
Members $265 Non-members $295
www.hcca-info.org 15
EMTALA 911: On Call!Produced by Coastal Training Technologies Corp.
With this EMTALA training program, you get a 15-minute video and a customizable PowerPoint® presentation. Bring your staff up-to-date on the newest EMTALA requirements. This training kit:
y Reviews existing guidelines and covers the latest CMS changes
y Defines “dedicated emergency department”
y Discusses how other areas of the hospital may be affected and their screening obligations for emergency care
y Shows staff how to legally ask about a patient’s financial status or health insurance
y Illustrates a facility’s legal obligations to provide healthcare for patients with an inability to pay
Compliance, Conscience and ConductHCCA's award-winning, video-based training program is a cost-effective, easy-to-use training kit—your solution for training your entire organization in the fundamentals of compliance. It includes:
y 17-minute video that reviews seven common case studies
y Session leader guide
y Reproducible participant worksheets and certification forms
Case study topics include:
y Coding
y Vendor relationships
y Patients’ charts
y Gifts and gratuities
y Patient information
y Gifts from vendors
The video allows for convenient places to stop and discuss how the scenarios and concepts apply to your own organization.
Healthcare Compliance: Code of Conduct Produced by Coastal Training Technologies Corp.
This comprehensive and easy-to-understand training kit includes an 18-minute video and a customizable PowerPoint® presentation. Compliance professionals can use this video as an integral part of their training programs. It gives a general overview of a compliance program and its importance in today’s healthcare environment. Topics include:
y Best practices for compliance
y Code of conduct
y On-going education and training
y Monitoring and auditing
y In-house reporting systems
y Enforcement and discipline
y Response and prevention
Members $295 Non-members $350 (DVD or VHS)
Members $295 Non-members $365 (DVD or VHS)
Members $195 Non-members $235(DVD or VHS)
WWW.HCCA-INFO.ORG/ACADEMIES
With a wide range of research-related issues becoming hot topics with enforcement agencies, HCCA’s Research Basic Compliance Academy® provides the opportunity to get information on many areas that affect research compliance officers and their staff on a day-to-day basis. A small audience encourages hands-on educational techniques, small group interaction, and networking.
ResearchBasic ComplianceAcademies
San Diego, CAMarch 2–5, 2015
Orlando, FLNovember 2–5, 2015
REGISTEREARLYACADEMIES FILL FAST
hcca-2015-academies-research-half-page-horiz.indd 1 10/30/14 1:31 PM
This comprehensive Academy covers a broad spectrum of laws and regulations affecting healthcare organizations: HIPAA privacy, general compliance, the Federal Privacy Act, and more. Our faculty has many years of experience in healthcare compliance and privacy. The Academy is also helpful in preparing for healthcare privacy certification.
Healthcare PrivacyBasic ComplianceAcademiesSan Diego, CAMarch 2–5, 2015
Las Vegas, NVJune 15–18, 2015
Orlando, FLNovember 2–5, 2015
REGISTEREARLYACADEMIES FILL FAST
WWW.HCCA-INFO.ORG/ACADEMIES
hcca-2015-academies-privacy-half-page-horiz.indd 1 2/6/15 10:11 AM
www.hcca-info.org 17
The First Information Is Almost Always Wrong: 150 Things to Know About Workplace InvestigationsFrom the Society of Corporate Compliance and Ethics (SCCE)
Effective workplace investigations are equal parts art and science. Author Meric Bloch has mastered both aspects through years of hard-earned experience. In this book, he details the strategies and tactics he knows work best. His approach is mapped out in three sections:
y Protect Your Career—How to Think Like a Workplace Investigator
y Protect Your Company—How to Integrate Your Investigations into Your Company’s Operations
y Protect Your Case—How to Conduct an Effective Workplace Investigation
Workplace Investigations: Techniques and Strategies for Investigators and Compliance OfficersFrom the Society of Corporate Compliance and Ethics (SCCE)
Author Meric Bloch is back with more expert guidance! His new book offers step-by-step guidance on internal investigations, covering how to:
y Structure the process
y Select an investigations team
y Plan the investigation
y Interview reporters and witnesses
y Interview implicated employees
y Secure relevant documents
y Evaluate evidence
y Reach conclusions
y Write a final report and move forward
Members $80Non-members $90
Members $90Non-members $100
Save money when you buy both of Meric Bloch’s books:Workplace Investigations: Members $90 / Non-members $100The First Information: Members $80 / Non-members $90BOTH BOOKS AS A SET: Members $150 / Non-members $170
Ethics and Compliance on the Job: Classic Ethikos articles with no-nonsense solutionsAs the beacon of business ethics publications, Ethikos has shined a spotlight on ethics and compliance for more than 25 years. This anthology of articles from Ethikos brings together highly relevant and practical ideas, insights, and advice for today’s practitioners. Articles for this collection were selected to cover five key subject areas:
y Establishing/Promoting an Ethical & Compliant Culture
y Program Implementation Details
y Communicating Ethics & Compliance
y Ethics & Compliance Education & Training
y Assessing & Measuring Program EffectivenessMembers: $75Non-members: $85
New
18 www.hcca-info.org
More products from the Society of Corporate Compliance and Ethics (SCCE)
501 Ideas for Your Compliance and Ethics Program: Lessons from 30 Years of PracticeAuthor Joe Murphy has spent his career collecting great ideas for building an effective compliance and ethics program. He shares 501 of them here—ideas big and small—to help others find new ways to improve their programs. All are practical and ready to use. Topics covered in this collection include:
y Identifying compliance & ethics risks
y Benchmarking against industry practices
y Establishing and enforcing a program
y Conducting audits
y Evaluating effectiveness
y And much more!
Building a Career in Compliance and Ethics: Find Your Place in the Business World’s Hottest New FieldAuthors Joseph E. Murphy and Joshua H. Leet offer step-by-step instructions on how to establish a career in compliance and ethics. You’ll discover:
y The wide range of compliance and ethics jobs
y The skills and temperament needed for this field
y Practical ways to prepare for and get ahead in your career
y Steps for conducting an effective job search
y Advice from seasoned compliance and ethics professionals
Corporate Compliance & Ethics: Guidance for Engaging Your BoardThis video training kit serves as a call to action for board members. In this 12-minute video, your board of directors will review their responsibilities in identifying compliance risks, engaging in compliance program oversight, ensuring needed resources for program monitoring, and assessing the effectiveness of the whistle-blowing detection system. With this valuable training kit, you receive such key support materials as The Federal Sentencing Guidelines, The Sarbanes-Oxley Act, The Powers Report, and best practices for non-profit corporate governance.
Members $50Non-members $60
Members & Non-members Softcover $29.95Hardcover $34.95
Members $345 Non-members $395
www.hcca-info.org 19
Qty Description Members Non-members Total The HCCA HIPAA Training Handbook, Third Edition (bulk discounts available) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25 . . . . . . . . . . . . . . . . . . . . $30
Health Care Auditing & Monitoring Tools (manual) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$395 . . . . . . . . . . . . . . . . . . $445
Compliance 101: Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Health Care Privacy Compliance Handbook, Second Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$149 . . . . . . . . . . . . . . . . . . .$169
Research Compliance Professional’s Handbook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$149 . . . . . . . . . . . . . . . . . . .$169
Monitoring & Auditing Practices for Effective Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49.95 . . . . . . . . . . . . . . . . $59.95
A Supplement to Your DRA Compliance Training Program (10-pack: bulk discounts available) . . . . . . . . . . . . . . . . . . . . . . . . . $25 . . . . . . . . . . . . . . . . . . . . $30
Compliance & Ethics: An Introduction for Health Care Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$350 . . . . . . . . . . . . . . . . . . $395
HIPAA Rules and Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$265 . . . . . . . . . . . . . . . . . . $295
Healthcare Compliance: Code of Conduct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $295 . . . . . . . . . . . . . . . . . . $350
EMTALA 911: On Call! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$195 . . . . . . . . . . . . . . . . . . $235
Compliance, Conscience and Conduct Video . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $295 . . . . . . . . . . . . . . . . . . $365
Workplace Investigations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $90 . . . . . . . . . . . . . . . . . . $100
The First Information Is Almost Always Wrong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $80 . . . . . . . . . . . . . . . . . . . . $90
Meric Bloch’s Investigations Two-Book Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150 . . . . . . . . . . . . . . . . . . .$170
501 Ideas for Your Compliance & Ethics Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Building a Career in Compliance and Ethics (softcover) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $29.95 . . . . . . . . . . . . . . . . $29.95
Building a Career in Compliance and Ethics (hardcover) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $34.95 . . . . . . . . . . . . . . . . $34.95
Guidance for Engaging Your Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $345 . . . . . . . . . . . . . . . . . . $395
Ethics and Compliance on the Job: Classic Ethikos articles with no-nonsense solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75 . . . . . . . . . . . . . . . . . . . . $85
Please pay via credit card or invoice for the product below: NO CHECKS ACCEPTED. Sales tax applies in every state for this product. The Health Care Compliance Professional’s Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$419 . . . . . . . . . . . . . . . . . . $459
Please check: Web version Print version (add $26 shipping). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .add your state’s sales tax
Note: Academy participants receive the Manual as part of their registration (this does not include the year of updates)
Join HCCA and pay member prices for your order! Add $200 to join (regular price $295) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200
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HCCA Products Order Form
Prices are subject to change without notice. Any applicable sales tax is included in the product prices listed unless otherwise noted. Shipping is complimentary to addresses within the continental United States via FedEx Ground. Please include your full physical address. Products shipped via FedEx cannot be delivered to a PO box. Addresses outside the continental United States are subject to standard shipping rates: Contact HCCA for pricing. Please note that HCCA will charge your credit card the correct amount should your total be miscalculated.
hcca-info.org/regionals
Get high-quality, convenient, inexpensive education and networking opportunities. Don’t miss the chance to attend an HCCA Regional Conference in your area !
questions: beckie.smith @ hcca-info.org
January 23 • Atlanta, GA
February 6 • Orlando, FL
February 13 • Portland, OR
February 20 • Dallas, TX
February 26–27 • Anchorage, AK
March 6 • St Louis, MO
March 13 • Washington DC
March 20 • Charleston, SC
April 30–May 1 • San Juan, PR
May 8 • Columbus, OH
May 15 • New York, NY
June 5 • Philadelphia, PA
June 12 • Seattle, WA
June 19 • Santa Ana, CA
September 11 • Boston, MA
September 18 • Minneapolis, MN
September 25 • Overland Park, KS
October 2 • Indianapolis, IN
October 9 • Pittsburgh, PA
October 15–16 • Honolulu, HI
October 23 • Denver, CO
November 6 • Louisville, KY
November 13 • Scottsdale, AZ
November 20 • Nashville, TN
December 4 • San Francisco, CA
December 11 • Houston, TX
2015 Regional Compliance Conferences
hcca-2015-regionals-ct-dec-insert-1pg.indd 1 10/29/14 1:10 PM
www.hcca-info.org 21
SOLUTION PROVIDERSCompliance
22 www.hcca-info.org
3M Health Information Systemswww.mmm.com
Best known for market-leading coding solutions and ICD-10 exper-tise, 3M Health Information Systems also delivers innovative software and consulting services that raise the bar for clinical documentation improvement, computer-assisted coding, mobile physician applica-tions, and document management. With a robust healthcare data dictionary and terminology services to support the expansion and accuracy of EHRs and 30 years of healthcare experience, 3M is the go-to choice for organizations worldwide that want to improve qual-ity and financial performance.
7Atlis by AAPCBarry Johnson, President Enterprise Solutions1-877-835-2842 | [email protected]
7Atlis is a no-nonsense compliance solution. Both professionals and those new to compliance can confidently establish and manage all seven components outlined by CMS in official program guid-ance. 7Atlis provides users with total security and the flexibility to create, modify and search all policies and other official documents, yet requires no installed software. Tier pricing and content options accommodate the needs of all practice types. Rich graphics and helpful videos enable users to quickly learn and utilize all functions required for their roles. 7Atlis—by AAPC.
Accreditation Commission for Health CareRoy Bigler, National Sales Account [email protected] | www.achc.org
The Accreditation Commission for Health Care (ACHC) is a not-for-profit accrediting organization that has represented quality and excellence in the healthcare industry for more than 25 years. ACHC was created For Providers, By Providers and has CMS Deeming Authority for Home Health, Hospice and DMEPOS services. For more information on ACHC’s accreditation programs, visit achc.org.
Association of Certified Fraud Examiners+1 512 478 9000 or 800 245 3321 (US)[email protected]
The Association of Certified Fraud Examiners (ACFE) is the world’s largest anti-fraud organization and premier provider of anti-fraud training and education. Together with nearly 75,000 members, the ACFE is reducing business fraud worldwide and inspiring public con-fidence in the integrity and objectivity within the profession.
ACLwww.acl.com
ACL’s powerful solutions allow healthcare organizations to quickly and easily access, compare, and independently check transactions from multiple application systems against control parameters, busi-ness rules, and historical data trends to identify errors, fraud and inefficiencies. ACL™ GRC provides seamless management of organiza-tional risks, mitigation activities, project execution and remediation of results. Enterprise Continuous Monitoring, powered by ACL™ Analytics Exchange, takes recurring analysis to the next level through centralized data extraction, analysis, exception management, report-ing and visualization.
AHA Solutions Inc800-242-4677www.aha-solutions.org
As an American Hospital Association (AHA) member service, AHA Solutions collaborates with hospital leaders to identify key chal-lenges the field faces. We then work with market consultants to conduct the proprietary AHA Signature Due Diligence ProcessTM and identify solutions. AHA Solutions provides access to content experts and education to support product decision making. As a subsidiary of the AHA, the organization convenes people with like interests for knowledge sharing that is centered on timely information and research. AHA Solutions is your Partner to transform healthcare.
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AHIAMichelle Cunningham, Associate Director888-275-2442, x 132 | [email protected] www.ahia.org
The Association of Healthcare Internal Auditors (AHIA) is an inter-national membership association dedicated to the advancement of the healthcare internal auditing profession, which includes auditing disciplines such as operational, compliance, clinical/medical, financial and information technology. AHIA provides members with special-ized education, resources and networking opportunities designed to help its members navigate the complex and dynamic health-care environment. If you have a stake in healthcare governance, risk management and internal controls, we encourage you to visit www.ahia.org for more information.
Altegra HealthRyan Kelly, Managing Director, Sales & Client Services310-776-4500 | [email protected]/ras
Sinaiko Healthcare Consulting, founded in 1990, has now officially changed its name to the Reimbursement & Advisory Services Division of Altegra Health. The firm is among the sector’s most experienced healthcare consulting firms, encompassing a range of service areas ranging from revenue cycle consulting and litigation support to coding and compliance, valuation and transactions, reimbursement audit and quality analytics. These historical areas of focus are now integrated with perhaps the deepest resources in Medicare/Caid risk adjustment and risk adjustment technology in the industry.
Atlantic Information Services800-521-4323 | www.AISHealth.com
Having timely, practical information is the best way to identify and reduce your Medicare, Medicaid, HIPAA and Research compliance risks while minimizing time, expense and disruption to your orga-nization. AISHealth.com offers easy-to-implement guidance and expert insight into tough compliance challenges with: Report on Medicare Compliance, Report on Patient Privacy, Report on Research Compliance and the FREE Government News of the Week e-newslet-ter. To learn more and read free samples, visit www.AISHealth.com or call 800-521-4323.
Atlas Systems IncJayen Godse, EVP Solutions609-947-0927 | [email protected]
Atlas Systems is a provider of Compliance and Vendor gover-nance solutions and services. Using our integrated GRC product ComplyScore, Healthcare organizations manage Compliance, Policies and Procedures, Enterprise Risk, Audits, COI surveys, Incident, Contracts and Training. The solution helps Payers manage their FDR responsibilities and provider data. The vendor governance suite is a robust platform to manage vendor relationships and includes solu-tions for onboarding, contracting and performance management.
Audimation Services, Inc. A CaseWare Analytics PartnerScott Smith, Sales Engineer888-641-2800 x2065 | [email protected]
CaseWare Analytics is home to IDEA Data Analysis, Collaborative Analytics and Continuous Monitoring solutions. All CaseWare Analytics technologies are built upon the foundation of best prac-tices in assessing risk and controls, hereby enabling audit and finance professionals to use real data insights to create remarkable ROI & business improvement opportunities. Audimation Services is the U.S. distributor of CaseWare Analytics solutions.
Beazley Groupwww.beazley.com
Beazley insures a wide range of healthcare providers for professional and management liability exposures. Unique to the insurance market we also provide a Regulatory Liability product designed to respond to governmental investigations caused by billing errors and omissions.
24 www.hcca-info.org
BESLER ConsultingJeffrey A. Lampman, Vice President of Client Development 1-877-4BESLER | [email protected]
For over 25 years, BESLER has helped hospitals enhance and pro-tect their Medicare revenue. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and software develop-ment has resulted in more than $2 billion of additional revenue for our clients. BESLER’s Transfer DRG Revenue Recovery Service has earned the coveted Peer Reviewed designation from the Healthcare Financial Management Association. For more informa-tion, visit www.besler.com.
Bloomberg BNA800-372-1033 | www.bna.com/contactwww.bna.com
Bloomberg BNA, a wholly owned subsidiary of Bloomberg, is a leading source of legal, regulatory, and business information for pro-fessionals. Our network of reporters and leading practitioners deliver expert analysis, news, practice tools, and guidance. Bloomberg BNA’s authoritative coverage spans the full range of legal practice areas.
The Bonadio GroupPaul Mayer, Principal877-917-3077 | [email protected]
Regulatory compliance is a complex challenge for any organization. That’s why compliance officers turn to The Bonadio Group, a Top 50 CPA firm, for comprehensive, affordable assistance with a spectrum of regulations and programs—including HIPAA, Medicare, Medicaid, DOH and other guidelines. Bonadio also functions as an Independent Review Organization for Corporate Integrity Agreements, assists with Medicare and Medicaid Self-Disclosures, and develops, imple-ments, and assesses compliance programs. Contact us today for more information.
BridgeFrontwww.bridgefront.com
Effective, customizable and budget-friendly; BridgeFront helps healthcare provide the highest quality of staff education. All 100% online, you have the flexibility to take the courses as-is or modify them, and even build your own courses. For over ten years, BridgeFront has provided engaging online education on HIPAA, corporate compliance, revenue cycle, communications, clinical, lead-ership and now ICD-10.
Broad and Cassel954-764-7060www.broadandcassel.com
Broad and Cassel offers full-service legal representation for individu-als, public entities and private enterprises. Founded in 1946, the firm has eight locations throughout the state. Broad and Cassel attorneys know Florida’s economy and its business and political leaders. The Firm’s attorneys specializing in white collar criminal and civil fraud defense, securities, corporate law and corporate investigations are known nationwide and work closely with colleagues in more than two dozen different practice areas. For more information, visit www.broadandcassel.com.
Captain Integritywww.captainintegrity.com
Captain Integrity is a fun and easy-to-read educational resource used to brand a health care organization’s compliance program. With Captain Integrity, your physicians and employees will receive necessary compliance education by using a lighthearted approach.
www.hcca-info.org 25
Cardiovascular Peer ReviewCardiovascular Peer Review (CPR) is an IRO that assists health care providers ensure organizational compliance with conditions and specifications of their Corporate Integrity Agreements (CIA) issued by the Office of the Inspector General (OIG). Reviews are conducted by physician reviewers that are experts in the field of diagnostic, interventional cardiology and electrophysiology. Headquartered in Washington, DC, CPR is affiliated with Accreditation for Cardiovascular Excellent (ACE), a leading cardiovascular and endovascular accredita-tion and peer review organization.
CBIZ KA Consulting Services, LLCAdam Abramowitz, Business Development Coordinator609-918-0990 | [email protected]
CBIZ KA Consulting Services, LLC (CBIZ), provides data-driven solu-tions that improve compliance, reduce audit risk exposure and increase revenue. Founded in 1978, CBIZ blends best-in-breed data analytics with 35 years of healthcare consultative expertise to help optimize the revenue cycle, making sure that hospitals are compli-ant and that they also received their entitled revenue. CBIZ’s tested approach to compliance involves healthcare financial experts, case managers, data analysts, coders and utilization review specialists.
Cerner Corporationwww.cerner.com
Cerner’s health information technologies connect people, infor-mation and systems at more than 18,000 facilities worldwide. Recognized for innovation, Cerner solutions assist clinicians in making care decisions and enable organizations to manage the health of populations. The company also offers an integrated clini-cal and financial system to help health care organizations manage revenue, as well as a wide range of services to support clients’ clinical, financial and operational needs. For more information about Cerner, visit cerner.com. (As of February 2, 2015, Cerner Corporation acquired Siemens Health Services.)
Certiphi Screening, Inc.888-260-1370 | www.certiphi.com
Certiphi Screening, Inc. provides compliance screening services exclusively to the healthcare community. Our services include state-of-the-art OIG/ EPLS and healthcare sanctions screening via our SanctionsBase.com Web tool; employee and applicant background screening; fingerprinting; inte grated electronic I-9 and E-Verify ser-vices; occupational health screening and other compliance-related services. Certiphi Screening is the only company whose applicant screening services have been endorsed by the American Hospital Association. To learn more, visit the Certiphi Screening website atwww.certiphi.com.
CHAN HealthcareJulie Ward, Senior Vice President630-574-1829 | [email protected]
CHAN Healthcare is the U.S. market leader in providing Internal Audit and Risk Consulting Services to the healthcare industry. As industry experts, we leverage our knowledge and expertise to deliver inno-vative solutions to today’s complex healthcare issues. To learn more about CHAN Healthcare, visit our website (www.chanllc.com) or call Julie Ward at 630-574-1829.
ChargeAssistRebecca Hunt, Marketing Manager800-831-3323, ext. 4 | [email protected]
ChargeAssist® is a single charge management solution for both small and large enterprise organizations. CDM Auditor™ reinvents the audit process for annual and ongoing CDM maintenance. Price Analyzer™ supports unlimited price modeling for hospital and phy-sician charges, comparing marketing data, cost, fee schedules, and utilization to ensure transparent pricing. Change MonitorTM resolves CDM management’s biggest challenge—automating collaboration and documentation of charge changes. Ultimate Research Center™ is a single-source coding and regulatory resource, saving costs and ensuring smarter staff.
26 www.hcca-info.org
CliftonLarsonAllen LLPRandy Romes, Principal888-529-2648 | [email protected]
CliftonLarsonAllen (CLA) LLP is an industry specialized professional service firm focused on helping healthcare organizations improve profit ability, reduce risk, build business value, support regulatory compliance efforts and plan for succession. From offices coast to coast, our profes sionals deliver audit, tax, consulting, and outsourc-ing capabilities best aligned with our clients’ needs: risk assessments, network penetration testing, outsourced/co-sourced internal audits, enterprise risk man agement, regulatory compliance evaluations, information technology audits, security awareness training, security incident (breach) handling, fraud, and forensics.
The Coding Network LLCNeal Green310-459-4186 | [email protected]
The Coding Network is the country’s leading provider of coding solutions: remote coding services (ongoing or temporary), coding compliance reviews, coding helpline services, and provider docu-mentation training. Our 450 U.S. Based certified coder/auditors provider services in 55 medical specialties in all 50 states, 86 academic institutions and over 260 billing companies and community-based practices and facilities. All of our coders have a minimum of 3 years of single specialty coding experience while our auditors have a mini-mum of 5 years of experience.
Coding Strategies®www.codingstrategies.com
Coding Strategies® offers an incomparable array of consulting services and educational materials to meet any size, budget or specialty—created by some of the most sought-after, nationally-recognized, certified experts. When it comes to compliance, what you don’t know can take a bite out of your reputation and bottom line. That’s why the industry relies on Coding Strategies’ services to optimize coding and billing efficiency, manage medical necessity compliance and appeals. Learn more at www.codingstrategies.com.
ComplianceLine, IncJenelle Stone, Sales [email protected]
For the past 17+ years, ComplianceLine (24-hour compliance and ethics reporting service) and SanctionCheck (sanction screening services) have operated as divisions of Compliance Concepts, Inc. As of September 1, 2013, ComplianceLine and SanctionCheck began operating as separate service lines within a new organization enti-tled “ComplianceLine, Inc.” Our mission is to assist organizations in developing and implementing effective compliance programs, and, create a controlled environment that reinforces the commitment of the organization to compliance.
Compliance Wave LLCJoel A. Rogers, CEO+1 732 704 9220 | [email protected]
Membership in Compliance Wave means having access to the largest online library of customizable and easy-to-use compliance commu-nication tools in the marketplace. The library of 2,000+ tools includes engaging short videos, tone-at-the-middle kits, articles & blogs, car-toons, and more, covering 75+ key compliance and ethics topics. Compliance Wave brings together the latest advances in behavior change science with practical tools to create the most innovative compliance communication solution available, transforming the way compliance professionals communicate with employees.
Compliatric888-878-8897 | [email protected]
Compliatric gives you easy, centralized control over the complex com-pliance management efforts. You can easily identify, track and address risk. We provide a comprehensive, affordable, integrated online plat-form for addressing your risks associated with regulatory compliance initiative. Our web-based application is intuitive, user friendly and all-encompassing. Compliatric–Compliance Made Simple.
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ComplyAssistantGerry Blass, President & CEO 732-845-9508 | [email protected]
ComplyAssistant offers compliance management software and con-sulting services. ComplyAssistant’s clients manage and document compliance activities for various regulations and accreditation requirements, with enterprise collaboration, notifications, and report-ing. ComplyAssistant provides consulting services for HIPAA-HITECH and Meaningful Use (MU) Audits, mitigation planning, policies and procedures, mock audits, and more. ComplyAssistant’s breach notifi-cation workflow and business associate (BA) management functions are important for meeting the HITECH Omnibus final rule require-ments. Visit ComplyAssistant today at www.complyassistant.com and request a web demo via our “Contact Us” page.
Contract GuardianThom Davidson | 513.977.4544Thom.davidson@productivity.rippe.comwww.ContractGuardian.com
Contract Guardian, from Rippe & Kingston is a leading Contract Management System. Need Ultimate Flexibility and Unlimited Growth? Then you need Contract Guardian. Our comprehensive, Cloud Based Contract Management System is incredibly intuitive and sports a full suite of features and capabilities to manage your contracts. In no time, you will be able to manage any contract, agree-ment, lease, warranty, or related documents and data. Or move to our Private Cloud Edition for an on-premise solution that utilizes your own infrastructure. How does Contract Guardian succeed where many products have not? By precisely managing the process through a set of adjustable business rules which makes the process easier, more dependable, and visible to management on the outcomes of those tasks. See more at: www.ContractGuardian.com
The Corridor Groupcorridorgroup.com
The Corridor Group helps you navigate a transforming healthcare industry – delivering timely solutions for adapting to new delivery systems, payment models and collaborations. We partner with you in: 1) Revenue Cycle: operating on an outsourced basis all or part of your “code-to-collect” business workflows 2) Regulatory Compliance: helping understand & reduce/eliminate risks 3) Operational Strategy: leveraging 25+ years of experience, we can dig into core operations, provide interim executives, re-engineer processes and build execu-tion-focused strategies.
Craneware, Inccraneware.com | stoptheleakage.com
Craneware (AIM: CRW.L) is the leader in automated revenue integrity solutions that improve financial performance for healthcare organi-zations. Craneware’s market-driven, SaaS solutions help hospitals and other healthcare providers more effectively price, charge, code and retain earned revenue for patient care services and supplies. This optimizes reimbursement, increases operational efficiency and mini-mizes compliance risk. By partnering with Craneware, clients achieve the visibility required to identify, address and prevent revenue leak-age. To learn more, visit craneware.com and stoptheleakage.com.
Crimcheck.comJeff Sosic, Vice President877-992-4325 | [email protected]
SanctionsCheck™ by Crimcheck.com conveniently searches medical exclusion lists, in one simple platform. Results are returned quickly and adjudicated for you, with all name matches verified, saving you time and money. Combining advanced technology with extensive industry knowledge, we assist your company with compliance and improve HR efficiencies.
28 www.hcca-info.org
CynergisTekJana Langhorne, Director of Marketing512-402-8550 | [email protected]
CynergisTek is a healthcare IT consulting firm that offers IT audit and assessment solutions to help the industry improve privacy and security programs and achieve compliance with regulatory require-ments. The company has served as partner to hundreds of providers and vendors and has a consulting team comprised of subject matter experts who are passionate about helping clients achieve success. CynergisTek is also dedicated to educating the industry by support-ing relevant bellwether organizations.
Dellwww.Dell.com/Healthcare
Dell listens to customers and delivers innovative technology and ser-vices that give them the power to do more. As the leading provider of IT services to the healthcare industry, Dell offers payers, pharmaceuti-cal companies and providers business and technology solutions to improve the security, accessibility and affordability of critical HIT and to connect the healthcare ecosystem so that patients and caregivers can realize the benefits of information-driven healthcare. For more information visit: www.Dell.com/Healthcare.
Deloittewww.deloitte.com
You can’t predict the future, but you can prepare for a chang-ing market and heightened regulatory landscape. At Deloitte, we help our client develop strategies, mitigate risks, and prepare for the future of health care. With over 70 years of industry experience, and the innovation, deep understanding, and commitment of over 3,000 professionals, we provide a range of technical and advisory services to help clients transform their organizations. Our approach can deliver strategies that take the shape of your business goals, today and into tomorrow.
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Doctors Management LLCLauren King, Director of Sales800-635-4040 | [email protected]
DoctorsManagement is a full-service medical practice consulting firm comprised of dedicated experts to support your practice goals. We help large and small healthcare organizations reduce compli-ance risks, increase practice profits, improve patient satisfaction and employee morale as well as reduce stress for physicians and staff. The firm has more than 50 years of proven success and employs nationally recognized industry experts in every area of medical practice man-agement, including compliance, coding, auditing, financial services, patient retention, human resources and more.
EAGLETRACE Security Consulting, Inc.www.EagleTraceSecurity.com
EAGLETRACE Security Consulting, Inc. is a professional consulting firm specializing in information security and HIPAA/HITECH compli-ance related services provided to the healthcare industry. Our clients include healthcare centers, medical practices, behavioral health cen-ters, business associates, and more across the US. We can provide you with expert advice on any related governance, risk, compliance, security, and privacy matters. We provide one of the most compre-hensive risk assessments in the industry. Get HISSRA Certified Today!!!
eProtex855-377-6839 | [email protected]
eProtex helps healthcare providers keep medical devices safe for patients and their ePHI, and compliant with HIPAA, Meaningful Use and FDA mandates. As such, we specialize in identifying and revers-ing hidden patient safety, compliance and security risks unique to medical devices. Developed by and for the healthcare community, eProtex serves more than 100 healthcare facilities in the U.S., and has completed more than 20,000 HIPAA-compliant medical device risk assessments to date.
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Epstein Becker GreenGeorge B. Breen, Member of the Firm202-861-1823 | [email protected] E. Gospin, Member of the Firm713-300-3211 | [email protected]
For over 40 years, Epstein Becker Green’s Health Care and Life Sciences practice has been actively engaged in shaping and directing the national discourse on health care. Our lawyers have experience handling a wide range of legal and compliance issues, including gov-ernment litigations, investiga tions, and audits, and providing privacy and security counseling, fraud and abuse counseling, and corporate compliance program legal services that are tailored to the size of the organization and the nature of the business. For more infor-mation on the firm’s Health Care and Life Sciences practice, please visit www.ebglaw.com.
Executive Health ResourcesMichele Bowman, VP, Marketing and Communications484-362-1705 | [email protected]
Founded in 1997, Executive Health Resources (EHR),offers hospi-tal providers a suite of services that can help drive sound financial performance and medical necessity compliance. Delivered through teams of specially trained, technology-enabled Physician Advisors, EHR’s services include medical necessity compliance and appeals management, commercial admission review, and physician docu-mentation improvement.
Experian® Data Breach ResolutionOzzie Fonseca, CIPP/US, Senior [email protected]/databreach
Experian Data Breach Resolution, powered by the nation’s larg-est credit bureau, is a leader in helping businesses plan for and mitigate consumer risk following data breach incidents. The group offers swift and effective incident management, notification, call center support and fraud resolution services while serving millions of affected consumers with proven credit and identity protection products. Experian Data Breach Resolution is a founding member of the Medical Identity Fraud Alliance.
Faegre Baker Danielswww.faegrebd.com
Faegre Baker Daniels has significant experience counseling nonprofit and for-profit clients in the health care industry, including providers, device manufactures and pharmaceutical companies. We have been helping health care clients develop and implement effective compli-ance programs for more than 20 years. With U.S. offices in California, Colorado, Illinois, Indiana, Iowa, Minnesota and Washington, D.C. and international offices in London, Beijing and Shanghai, Faegre Baker Daniels is one of the 75 largest law firms in the United States.
FairWarningShane Whitlatch, Executive Vice President727-576-6700 | [email protected]
FairWarning® invented and is the global leader in patient privacy monitoring solutions which guard against abuse of patient informa-tion in Electronic Health Records (EHRs) enabling care providers to confidently connect physicians, clinics and patients. FairWarning®’s solutions are compatible with healthcare applications from every major vendor and available as either on-premise or software-as-a-service with managed services available to complement existing resources. Customers consider FairWarning® solutions essential for compliance with healthcare privacy regulations such as ARRA HITECH privacy and meaningful use criteria, HIPAA, EU Data Protection, UK Freedom of Information Act, various state healthcare laws and Canadian provincial healthcare privacy law.
Fi-Med Management Incwww.fimed.com
Fi-Med Management, Inc has been serving the healthcare commu-nity for 21 years to improve cash flow and reduce compliance risk. In 2012, we introduced REVEAL/md, the first BI solution, that is designed specifically for compliance, finance and legal departments to proac-tively identify risk and revenue potential. Healthcare systems can no longer focus on what was once deemed compliance effectiveness. REVEAL/md is the catalyst to a proactive and dynamic cost saving STAGE II corporate compliance program.
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FTI Consulting Health SolutionsDorothy DeAngelis, Senior Managing Director704-460-2437 | [email protected]/hc
FTI Consulting, Inc. is a global business advisory firm dedicated to helping organizations protect and enhance enterprise value in an increasingly complex legal, regulatory and economic environment. Our professionals are located in all major business centers through-out the world, work closely with clients every day to anticipate, illuminate, and overcome complex business challenges in areas such as investigations, litigation, mergers and acquisitions, regulatory issues, reputation management and restructuring. More informa-tion can be found at www.fticonsulting.com/hc
The George Washington UniversityMona Yep, Senor Recruitment & Enrollment Specialist703-299-0199 | [email protected] http://cps.gwu.edu/hcc
The George Washington University’s Healthcare Corporate Compliance Graduate Certificate Program: This CCB-accredited pro-gram provides a comprehensive corporate compliance education for current or aspiring corporate compliance officers. The 12 credit program can be completed in seven months with two short in-class residencies in Alexandria, VA and an interactive distance learning segment in-between. Students have unparalleled access to experts in the field, including former regulators and policymakers, as well as legislators, patient advocates and other compliance professionals.
GNYHA Ventureswww.gnyhaventures.com
GNYHA Ventures, Inc. and technical partner Bluemark, are pleased to announce the release of TRACKer™ PRO, the next generation of TRACKer™. While TRACKer™ remains the premier solution available today to manage all Medicare fee for service audits including the RAC program, TRACKer™ PRO is a comprehensive audit and compliance toolset designed to assist providers in managing the entire spectrum of audits including Medicare, Medicaid as well as commercial payers.
Hall, Render, Killian, Heath & Lymanwww.hallrender.com
Hall, Render, Killian, Heath & Lyman is a national health law firm with offices in Denver, Detroit, Indianapolis, Louisville, Milwaukee, Philadelphia and Washington, D.C. More than 160 attorneys rep-resent hospitals and health systems, physician practices, life science firms and nonprofits in the highly regulated health care industry. Hall Render focuses its practice in health law and is rec-ognized as one of the nation’s preeminent health law firms. Learn more at hallrender.com.
Hamline University Health Law InstituteKari McMartin, Program Manager, Health Law Institute651-523-2130 | [email protected]/law/hli/
Hamline Law’s nationally ranked Health Law Institute has expanded its award-winning, CCB accredited Health Care Compliance Certificate Program. Taught by world-class faculty and renowned industry leaders, the program is now offered completely online. Designed for working professionals, the 11-credit program can be completed in just 11 months. With the curriculum available 24 hours a day, students can create a flexible schedule around their personal and professional obligations.
Harmony Healthcare Internationalwww.Harmony-Healthcare.com
Harmony Healthcare International (HHI) is a premier long-term care consulting firm specializing in Medicare/Medicaid Reimbursement, Compliance, PPS, MDS 3.0 and RUG- IV, along with operational and clinical systemization in the post-acute setting. HHI provides continu-ing education and training and is one of the most recognized and trusted consulting companies in the healthcare industry
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Health Care Compliance Strategies, Inc.David Rosenthal, Product Manager1-877-933-4227 or 516-478-4100 | [email protected] and www.coismart.com
HCCS, a HealthStream Company, provides effective compliance training and tracking solutions which enhance job performance, improve patient outcomes, and promote compliance with ethical, legal, and accreditation guidelines. HCCS has delivered over 7 mil-lion hours of online compliance training in the areas of Medicare, Medicaid, HIPAA, research, quality compliance, and more. COI-SMART is an online system for easy, smart and effective tracking and management of conflict of interest disclosures. www.hccs.com, www.coismart.com, or (877) 933-4227.
Health EndeavorsChuck Sederstrom, VP of Business Development402-502-5334 | [email protected]
Health Endeavors is a solutions oriented company with cost effective, web-based tools that provide anytime access to hospital manage-ment and compliance systems. Health Endeavors’ clients have 24/7, anywhere access to solutions such as Conflict of Interest Tracker, Physician Non-Monetary Comp Tracker, Training Center, Contract and Entity Tracking and Management, on-line and certified coding advice and note audits, PQRS and Meaningful Use Initiatives, and physician alignment strategies to name but a few.
HealthCare Appraisers, Inc561-330-3488 | [email protected]
HealthCare Appraisers, a nationally recognized valuation and consulting firm, provides services exclusively to the healthcare industry, including: Fair Market Value opinions for compensation and service arrangements (e.g., employment, call coverage, medi-cal directorships, co-management arrangements, collections guarantees and equipment lease/use arrange ments); Business Valuation (e.g., ASCs, hospitals, physician practices, dialysis cen-ters, diagnostic/ treatment facilities, fixed assets and intan gible assets); Consulting and Advisory Services; and Litigation Support. Delray Beach | Chicago | Dallas | Denver | Nashville | Philadelphia
Healthcare Cost SolutionsBridget Gallagher, CEO866-427-7828 | 949-721-2795 | [email protected] www.hcsstat.com
Healthcare Cost Solutions (HCS) is an HIM consulting firm provid-ing Auditing, Coding and HIM Services to US hospitals since 1994. Specialties include: MS-DRG/APR-DRG/APC/HCC Audits, RAC Reviews/Appeals, PACT Validation, LTAC, Pro Fee, CVIR/IR Audits, Charge Detail Audits, On-site/Remote Coding, Interim Management/Outsourcing, Online Query Forms and online ICD-10 Tutorials. Featuring HART©: Healthcare Audit Resource Technology, proprietary database solu-tions for the ever-changing environment of the external audit and increased governmental scrutiny.
HRGwww.hrgpros.com
HRG specializes in all areas of the Revenue Cycle and our programs are designed to fit the unique needs of each individual client. HRG’s services include consulting, staffing, and OutPartnering solutions for the complete revenue cycle process. This includes Patient Access, HIM, Patient Accounting, and IT. HIM services include OutPartnering™ coding and HIM department leadership, auditing, and ICD-10 assessments and education.
HEALTHDoxNaren Koka, Vice President 480-829-7100 x 111 | [email protected]
From 1999, HealthDox has been helping hospitals all over the country, big and small, conquer the complex tasks of compliance manage-ment. Easy to use, yet powerful HealthDox compliance solution has been the industry favorite helping hospitals comply with strict stan-dards and regulations. HealthDox Compliance solution is driven by Standards and Regulations with enhanced reporting capabilities. Check out how HealthDox Standards Driven Compliance can be your influential partner in improving quality, performance and compliance.
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HealthPortCatherine Valyi, VP of Marketing800-737-2585 | [email protected]
HealthPort® is the authority on compliant exchange of protected health information (PHI), and HealthPort Connex™ provides the most secure and HIPAA-compliant delivery system. Our dedicated teams of release of information professionals possess a strong acumen for patients’ rights and fulfill every request with a sense of urgency and respect.
HIPAA Solutions LCBrian Gaston, Marketing Director 877-779-3004 | [email protected] www.hipaasolutions.org
HIPAA Solutions, LC offers comprehensive Privacy and Security compliance resources for HIPAA and HITECH including quality risk assessments, audits, training, and strategic compliance consult-ing. We also offer unique web-based software tools in the HIPAA ComplyPAK™ that provide training, policy and procedure manage-ment, auditing of Business Associates, internal tracking for access and use of PHI, and remediation of non-compliance throughout an orga-nization. We provide risk assessments as well as Privacy and Security audits for a wide range of compliance requirements of both Covered Entities and Business Associates. Our clients include healthcare pro-viders, health plans, educational institutions, business associates, and government entities.
Huron Consulting Groupwww.huronconsultinggroup.com
Huron Healthcare’s Compliance and Investigations team provides healthcare organizations and their legal counsel with the broadest, most comprehensive, and highest quality regulatory compliance and investigations solutions in the industry. Our Healthcare Compliance & Investigations team delivers focused solutions for the most complex matters of compliance, governance, risk management, investiga-tions, and litigation. Working collaboratively, we help clients identify, design, and implement effective and sustainable compliance pro-grams to mitigate risk and meet evolving regulatory challenges and requirements, now and into the future. When investigations or litigation occur, we develop expert response and defense strategies along with highly focused data collection and analytics as part of our comprehensive investigation and litigation assistance. Our under-standing of the regulatory landscape and our extensive experience in healthcare allow us to design and implement proven solutions, enabling our clients to effect change, implement best practices, and achieve excellence.
Iatric Systems, Inc.Karen Pursch, Marketing Manager978-674-7131 | [email protected]
Iatric Systems helps healthcare providers achieve success by deliver-ing the most comprehensive healthcare IT integration. Our products and services focus on data integration, systems integration, and process integration. This allows providers to leverage existing IT investments to meet the growing demands of Meaningful Use, Health Information Exchange, HIPAA, and other industry requirements. Over the past 23 years, Iatric Systems has delivered solutions to more than 1,000 healthcare organizations. For more information, contact [email protected] or visit security.iatric.com.
iContracts856-638-0000 | www.icontracts.com
iContracts’ Universal Contract Manager provides complete visibility across the complete lifecycle of a contract. From contract requests, contract generation, approvals, redlining, due diligence, support-ing documents, execution, reviews, milestones, reporting, tracking terms, audits, and ultimately archiving, UCM provides fast, easy, secure access to all contracts and contract related information.
ID Experts866-726-4271 | www.idexpertscorp.com
At ID Experts, we provide innovative software and services that simplify the complexities of managing data incident response. Customers rely on our award-winning RADAR™ software to reduce breach risks and prove compliance. RADAR uses patented technology to ensure a consistent and defensible process for managing incident response. Our breach response services—including YourResponse, our unique breach response process—are tailored to the needs of our breach clients, their counsel, and insurer. Our customers include some of the nation’s largest healthcare, insurance, financial, and gov-ernment organizations.
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iMedRIS Data CorporationGreg Thompson, Sales Manager 951-520-9164 | [email protected] www.iMedRIS.com
iRIS, powered by iMedRIS Data Corporation, is an integrated research information software, offering applications such as Grants Management, COI, IRB Management, Conflict of Interest and Data Collection. iRIS modules configure to the needs of institutions, eliminates redundancy of data input and maximizes productivity of trials and reporting. Essentially, iRIS is a suite of tools that assists with the managing of regulatory requirements. Please visit our web-site, www.iMedRIS.com.
IMA Consultingwww.ima-consulting.com | 484-840-1984
IMA Consulting is a full service professional services firm that pro-vides Expense Management, Interim Management, and Revenue Management services exclusively to the healthcare industry. We offer outcome focused solutions to healthcare providers. Our business model is very different than the highly leveraged models typically utilized by larger firms in that we staff our engagements with highly experienced consultants. In fact, the average years of experience of our professional staff is in excess of 20 years.
INCompliance ConsultingBette Squeglia, Executive Director, Principal and Senior Consultant614-227-2396 | [email protected] www.incomplianceconsulting.com
INCompliance offers compliance consulting services for healthcare organizations and insurance companies. Our consultants are attor-neys with in-depth knowledge and practical experience in your industry. We work with you to develop tailored programs to meet your business goals, and offer practical solutions to your organi-zation’s challenges. Our consulting and training services include: Governance; HIPAA Compliance; Corporate Integrity Agreements; General Compliance; Employee Benefits; Employment and Human Resources. INCompliance also offers an on-line program to self-audit meaningful use.
Inovaare Corporation408-850-2235 | www.inovaare.com
Inovaare is a leading solution provider to automate compliance, qual-ity, and operational processes using a cloud based software platform. The business solution allows payor, provider, and other healthcare entities to track, monitor, report, and assess compliance risk for many operational areas. Several leading healthcare organizations are using Inovaare’s platform to manage their member issues, com-pliance activities, tracking of incidents, data reporting to regulatory agencies, delegated vendors and automating the quality initiatives. The unique approach of platform enables organizations to configure and customize their existing applications or build new applications specific to their needs.
International Association of Privacy Professionals (IAPP)Aaron Stevens, CIPP/US, Corporate Alliance Consultant603-427-9200 x 222 | [email protected]
The IAPP is the largest and most comprehensive global information privacy community and resource, helping practitioners develop and advance their careers and organizations manage and protect their data. Founded in 2000, the IAPP is a not-for-profit association that helps define, support and improve the privacy profession glob-ally. The IAPP is responsible for developing and launching the only globally recognized privacy certification programs, the Certified Information Privacy Professional (CIPP) and the Certified Information Privacy Manager (CIPM).
Intersect Healthcarewww.intersecthealthcare.com
Intersect Healthcare, Inc. (IHI) is one of the nation’s leading providers of Payor Compliance, Audit, Data Mining and Denial Management software for healthcare providers. IHI has developed the most comprehensive solution for managing regulatory audits, revenue integrity, denials and appeals. Currently over 300 hospitals nation-wide have licensed VERACITY™ software as an easy-to use, effective and affordable solution that integrates both paper-based and elec-tronic record systems. Intersect Healthcare leverages Software as a Service (SaaS) technology to enable organizations to streamline audit processes, reduce costs and eliminate the IT department as a bottleneck. To learn more about Intersect Healthcare and VERACITY™
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King & Spaldingwww.kslaw.com
King & Spalding has one of the broadest and deepest benches of law-yers, scientists and consultants specializing in the representation of pharmaceutical, biotechnology and medical technology companies. We help our clients alleviate risk, accomplish their strategic goals and succeed in litigation. As one of the largest healthcare practices in the country, we have received national acclaim for excellence in transac-tional, litigation and regulatory representation of clients across the spectrum of healthcare.
Kinney Management Services LLCScott Steinhardt, Vice President518-371-0176 x 118 | [email protected]
Kinney Services Inc., a nationally recognized leader, with their online software solution KchecksTM , assists healthcare industry personnel search a comprehensive database containing information on health-care individuals and entities that have been excluded from federal and state healthcare programs. KchecksTM was designed to aid Compliance Officers, Risk Managers, Human Resources and Medical Staffing Services Personnel in precluding employment of an excluded individual or entity where reimbursement is sought from any federal healthcare program such as Medicare, Medicaid, and State Children’s Health Insurance Programs.
LockPathManny Jones, Healthcare Solutions Manager913-601-3655 | [email protected]
LockPath empowers all levels of your organization to make improved business decisions more quickly by connecting people, processes, and technology. Our Keylight platform helps you address the ongo-ing changes in the healthcare compliance landscape such as keeping up with regulatory changes, centralizing risk management, assessing business associates, securing PHI and preparing for related audits and reporting incidents ranging from IT security to personnel and assets. Keylight is fast to implement and puts extreme control in the hands of the end user. For a demonstration of Keylight Healthcare Solutions, contact us at www.lockpath.com or 913-601-4800.
Loyola University Chicago School of LawKelley Yaccino, Director of Enrollment Management800-424-3986 | [email protected]/healthlaw
Loyola University Chicago School of Law offers two online degrees in health law: A Master of Jurisprudence (MJ) for health care profes-sionals who work in compliance and need to know more about the laws, regulations and policies governing health care and a Master of Laws (LLM) for attorneys who want to expand their practice to service health care clients. Learn more about Loyola’s Beazley Institute for Health Law and Policy at www.LUC.edu/healthlaw or 1-800-424-3986.
Maize Analyticswww.maizeanalytics.com
Maize Analytics provides a big data EMR access monitoring tool to proactively monitor and audit for internal threats. Maize leverages both rules and clinical workflow analytics to increase internal fraud detection by up to 95% while allowing healthcare providers to stay ahead of internal privacy threats. Through our ability to analyze millions of clinical accesses per minute, we help compliance profes-sionals to focus on truly suspicious accesses by drastically lowering false positives, and ranking threats.
Maxim Health Information Services (MHIS)www.maximhealthinformationservices.com
Maxim Health Information Services (MHIS) provides comprehen-sive health information management (HIM), clinical documentation improvement (CDI) services, and ICD-10 training and education to healthcare organizations across the country. MHIS has jobs for experienced healthcare professionals to support its offerings to customers, and can provide short-term, long-term, and permanent placement staffing solutions. MHIS is also pleased to offer ICD-10 training and education services nationwide on an individual or mul-tiple user/departmental basis.
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McBee Associates IncKathy Emanuel, Principal [email protected] | www.McBeeAssociates.com
McBee Associates, Inc. believes that compliance is essential to good business. A recognized leader in providing consulting services to the healthcare industry, the firm is one of the nation’s largest inde-pendent consulting practices. With an unparalleled commitment to compliance, McBee Associates develops lasting solutions that ensure the financial, clinical, and operational success of its clients. The firm offers medical necessity audits, billing compliance reviews, internal control reviews, coding audits, and clinical documentation reviews, as well as a full suite of revenue integrity services. To learn more, visit us at www.mcbeeassociates.com or call 800-767-6203.
MCN HealthcarePamela Gustafson, Executive Vice President 800-538-6264 | [email protected]
MCN Healthcare provides the healthcare industry’s broadest and best-supported suite of policy management solutions. More than 25,000 healthcare organizations worldwide rely on MCN’s web-based automated policy workflow software and library of 18,000 regulatory and departmental policy and procedure documents to confidently maintain accreditation compliance. As a clinician-founded and clinician-led organization with 26 years of regulatory compliance experience, MCN empowers hospitals, LTC, ambulatory, and physi-cian practices to reduce risk, streamline their policy workflow and create a safer care environment.
MDAuditwww.mdaudit.com
MDaudit™ software by Hayes Management Consulting enables healthcare organizations to perform root cause analysis of billing and documentation errors. MDaudit Professional for providers and its counterpart for acute care facilities, MDaudit Hospital, automate many of the administrative tasks involved in the billing review process. The software dramatically increases audit production, streamlines and standardizes the billing review process, and assists organizations to monitor and reduce their exposure to risk. More than half of the “honor roll” organizations in US News and World Report’s Top Hospitals List are MDaudit clients.
MD RangerMarlene Johnson, Office Manager650-692-8873 or [email protected]
MD Ranger is a leading provider of data-driven physician contract and compensation solutions that help hospitals and health systems determine compensation, negotiate competitive contracts, and comply with federal regulations. The company’s proprietary data-base reduces the complexity and costs of establishing fair market value for on-call arrangements, medical directorships, administra-tive services, diagnostic testing services, and hospital-based medical groups. The company’s annual benchmark reports and analysis are designed to meet the business planning and compliance needs of busy healthcare executives, and ensure that financial arrangements are competitive and consistent.
Meade Roach & Annulis, LLP/ Aegis Compliance & Ethics Center888-739-8194www.meaderoach.com
Our staff of attorneys and consultants collectively brings over 200 years of health care industry experience to our client services. We have designed programs heralded by industry experts and gov-ernment officials as models for the field. Our professionals hold leadership positions in national compliance organizations and have worked as Chief Compliance Officers, government attorneys, finan-cial experts and operations consultants. We provide comprehensive services customized to help you achieve your goals. Our clients range from the nation’s largest academic medical centers and hospital sys-tems to stand-alone specialty facilities and physician practice groups.
MedeAnalyticsGreg Krantz, Director, Provider Solutions510-379-3242 | [email protected]
MedeAnalytics provides evidence-based insights to healthcare organizations so they can detect risk and identify opportunities to improve financial health. It empowers providers and health plans to collaborate and use data to strengthen operations and improve the quality of care. MedeAnalytics’ cloud-based tools are used to uncover business insights for nearly 1,000 healthcare organizations across the US and UK. The company is one of Modern Healthcare’s top 100 Best Places to Work in Healthcare for 2014. Visit www.medeanalytics.com.
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MedelearnClif Gaus, President888-881-6333 | [email protected]
The industry-leading compliance training system exclusively for healthcare organizations. Affordable, effective for any size medical group, clinic, hospital or ACO. Choose from over 1,000 lessons includ-ing HIPAA, CMS, and OSHA or author your own curriculum with our easy-to-use course-building interface. Access reports, track training and print certificates from the management center.
MediTract, Inc.David Paschall, COO and General Manager423-267-9300 | [email protected] www.meditract.com
MediTract helps hospitals and healthcare organizations manage their contracts; enabling them to reduce risk, maintain compliance and operate efficiently. We are the only contract management and compliance company solely dedicated to healthcare. As a result, we are a trusted advisor for one out of every four hospitals in the U.S.
MetricStreamNicholas Tharakan, Manager Marketing650-331-1945 | [email protected]
MetricStream is the market leader in integrated Governance, Risk, Compliance (GRC) and Internal Audit Solutions for Healthcare providers and payers. MetricStream GRC solutions are used by leading Health Insurance companies, Healthcare service providers, Pharmaceutical, Medical devices & Healthcare product companies for automating and streamlining risk, compliance, policy and audit programs across the enterprise. Independent analysts recognize MetricStream as a leader in GRC Platforms.
MROMariela Twiggs, National Director of Training and Compliance888-252-4146 | [email protected]
MRO, a leader in disclosure management and health information exchange, provides technology-driven solutions that ensure the secure, compliant and efficient exchange of protected health infor-mation (PHI). The company’s solutions include release of information (ROI), payer audit compliance and tracking, and accounting of disclo-sures. MRO additionally offers services and applications that support meaningful use attestation and health information exchange. MRO’s solutions can be used as a common platform across a healthcare enterprise to standardize disclosure policies and drive system-wide security and compliance.
National Association of Corporate DirectorsNACDonline.org/Join
The National Association of Corporate Directors (NACD) is the pre-eminent authority on board leadership with over 35 years conducting governance research; developing leading practices; working with regulators and legislators; and equipping our 14,000+ members with the tools, resources, education, credentials, and network to serve their boards with the highest standard of excellence. Seventy-five percent of Fortune 500 organizations have directors enrolled in NACD membership. If you serve on a public, private or nonprofit board, join us today.
NAVEX GlobalStephen Molen, Vice President, [email protected] www.navexglobal.com
ABOUT NAVEX GLOBAL: NAVEX Global helps protect your people, reputation and bottom line through a comprehensive suite of ethics and compliance software, content and services. The trusted global expert for 8,000 clients, our solutions are informed by the largest ethics and compliance community in the world. NAVEX Global pro-vides the AHA endorsed policy & procedure management solution to nearly 20 percent of the nation’s hospitals, helping organizations streamline the policy management lifecycle, eliminate paper bind-ers and meet audit standards. More information can be found at www.navexglobal.com.
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NetDimensions HealthcareFred Bennett, Director of Sales770-573-3218 x 204 | [email protected]
NetDimensions Healthcare offers the eHealthcareIT compliance program: a new generation of customizable, engaging and com-prehensive Corporate Compliance and HIPAA Compliance online learning events that encompass over 80 courses covering hundreds of department specific, mission critical topics. The content is written, monitored, and updated by industry leading subject matter experts with operational expertise. Functional training coupled with health-cares only “Bulletproof” rated, iPad enabled, compliance learning system offers NetDimensions Healthcare‘s clients rock solid training solutions. Additional offerings include a Compliance assessment tool and custom content development.
NTractsJerry Hallett, Vice President of Sales317-429-3902 | [email protected]
Ntracts, LLC helps healthcare organizations reduce legal and regulatory risks and significantly improve workflow productivity by offering a SaaS based contract management application that proactively originates, monitors and reports on contracts. Ntracts also offers a comprehensive portfolio of professional and advisory services that help improve business processes and ensure client success. Ntracts, LLC is based in Indianapolis, Indiana, along with its parent company, Hall, Render, Killian, Heath & Lyman, one of the nation's leading healthcare law firms. For more information, please visit www.ntracts.com.
OnRampDebra Danziger, VP of Marketing512-322-9200 | [email protected]
OnRamp provides computing infrastructure for companies that require high levels of security and availability. As an SSAE 16, PCI and HIPAA compliant company, OnRamp operates multiple enterprise class data centers to deploy hybrid solutions built on private cloud, managed hosting and colocation services. OnRamp specializes in working with companies to ensure compliance in the healthcare, financial services and other industries by helping them meet rig-orous compliance requirements associated with HIPAA, PCI, SOX, FISMA and FERPA. ONR.com
Osprey Compliance Software, LLCwww.coiriskmanager.com
COI RiskManager™ (Conflict of Interest Solution) is a powerful and cost-effective web-based solution that efficiently captures, tracks and reports the required disclosures for any sized organization. The system also protects organizations by ensuring compliance with the regulations set forth by the Public Health Service (PHS) / National Institutes of Health (NIH). COI RiskManager™: Easy to use and deploy, reduces risk and costs, proven in world-class organizations, and improves organizational effectiveness. Osprey also manages attesta-tions (ex. Code of conduct, certification, security acknowledgements) and other types of forms including surveys.
Ostendiowww.ostendio.com
Ostendio is a Virginia-based data security & risk management solu-tions provider that develops affordable compliance solutions for digital health companies and other healthcare entities. Ostendio’s MyVirtualComplianceManager™ (MyVCM™) is a cloud based compliance management platform that delivers an easy to use, cost-effective way for companies to improve their Information Security posture. Ostendio has also created the MyVCM Trust Network that allows any company using MyVCM to share compliance data with others (including their customers) in order to prove they have a an active and effective compliance program in place.
Panacea Healthcare Solutions, Inc.1-800-252-1578 | [email protected]
Panacea Healthcare Solutions, Inc. provides coding, compliance, reimbursement and revenue capture solutions delivered through consulting, software, publications and webcast services to more than 4,000 U.S. providers. Each one is rooted in Panacea’s extensive front-line experience working with healthcare providers and organizations.
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PharmaSeekwww.pharmaseekfinancialservices.com
PFS Clinical focuses on the unique compliance challenges surround-ing clinical research. Unique expertise differentiates our business practices and provides unparalleled outsourced solutions for aca-demic medical centers, community hospitals, and dedicated research facilities. You can tap into our expertise and proven processes to overcome the administrative tasks inherent to research. Located in Madison, WI, we provide turn-key business services including revenue cycle management, coverage analysis, budget/contract negotiations, claims review, and short-term financing. Decrease study start-up timelines, overhead costs, and internal turnover while truly allowing personnel to refocus on quality patient care.
Pinnacle Healthcare ConsultingLaura Herrmann, Director of Marketing303-801-0123 | [email protected] & www.PhysicianFMV.com
Pinnacle Healthcare Consulting is a trusted advisor to hundreds of hospitals and health organizations around the country. The firm specializes in business and compensation valuation services, service line strategy, supply chain and operations improvement, physician practice management, medical billing / coding audit and compliance support. This complement of expertise is backed by an experienced team that distinguishes Pinnacle in the industry and delivers dynamic solutions for its clients most complex challenges.
PointRightwww.pointright.com
PointRight is the industry leader in providing data-driven analyt-ics and web-based tools that measure risk, rehospitalization rates, staffing, quality of care, compliance and reimbursement accuracy in healthcare and insurance. Using some of the largest and best databases in the industry, our nationally recognized clinical staff, researchers and technologists expertly translate disparate data into usable information and insight. We work with MDS, survey, financial, staffing, loss and claims and public and proprietary data to ensure excellence in processes and outcomes. For more information, visit www.pointright.com.
PolicyMedicalJaclyn Wilson, Content Organizer1-888-697-6331 ext. 723 | [email protected]
PolicyMedical maintains the belief that a hospital’s policy manage-ment system should be simple, user-friendly, and tailored to their specific needs. With such a system, healthcare professionals can spend more time on direct patient care, and less time on adminis-trative tasks. PolicyMedical’s flagship software, PolicyManager™, is a cloud-based policy management platform. It is the first such plat-form specifically focused on the healthcare industry. PolicyManager™ establishes an automated system to create, approve, review, house, and archive policies.
Post Acute Advisors678-472-0556postacuteadvisors.com
Post Acute Advisors is a consulting firm specializing in the unique compliance, operational and accreditation needs of the post acute continuum (inpatient rehab, skilled nursing, long-term acute care, home health care, outpatient therapy and hospice). Our expertise can strengthen your compliance team in the areas of pro-active compliance and coding audits, medical necessity review, appeal preparation, risk calculation and staff/medical training and edu-cation. Call on our expertise to help identify a compliance issue, develop a corrective action plan, write an appeal and implement the plan. Contact us today!
PowerDMSDavid Keezel, Business Development Manager, Healthcare 800-749-5104 x6048 | [email protected]
PowerDMS™ provides a cloud-based solution that helps organiza-tions reduce risk and liability with a comprehensive compliance and content management solution. We provide the practical tools necessary to organize and manage crucial documents and industry standards, maintaining compliance for organizations. As an audit instrument, PowerDMS™ enables organizations to house the most current standards; create and link specific policies to these standards; train and test employees for policy knowledge; create reports and track due dates; and house evidence and proof of compliance – in a single location. Audits are less stressful and require fewer resources. PowerDMS™ redefines compliance and content management through powerful collaboration, process and automation.
www.hcca-info.org 39
PreCheckBryan Barajas, Marketing Director855-592-5136 | [email protected]
PreCheck’s background screening, credentialing and compliance ser-vices are designed exclusively for healthcare. Over 3,000 healthcare customers trust PreCheck for their employment screening and com-pliance needs. Our services include healthcare criminal background checks, ongoing OIG/GSA exclusion monitoring and sanction screen-ing, and outsourcing solutions for license management and board action monitoring. PreCheck is an accredited screening firm by the National Association of Professional Background Screeners, which means we operate at the highest level in our industry.
PwCTerry Puchley, Partner 213-356-6890 | [email protected]
PwC’s Health Industries Group is a leading advisor to public and private organizations across the health industries, including health-care providers, pharmaceuticals, health and life sciences, payers, employers, academic institutions and non-health organizations with significant presence in the health market.
ProtivitiVickie Patterson, Associate Director813-348-3407 | [email protected]/healthcare
Protiviti is a global consulting firm that helps healthcare organiza-tions manage business risks and regulations while driving greater performance. Our healthcare professionals solve problems in risk, compliance, and technology enabling effective and efficient opera-tions across spectrum of healthcare providers, payers, life sciences and pharmaceutical organizations as well as non-traditional organi-zations. Learn how our experts can help you. Contact Vickie Patterson 813-348-3407 or [email protected].
Quorum Health ResourcesCarla Wallace, FACHE, CHC, CHPC, CHRC Principal, Compliance615-371-4573 [email protected]
QHR (Quorum Health Resources) has provided consulting, educa-tion and management resources to hospitals and health systems for three decades. QHR is consistently ranked among the top healthcare consulting firms in the nation, and the QHR Learning Institute reaches nearly 15,000 healthcare professionals each year. For more informa-tion, go to http://www.qhr.com.
Global Compliance Solutions
RegScan, Inc.Heidi Ruckno, Marketing Communications Specialist570-323-1010, x1403 | [email protected]://health.regscan.com
RegScan for Health Care is an online regulatory monitoring service that has the expert alert tools to keep you informed. Single-user state suites are available for all 50 states and Washington, D.C. Corporate subscriptions are also available. Founded in 1987, RegScan has attained prominence as the innovative leader of electronic regulatory publishing. Health care suites include exclusive alert services that track both final and proposed regulations, and the fully searchable databases are updated daily.
Reimbursement Management Consultants, Inc.Camille Walker, RHIT, Business Development800-538-5007 | [email protected]
RMC takes pride in offering the highest quality coding and compli-ance services to our clients, nationwide, since 1994. Working with Compliance Professionals, RMC will help to ensure compliance with coding, billing and documentation guidelines. RMC staff are highly qualified with varied experience conducting reviews for healthcare institutions, governmental agencies and law firms. In addition to coding & compliance reviews, RMC offers full compliance program development and management. Let us know how we can help you!
40 www.hcca-info.org
SafetyStratuswww.safetystratus.com
SafetyStratus provides cloud-based audit and chemical hygiene soft-ware solutions for an organization’s environmental health, safety, and compliance management activities. The applications provide high levels of flexibility for a fraction of the cost of buying, implement-ing and maintaining legacy on-premise systems. Several customers, spanning mid-sized organizations to the world’s top research and clinical labs, have selected Safetystratus.
SAI Global ComplianceNikki Porter, Marketing Manager 678-992-0262 | [email protected]/Compliance
SAI Global Compliance provides governance, risk and compliance (GRC) solutions including the Compliance 360 software as well as learning and training awareness tools. Over 225,000 healthcare professionals rely on us for the management of regulatory changes, medical claims audits, policies, incidents, hipaa and third party risk management to name a few. Contact Us for a demonstration of our software and training tools.
Get Employee Attention
SnapCommswww.SnapComms.com
SnapComms’ visual messaging software delivers messages directly to staff without the need for email. You can raise awareness of com-pliance issues and drive behaviour change AND prove important information has been seen! Target messages to mobile devices, machines, users, shared logins, groups or the entire organisation. Including; interactive screensavers, scrolling headlines, pop-up alert notifications, SMS, newsletter, quiz, survey and more. Full measure-ment of message display, repetition and acknowledgements down to specific user or group level.
Stanford Health Carewww.stanfordhealthcare.org
Stanford Health Care is a leading academic health system and part of Stanford Medicine, which includes the Stanford University School of Medicine and Lucile Packard Children’s Hospital Stanford. Stanford is renowned for breakthroughs in treating cancer, heart disease, brain disorders and surgical and medical conditions. For more information, visit: www.stanfordhealthcare.org.
Strategic ManagementCamella Boateng703-683-9600 | [email protected]
Strategic Management is a nationally recognized consulting firm focused on delivering high-quality, innovative and timely compli-ance and regulatory services to clients in the health care industry. For over twenty years, Strategic Management has been on the forefront of regulatory and enforcement initiatives related to the health care industry, its operations and business practices. Strategic Management specializes in health care compliance management and consulting services with a specific focus on compliance program evaluations, risk assessments, HIPAA compliance, claims data analy-sis, litigation support, physician arrangements reviews, responding to government auditors and regulatory analysis.
compliance. exclusion screening. streamlined.
Streamline Verifywww.streamlineverify.com
Streamline Verify is the powerful yet affordable tool that has revo-lutionized OIG exclusion screening. Utilizing robust software that is incredibly easy to navigate, Streamline Verify performs monthly searches of the Federal OIG, EPLS (SAM), and all State exclusion data-bases, with results automatically emailed to your inbox. Offering a variety of custom-tailored options including SSA DMF and OFAC searches, as well as a full-service package that completely removes the burden of OIG screening from your hands, Streamline Verify is your source for 100% guaranteed OIG compliance.
www.hcca-info.org 41
SunStone Consulting, LLCVonda Moon, Principal717-676-6133 | [email protected]
SunStone specializes in assisting the healthcare industry with rev-enue integrity, reimbursement and regulatory solutions. We are senior level professionals with provider, MAC, auditing and clinical experience. We have an extensive working knowledge of govern-mental documentation, coding and billing requirements. We believe it is important to mention we also have a thorough understand-ing of the reimbursement environment. This is key experience for providing complete consulting advice regarding documentation, coding and billing issues.
Teach Privacy215-886-1943 | [email protected]
Founded by the leading privacy law expert Professor Daniel Solove, TeachPrivacy provides computer-based privacy and data security training specializing in HIPAA and HITECH. Our training incorporates videos, quizzes and interactive elements which makes it highly engaging. Our philosophy is training that makes you think and makes you care.
Thompson Information Services1-800-677-3789 | www.thompson.com
Since 1972, thousands of professionals have relied on Thompson Information Services for the most authoritative, practical and timely guidance available. These professionals have come to depend on Thompson for help complying with the ever-changing regula-tory mandates facing their organizations. The trusted guidance Thompson provides has never been needed more. Maybe that’s why nearly 90% of Thompson’s customers choose to stay with them year-after-year. For more information, call 1-800-677-3789 or go to www.thompson.com.
TraceSecurity225-612-2121 | [email protected]
With more than 1,700 customers, TraceSecurity is a leader in cloud-based software and provides IT governance, risk, and compliance (GRC) management solutions that help healthcare organizations to achieve, maintain, and demonstrate compliance while significantly improving their security posture. TraceCSO is an end-to-end IT GRC platform that makes information security and compliance manage-ment an affordable business application—helping your organization to meet specific accreditation and regulatory requirements and, ulti-mately, improve the quality of care you provide.
Turnkey Pharmacy Solutionsturnkeyrxsol.com
Turnkey Pharmacy Solutions provides 340B Compliance through Real World Experience supporting hospitals going through HRSA 340B audits, previously managing 340B programs for our own hospital(s), managing 340B programs for clients, providing external indepen-dent 340B audits for numerous clients, and educating on 340B at multiple conferences nationally. Whether it is policy and procedure development, compliance plan and audit guide creation, or HRSA-like mock 340B external audits, we can help. You can learn more at: turnkeyrxsol.com.
®
Vendormate solutions enable providers to take a holistic approach to managing their procurement cycle in a way that achieves internal controls, regulatory compliance, and cost savings that scales for effi-cient work processes. Vendormate’s Procurement Cycle Management platform and solutions are fully integrated with our vast provider and supplier network to improve data integrity and solve the challenges of sourcing, business associate oversight, contracting workflow, vendor on-boarding and on-going vendor performance management.
42 www.hcca-info.org
Verisys CorporationJohn Benson, COO703-535-1471 | [email protected]
Verisys delivers meaningful healthcare specific information ensur-ing regulatory compliance, minimizing legal and reputation risk and streamlining the credentialing process. Verisys is a “primary source” data provider for nationwide professional licensing, DEA Registrant, NPI, SSA-Death Master File, Abuse Registry, Sex Offender, OFAC+ and FACIS (sanctions, exclusions, debarments and disciplinary actions at the federal and state level). Verisys’ CheckMedic credentialing tool is exclusively endorsed by the American Hospital Association. Verisys is an NCQA and URAC Accredited CVO.
ViaTech Publishing Solutions, Inc. www.viatechpub.com
ViaTech is a business process outsourcing company that specializes in streamlining the content supply chain. We are experts in healthcare and procedures are tailored to ensure compliance in all critical areas.
Widener University School of Law+1 302 477 2704 | [email protected]/mjdegrees
Widener Law offers legal education in compliance with an award-win-ning Master of Jurisprudence program. The Compliance Certification Board-accredited program offers education tracks in Corporate, Global*, and Healthcare Compliance, as well as Financial Fraud Examination and an MJ/MBA dual degree. Studies are completed entirely online with no residency requirement. For most programs, you can choose from a two-year master’s degree or a one-year cer-tificate. Successful completion of the program provides eligible applicants with the ability to sit for a CCB exam. Competitive tuition. Courses begin in January, May, and August. *Pending Accreditation
Wolters KluwerLee McMillan-Senior Product Manager847-267-7535 | [email protected]
Wolters Kluwer, with its CCH, MediRegs and Aspen Publishers product lines, provides industry leading solutions for enterprise Governance, Risk man agement and Compliance (eGRC), compliance and reimbursement regulatory information and coding. Used daily in thousands of hos pitals throughout the United States, ComplyTrack and the MediRegs research platforms make up the most comprehen-sive, cost-effective and practical set of compliance management and enterprise risk management solutions for today’s healthcare industry.
YEI Healthcare
YEI Healthcare Amy Shropshire, Marketing Director 888-395-9029 | [email protected] www.epstaffcheck.com
Monitoring sanctions / exclusions lists is simple with our affordable and easy-to-use solution, EPStaffCheck. Our web-based solution for maintaining compliance simplifies the screening process and saves time. Sign up for a free 45-day trial to see how EPStaffCheck can help you: Check multiple exclusion lists with a single search; search a single name or an entire roster; schedule automatic checks; intel-ligent search includes aliases, nicknames, alternate spellings, and more; automatically generated audit ready documentation.
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MARCH/APRIL 2015
Vol. 29 | No. 2
EDITOR: [email protected] corporatecompliance.org/ethikos
8
Culture and compliance:
An anthropologist’s view
1
Measuring ethics
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AcademiesBasic Compliance2015
from the Health Care Compliance Association
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REGISTER EARLY TO RESERVE YOUR PLACE Limited to 75 for each Academy
An intensive three-and-a-half-day program focusing on subject areas at the heart of healthcare compliance practice, designed for participants with a basic knowledge of compliance concepts and some professional experience in a compliance function.
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me
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l Ban
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gov
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2014
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t
2014
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nnou
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t with
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orga
n
2014
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o fo
rmer
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men
s exe
cutiv
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$1.
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case
2014
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pay
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me
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solv
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lse
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Char
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Con
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St L
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light
Sav
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Tim
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St. P
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Sun
day
2004
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rmer
Wor
ldco
m C
FO S
cott
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lliva
n pl
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gui
lty to
seve
ral c
rimes
2004
/ M
arth
a St
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t con
vict
ed in
Im
Clon
e sc
anda
l
2010
/ Fo
rmer
cha
irman
of M
cKes
son
sent
ence
d fo
r sec
uriti
es fr
aud
2014
/ BP
Deb
arm
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tem
min
g fr
om
Dee
pwat
er H
oriz
on sp
ill e
nds
2005
/ W
orld
com
’s Be
rnar
d Eb
bers
fo
und
guilt
y
2013
/ Tw
o affi
liate
s of S
AC C
apita
l agr
ee
to $
615
mill
ion
sett
lem
ent o
ver i
nsid
er
trad
ing
char
ges
2014
/ To
yota
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hes $
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on su
dden
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ratio
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late
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ttle
men
t
2014
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edit
Suis
se re
ache
s $88
5 m
illio
n se
ttle
men
t ove
r loa
ns so
ld to
Fre
ddie
Mac
an
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nnie
Mae
2014
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uke
Uni
vers
ity H
ealth
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tem
, Inc
. ag
rees
to p
ay $
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illio
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Juan
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Day
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t Sun
dow
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Goo
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iday
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erPa
ssov
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nds
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s con
firm
s SEC
in
vest
igat
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2009
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adoff
Inve
stm
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ities
LLC
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ione
d off
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t bid
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2010
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Hor
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oil
rig e
xplo
des
2012
/ N
ew Y
ork T
imes
repo
rts t
hat
Wal
mar
t alle
gedl
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ribes
in M
exic
o
2013
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ewsC
orp
dire
ctor
s agr
ee to
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illio
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ttle
men
t with
inve
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r ph
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scan
dal
2011
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hnso
n &
John
son
agre
es to
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illio
n gl
obal
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A se
ttle
men
t
2014
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nk o
f Am
eric
a ag
rees
to n
early
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00 m
illio
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fine
s and
rest
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n ov
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ting
tact
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2014
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P re
ache
s $10
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ttle
men
t ov
er fo
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n br
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lega
tions
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lead
s gui
lty
2014
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dge
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pts S
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apita
l se
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men
t, in
clud
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ion
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SJ re
port
s tha
t ban
ks m
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of A
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2012
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case
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prog
ram
2013
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gen
sett
les a
llega
tions
of
phar
mac
y ki
ckba
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or $
24.9
mill
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2014
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tella
s Pha
rma
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c. to
pay
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.3 m
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lve
fals
e cl
aim
s act
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lega
tions
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ting
to m
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ting
of
drug
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amin
e
2014
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edis
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ome
Hea
lth C
ompa
nies
ag
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to p
ay $
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mill
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to re
solv
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lse
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ms A
ct a
llega
tions
2014
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HS:
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len
lapt
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AA se
ttle
men
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2014
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C H
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tanc
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use
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tmen
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ility
, agr
ees t
o re
solv
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lse
Clai
ms A
ct a
llega
tions
for $
9.25
mill
ion
2013
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term
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ain
Hea
lth C
are
Inc.
ag
rees
to $
25.5
mill
ion
to se
ttle
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se
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ms A
ct a
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tark
alle
gatio
ns
2014
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ew Je
rsey
regi
onal
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ical
cen
ter
pays
hun
dred
s of t
hous
ands
to re
solv
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Last
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Conf
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ustin
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CHC
Exam
Regi
onal
Con
fere
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Colu
mbu
s, O
H
Regi
onal
Con
fere
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New
Yor
k, N
Y
Cinc
o D
e M
ayo
Mot
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Day
Isra
and
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tM
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ay
2006
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s20
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n br
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s set
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nnou
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it m
ay
need
to re
stat
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muc
h as
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illio
n in
ear
ning
s
2011
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j Raj
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nam
of G
alle
on G
roup
fo
und
guilt
y on
14
coun
ts20
14 /
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ann
ounc
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135
mill
ion
FCPA
sett
lem
ent
2014
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edit
Suis
se p
lead
s gui
lty,
agre
es to
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llion
fine
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citi
zens
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2011
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ndse
y M
anuf
actu
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beco
mes
fir
st c
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ratio
n co
nvic
ted
unde
r th
e FC
PA
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n St
anle
y an
d G
oldm
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s beg
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akin
g $2
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illio
n in
pa
ymen
ts in
sett
lem
ent o
ver f
orec
losu
re
abus
e al
lega
tions
2013
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R. B
ard
agre
es to
pay
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mill
ion
to re
solv
e Fa
lse
Clai
ms A
ct c
laim
s
2013
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nbax
y pl
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gui
lty a
nd a
gree
s to
pay
$50
0 m
illio
n to
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lve
Fals
e Cl
aim
s al
lega
tions
2014
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edic
are
frau
d st
rike
forc
e ch
arge
s 90
indi
vidu
als f
or a
ppro
xim
atel
y $2
60
mill
ion
in fa
lse
billi
ng
2013
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vent
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ealth
pay
s Uni
ted
Stat
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and
Stat
e of
Cal
iforn
ia $
14.1
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to
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s Act
alle
gatio
ns
2013
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TA P
harm
aceu
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s Inc
. ple
ads
guilt
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fede
ral f
elon
y ch
arge
s and
ag
rees
to p
ay $
33.5
mill
ion
2013
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car
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inic
dire
ctor
se
nten
ced
to 1
11 m
onth
s for
role
in
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mill
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th c
are
frau
d sc
hem
e
2014
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rmer
Wel
lCar
e ch
ief e
xecu
tive
sent
ence
d fo
r hea
lthca
re fr
aud
2014
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in c
linic
ow
ner s
ente
nced
to
14 y
ears
in p
rison
and
ord
ered
to fo
rfei
t $6
.3 m
illio
n in
pro
fits
2014
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edtr
onic
agr
ees t
o pa
y $9
.9 m
illio
n to
sett
le p
hysi
cian
ki
ckba
ck a
llega
tions
2014
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ng’s
Dau
ghte
rs M
edic
al
Cent
er to
pay
nea
rly $
41 m
illio
n to
re
solv
e al
lega
tions
of f
alse
bill
ing
for u
nnec
essa
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ardi
ac p
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dure
s an
d ki
ckba
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2014
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ic S
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esig
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s sec
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f th
e D
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tmen
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eter
ans A
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June
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Con
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Phila
delp
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PA
Regi
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Con
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Seat
tle, W
A
Regi
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Sant
a A
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CH
PC E
xam
Rese
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Conf
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ceA
ustin
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CHC
Exam
Ram
adan
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ins
Firs
t Day
of S
umm
er
Fath
er’s
Day
2002
/ D
enni
s Koz
low
ski r
esig
ns fr
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yco
2002
/ D
enni
s Koz
low
ski c
harg
ed w
ith
avoi
ding
$1
mill
ion
in sa
les t
axes
2003
/ M
arth
a St
ewar
t ind
icte
d
2014
/ GS
K ag
rees
to $
105
mill
ion
sett
lem
ent
over
pro
mot
ion
of d
rugs
2002
/ W
orld
com
ann
ounc
es n
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to
rest
ate
finan
cial
resu
lts
2002
/ Ad
elph
ia fi
les C
hapt
er 1
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02 /
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ldco
m sh
ares
trad
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$.2
1;
prev
ious
hig
h w
as o
ver $
6420
12 /
Barc
lays
sett
le w
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OJ f
or
$453
mill
ion
in L
ibor
scan
dal
2013
/ U
nite
d Te
chno
logi
es fo
und
liabl
e fo
r $47
3 m
illio
n in
dam
ages
in A
ir Fo
rce
engi
ne c
ase
2009
/ Be
rnar
d M
adoff
is se
nten
ced
to 1
50 y
ears
in p
rison
, the
max
imum
pu
nish
men
t for
his
crim
es20
14 /
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Parib
as a
gree
s to
plea
d gu
ilty
and
pay
$8.8
bill
ion
2009
/ Te
chni
p SA
agr
ees t
o pa
y $3
38 m
illio
n af
ter a
llega
tions
of b
riber
y in
Nig
eria
2002
/ Im
Clon
e’s S
am W
aksa
l arr
este
d an
d ch
arge
d w
ith in
side
r tra
ding
2012
/ Al
len
Stan
ford
sent
ence
d to
110
year
s in
jail i
n $7
bill
ion
fraud
case
2005
/ D
enni
s Koz
low
ski a
nd M
ark
Swar
tz
conv
icte
d20
10 /
BP a
gree
s to
set u
p $2
0 bi
llion
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spill
fund
2014
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nTru
st $
968
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ion
mor
tgag
e se
ttle
men
t ann
ounc
ed
2013
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algr
eens
agr
ees t
o $8
0 m
illio
n se
ttle
men
t for
alle
ged
Cont
rolle
d Su
bsta
nces
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vio
latio
ns
2014
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ew Je
rsey
doc
tor s
ente
nced
to
21
mon
ths i
n pr
ison
for t
akin
g ca
sh
kick
back
s for
pat
ient
refe
rral
s
2014
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ard-
cert
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New
Jers
ey
pedi
atric
ian
and
inte
rnis
t sen
tenc
ed to
20
mon
ths i
n pr
ison
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cks
JUN
E 20
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MT
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311
23
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AUG
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2002
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11
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2014
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hns H
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men
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ho se
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lem
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C fo
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ple
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2014
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rmer
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O ja
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Basi
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Chic
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Basi
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Scot
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2013
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gan
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2002
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2001
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2002
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2013
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2002
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2014
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Basi
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Las
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2013
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nk o
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und
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aud
2010
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laxo
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2013
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nn S
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tims
2009
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Raj
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five
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2014
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rsin
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re a
nd
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2014
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age
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ner p
lead
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lty in
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pira
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2014
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Indi
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Basi
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lem
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2012
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scan
dal
2013
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gree
s to
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port
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trol
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bsid
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2012
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dera
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2012
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men
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2012
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to
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Basi
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San
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Han
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2012
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2012
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fine
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lega
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Become CCB certified in: · Healthcare compliance (CHC)
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· Healthcare privacy compliance (CHPC)
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