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hcca-info.org
Look inside for❍❍ Educational opportunities ❍❍ Books and other resources ❍❍ Solution providers ❍❍ Online networking❍❍ HCCA membership
And don’t miss HCCA’s ScalendarOur wall calendar is packed with dates from major corporate scandals. Use it to remind people about the importance of compliant, ethical behavior.
ResourceGuide
2016Healthcare Compliance
National ConferencesManaged Care Compliance ConferenceJanuary 31–February 3 ❍ Las Vegas, NV
Audit & Compliance Committee ConferenceFebruary 29–March 1 ❍ Scottsdale, AZ
20th Annual Compliance Institute April 17–20 ❍ Las Vegas, NV
Research Compliance ConferenceJune 5–8 ❍ Baltimore, MD
Clinical Practice Compliance ConferenceOctober 23–25 ❍ Scottsdale, AZ
Healthcare Enforcement Compliance InstituteOctober 23–26 ❍ Washington, DC
2016 HCCA Events
Basic Compliance AcademiesJanuary 18–21 ❍ New York, NYJanuary 25–28 ❍ San Juan, PRFebruary 8–11 ❍ Scottsdale, AZMarch 7–10 ❍ New Orleans, LAApril 25–28 ❍ Boston, MAJune 13–16 ❍ San Francisco, CAJune 20–23 ❍ Scottsdale, AZAugust 8–11 ❍ New York, NYSeptember 12–15 ❍ Chicago, ILOctober 3–6 ❍ Las Vegas, NV October 24–27 ❍ Nashville, TNNovember 14–17 ❍ Orlando, FL December 5–8 ❍ San Diego, CA
Healthcare Privacy Basic Compliance AcademiesMarch 14–17 ❍ Orlando, FLJune 20–23 ❍ Scottsdale, AZOctober 24–27 ❍ Nashville, TN November 7–10 ❍ San Diego, CA
Research Basic Compliance AcademiesMarch 14–17 ❍ Orlando, FLNovember 7–10 ❍ San Diego, CA
Regional Compliance ConferencesJanuary 22 ❍ Atlanta, GAFebruary 5 ❍ Orlando, FL February 12 ❍ Portland, ORFebruary 19 ❍ Dallas, TXFebruary 25–26 ❍ Anchorage, AKMarch 4 ❍ St Louis, MOMarch 11 ❍ Washington, DCMarch 18 ❍ Charlotte, NCApril 28–29 ❍ San Juan, PRMay 6 ❍ Columbus, OHMay 13 ❍ New York, NYJune 3 ❍ Philadelphia, PAJune 10 ❍ Seattle, WAJune 17 ❍ Santa Ana, CASeptember 9 ❍ Boston, MASeptember 16 ❍ Minneapolis, MNSeptember 23 ❍ Kansas City, MOSeptember 30 ❍ Indianapolis, INOctober 7 ❍ Pittsburgh, PAOctober 13–14 ❍ Honolulu, HIOctober 21 ❍ Denver, CONovember 4 ❍ Louisville, KYNovember 11 ❍ Phoenix, AZNovember 18 ❍ Nashville, TNDecember 2 ❍ San Francisco, CADecember 9 ❍ Houston, TX
Web Conferences Explore hot topics in healthcare compliance with instant and up-to-date education from the convenience of your o� ce. HCCA announces new conferences regularly, and prior sessions are available for purchase. Visit hcca-info.org/webconferences to learn more.
Start planning now. Visit hcca-info.org/events to learn more.
Conference dates and locations are subject to change.
hcca-2016-conferences-1pg-ad.indd 1 10/1/15 2:20 PM
hcca-info.org
It is my pleasure to share with you HCCA’s 2016 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 2016 HCCA Resource Guide to be a valuable resource to your career and program. We look forward to serving you in 2016 and beyond.
Sincerely,
Roy Snell, Chief Executive Officer Health Care Compliance Association
HCCA’s 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 this GuideHCCA’s 2016 Events .........................................3
HCCA’s Membership Benefits & Application ................................4
HCCA Products ...................................................11
Solution Providers .........................................21
HCCA’s 2016 Scalendar: Educational Opportunities and Corporate Scandals .......................37
National ConferencesManaged Care Compliance ConferenceJanuary 31–February 3 ❍ Las Vegas, NV
Audit & Compliance Committee ConferenceFebruary 29–March 1 ❍ Scottsdale, AZ
20th Annual Compliance Institute April 17–20 ❍ Las Vegas, NV
Research Compliance ConferenceJune 5–8 ❍ Baltimore, MD
Clinical Practice Compliance ConferenceOctober 23–25 ❍ Scottsdale, AZ
Healthcare Enforcement Compliance InstituteOctober 23–26 ❍ Washington, DC
2016 HCCA Events
Basic Compliance AcademiesJanuary 18–21 ❍ New York, NYJanuary 25–28 ❍ San Juan, PRFebruary 8–11 ❍ Scottsdale, AZMarch 7–10 ❍ New Orleans, LAApril 25–28 ❍ Boston, MAJune 13–16 ❍ San Francisco, CAJune 20–23 ❍ Scottsdale, AZJuly 25–28 ❍ Honolulu, HawaiiAugust 8–11 ❍ New York, NYSeptember 12–15 ❍ Chicago, ILOctober 3–6 ❍ Las Vegas, NV October 24–27 ❍ Nashville, TNNovember 14–17 ❍ Orlando, FL December 5–8 ❍ San Diego, CA
Healthcare Privacy Basic Compliance AcademiesMarch 14–17 ❍ Orlando, FLJune 20–23 ❍ Scottsdale, AZOctober 24–27 ❍ Nashville, TN November 7–10 ❍ San Diego, CA
Research Basic Compliance AcademiesMarch 14–17 ❍ Orlando, FLNovember 7–10 ❍ San Diego, CA
Regional Compliance ConferencesJanuary 22 ❍ Atlanta, GAFebruary 5 ❍ Orlando, FL February 12 ❍ Portland, ORFebruary 19 ❍ Dallas, TXFebruary 25–26 ❍ Anchorage, AKMarch 4 ❍ St Louis, MOMarch 11 ❍ Washington, DCMarch 18 ❍ Charlotte, NCApril 28–29 ❍ San Juan, PRMay 6 ❍ Columbus, OHMay 13 ❍ New York, NYJune 3 ❍ Philadelphia, PAJune 10 ❍ Seattle, WAJune 17 ❍ Santa Ana, CASeptember 9 ❍ Boston, MASeptember 16 ❍ Minneapolis, MNSeptember 23 ❍ Kansas City, MOSeptember 30 ❍ Indianapolis, INOctober 7 ❍ Pittsburgh, PAOctober 13–14 ❍ Honolulu, HIOctober 21 ❍ Denver, CONovember 4 ❍ Louisville, KYNovember 11 ❍ Phoenix, AZNovember 18 ❍ Nashville, TNDecember 2 ❍ San Francisco, CADecember 9 ❍ Houston, TX
Web Conferences Explore hot topics in healthcare compliance with instant and up-to-date education from the convenience of your o� ce. HCCA announces new conferences regularly, and prior sessions are available for purchase. Visit hcca-info.org/webconferences to learn more.
Start planning now. Visit hcca-info.org/events to learn more.
Conference dates and locations are subject to change.
hcca-2016-conferences-1pg-ad.indd 1 12/18/15 3:27 PM
Why join HCCA?About HCCAThe Health Care Compliance Association (HCCA)® is the only national, non-profit organization solely dedicated to improving the quality of healthcare compliance.
Why should you join?HCCA understands the complex healthcare compliance environment. We’re here to help you build and maintain a strong and effective compliance and ethics program. We offer the latest tools, resources, and training to help you lead with compliance—to compliance.
Become a member of HCCA for just $295/year and you’ll enjoy:❍❍ A free subscription to Compliance Today,
exclusive to our members
❍❍ Discounts to every HCCA national, regional, and web conference
❍❍ Discounts on all HCCA products, programs, and services
❍❍ Access to members-only sections on HCCA’s website
Learn more online at hcca-info.org/join
4 hcca-info.org
hcca-info.org 5
HCCA MEMBERSHIP APPLICATIONCONTACT INFORMATION (PLEASE TYPE OR PRINT)
Mr Mrs Ms Dr
First Name Mi Last Name
Credential(s) Job Title(s)
Name of Employer
Street Address
City State/Province Zip/Postal Code Country
Telephone Email
MEMBERSHIP OPTIONS
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 $
PAYMENT OPTIONS Check enclosed (payable to HCCA)
Invoice me
I authorize HCCA to charge my credit card (choose card below)credit card: American Express Discover MasterCard Visa
Due to PCI Compliance, please do not provide any credit card information via email. You may email the application to [email protected] (without credit card information) and call HCCA at 888-580-8373 with your credit card.
Credit Card Number
Credit Card Expiration Date
Cardholder’s Name
Cardholder’s Signature
Apply online at: hcca-info.org/join
Fax application to: 952-988-0146
Mail application to: Health Care Compliance Association 6500 Barrie Road, Suite 250 Minneapolis, MN 55435
RG2016
Questions? Call 888-580-8373 or email [email protected]
LEARN MORE ONLINE ATHCCA-INFO.ORG/JOIN
REGISTER EARLY TO RESERVE YOUR PLACE Limited to 75 for each Academy
January 18–21 • New York, NY
January 25–28 • San Juan, PR
February 8–11 • Scottsdale, AZ
March 7–10 • New Orleans, LA
April 25–28 • Boston, MA
June 13–16 • San Francisco, CA
June 20–23 • Scottsdale, AZ
July 25–28 • Honolulu, Hawaii
August 8–11 • New York, NY
September 12–15 • Chicago, IL
October 3–6 • Las Vegas, NV
October 24–27 • Nashville, TN
November 14–17 • Orlando, FL
December 5–8 • San Diego, CA
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.
Questions: [email protected]
AcademiesBasic Compliance2016
from the Health Care Compliance Association
Want to become Certi� ed in Healthcare Compliance (CHC)®?
Take the optional CHC exam on the last day of the Academy.
CLE APPROVED
Learn more and register at hcca-info.org/academies
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.
Orlando, FLMarch 14–17, 2016
San Diego, CANovember 7–10, 2016
questions: [email protected]
Want to become Certi� ed in Healthcare Research Compliance (CHRC)®?
Take the optional CHRC exam on the last day of the Academy.
CLE APPROVEDResearchBasic ComplianceAcademies REGISTER
EARLYACADEMIES
FILL FAST
hcca-2016-academies-research-jan-ct-insert-2pgreg.indd 1 12/16/15 8:41 AM
8 hcca-info.org
Orlando, FLMarch 14–17, 2016
Scottsdale, AZJune 20–23, 2016
Nashville, TNOctober 24–27, 2016
San Diego, CANovember 7–10, 2016
www.hcca-info.org/academies
HCCA’s Healthcare Privacy Basic Compliance Academy® is comprehensive, covering a broad spectrum of laws and regulations that affect healthcare organizations: HIPAA privacy, general compliance, the Federal Privacy Act, and other privacy-related topics relative to healthcare. The faculty has many years of experience in healthcare compliance and is well-versed in healthcare privacy. The Academy is also helpful in preparing for healthcare privacy certification.
Want to become Certi� ed in Healthcare Privacy Compliance (CHPC)®?
Take the optional CHPC® exam on the last day of the Academy.
CLE APPROVED
REGISTEREARLY
ACADEMIES
FILL FAST
questions: [email protected]
Healthcare PrivacyBasic ComplianceAcademies
hcca-2016-academies-privacy-jan-ct-insert-2pgreg.indd 1 12/16/15 8:41 AM
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APRIL 17–20, 2016 ✴ ARIA ✴ LAS VEGAS
20th AnnualComplianceInstitute
There’s no reason to wait. Register today to maximize your savings and ensure your spot at the 2016 Compliance Institute.
Register byJANUARY 7
AND SAVE UP TO
$575
10 LEARNING TRACKS OFFERED ❍ General Compliance/
Hot Topics
❍ Compliance Lawyer
❍ Auditing & Monitoring
❍ Privacy & Security
❍ Long-Term Care
❍ Quality of Care
❍ Physician Compliance
❍ Internal Audit
❍ How to Succeed as a Compliance Professional
❍ Advanced Discussion Groups
Las VegasREGISTER AT COMPLIANCE-INSTITUTE.ORGQUESTIONS? EMAIL [email protected]
✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴
✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴✴
20Celebrating
COMPLIANCEINSTITUTE
HCCA’Syears
10 hcca-info.org
October 23–26, 2016 | Washington, DC
Healthcare Enforcement Compliance Institute
LEARN MORE AT hcca-info.org/heciQuestions? [email protected]
Savethe
date
Learn best and leading-edge practices for the compliance lawyer.
Go beyond legal analysis, learn how to implement systems that ensure the law is followed, and gain practical advice from experts in a one-of-a-kind forum where lawyers and compliance o� cers work together.
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hcca-info.org 11
ProductCatalog
COMPLIANCE TRAINING MATERIALS
12 hcca-info.org
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 $429/year / Non-members $469/year
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.
Members $50 / Non-members $60
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.
Members $395 / Non-members $445
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?
Members $25 / Non-members $30
Now available in electronic format for ereaders and tabletsVisit Amazon.com or Kobobooks.com
HCCA MEMBER DISCOUNTS
# of books cost / book
10–24 .................$23
25–49 .................$20
50–74 .................$18
75–99 .................$16
100+ ...................$15
hcca-info.org 13
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
Members $49.95 / Non-members $59.95
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.
Non-members $30.00 (pack of 10)
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
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 $149 / Non-members $169
HCCA MEMBER DISCOUNTS
# of 10-packs cost / pack
1–9 .....................$25.00
10–24 ................$20.00
25–74 ................$15.00
75–249 ..............$10.00
Over 250 .............$7.50
Do you have 5 or more years of experience in the healthcare compliance field? Have you held the CHC, CHPC, or CHRC certification for at least 3 years?
You could qualify for the Certified in Healthcare Compliance Fellow (CHC-F)® and showcase your compliance expertise and commitment to the profession by building on your CHC, CHPC, or CHRC certification. Set the bar higher and demonstrate you have what it takes to become a leader in this important and ever-changing field.
To learn more about this certification and how you can set yourself apart, visit us online at compliancecertification.org.
Become a CHC-Fellow.
Set a higher bar for yourself.
ccb-2016-chc-fellow-1pg-ad.indd 1 9/10/15 1:29 PM
hcca-info.org 15
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 $350DVD only
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
Members $195 / Non-members $235 (DVD only)
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.
Members $265 / Non-members $295
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
16 hcca-info.org
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.
Members $295 / Non-members $365 DVD
SAVE MONEY WHEN YOU BUY BOTH OF MERIC BLOCH’S BOOKS BELOW· The First Information Is Almost Always Wrong: Members $80 / Non-members $90
· Workplace Investigations: Members $90 / Non-members $100
· BOTH BOOKS AS A SET: Members $150 / Non-members $170
The First Information Is Almost Always Wrong: 150 Things to Know About Workplace InvestigationsEffective 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
Members $80 / Non-members $90
Workplace Investigations: Techniques and Strategies for Investigators and Compliance OfficersAuthor Meric Bloch is back with more expert guidance! His 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 $90 / Non-members $100
Products from the Society of Corporate Compliance and Ethics (SCCE)®
The HCCA-Amazon.com Compliance Reference LibraryHCCA has partnered with Amazon.com to help our members have easy access to a wide range of compliance and ethics reference works. We have scoured the Amazon.com catalog and put together a library of high-quality compliance and ethics titles—including CPT, ICD-9 and other coding guides!
Visit the store at http://astore.amazon.com/ healthcarecomp-20
hcca-info.org 17
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 Effectiveness
Members $75 / Non-members $85
Products from the Society of Corporate Compliance and Ethics (SCCE)®
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 whistleblowing 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 $345 / Non-members $395
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
Members Softcover $50 / Non-members Softcover $60 Members Hardcover $50 / Non-members Hardcover $60
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 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!
Members $50 / Non-members $60
A selection of 2015 Web conferences
The Key Three: How Collaboration, Communication and Culture Solidify Complianceyy Collaboration: More than working together; it’s about getting people to do
what you need them to
yy Communication: Communicating effectively means learning common communication filters, barriers to listening and how assumptions cause miscommunication
yy Culture: Creating the ideal environment where titles don’t matter as much as integrity, expectations and openness
Facilitators: John R. Nocero, PhD, MBA, CCRP, GCP, Administrator, Governance, Risk Management and Compliance, Barber National Institute; Jennifer L. Kennedy, BA, Manager Corporate Compliance, Barber National Institute
What All Healthcare Entities Should Know about CMS Guidance for an “Effective Compliance Program”yy How CMS’ new guidance to managed Care entities raises the bar for
Compliance Program expectations
yy An analysis of how CMS guidance differs from OIG compliance program guidance
yy What sections of CMS guidance should other healthcare entities consider adopting as best practices
Facilitator: Nabil Istafanous, JD, Principal, Corporate Counsel Solutions PLLC
Proper Management of Medicare/Medicaid Overpayments to Limit Risk of False Claims Act Violationsyy Identify applicable rules
yy Define overpayments and how they arise
yy Discuss the provisions of the CMS “60-day” rule
yy List audit criteria to detect overpayments
yy Describe how to report and repay overpayments
yy Examine the risks and liabilities resulting from the failure to timely report and repay overpayments
yy Review case examples
Facilitators: Susan Ziel, BSN MPH JD, Consultant, Integrity Health Strategies; Carol Hoppe, CPC, CCS-P,CPC-I, Consultant, Integrity Health Strategies; Joyce Freville, PhD, MBA, CHC, CHPC, Consultant, Integrity Health Strategies
A Suspected Breach: How to Investigate, Document, and Respondyy Step-by-step instruction beginning immediately after a reported privacy or
security breach
yy How to determine whether a breach occurred—in your organization or a business associate
yy Reporting and responding to regulators, patients, and the media
Facilitator: Matthew Soskins, PhD, Esq., CHC, Special Counsel, Higgs, Fletcher & Mack
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 / CD | Non-members $105 / CD
TEN OR MORE CONFERENCES: Members $75 / CD | Non-members $99 / CD
To order these CDs and view the entire catalog, visit hcca-info.org/webcds
hcca-info.org 19
Qty Description Members Non-members Total
The HCCA HIPAA Training Handbook, Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25 . . . . . . . . . . . . . . . . . . . . $30
Health Care Auditing & Monitoring Tools (manual) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$395 . . . . . . . . . . . . . . . . . . $445
Compliance 101: Third Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Health Care Privacy Compliance Handbook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $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 Two-Book Set (includes both books listed below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150 . . . . . . . . . . . . . . . . . . .$170
Workplace Investigations (this book only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $90 . . . . . . . . . . . . . . . . . . $100
The First Information Is Almost Always Wrong (this book only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $80 . . . . . . . . . . . . . . . . . . . . $90
501 Ideas for Your Compliance and Ethics Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Ethics and Compliance on the Job: Classic Ethikos articles with no-nonsense solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75 . . . . . . . . . . . . . . . . . . . . $85
Building a Career in Compliance and Ethics (softcover) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Building a Career in Compliance and Ethics (hardcover) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 . . . . . . . . . . . . . . . . . . . . $60
Guidance for Engaging Your Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $345 . . . . . . . . . . . . . . . . . . $395
Please choose “Invoice me” for this product: No checks or credit card payments accepted. Sales tax applies in every state for this product.
The Health Care Compliance Professional’s Manual INVOICE ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $429 . . . . . . . . . . . . . . . . . . $469
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! New members only. Add $200 to join (regular price $295) . . . . . . . . . . . . . . . . . . . . $200
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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 22 • Atlanta, GA
February 5 • Orlando, FL
February 12 • Portland, OR
February 19 • Dallas, TX
February 25–26 • Anchorage, AK
March 4 • St Louis, MO
March 11 • Washington, DC
March 18 • Charlotte, NC
April 28–29 • San Juan, PR
May 6 • Columbus, OH
May 13 • New York, NY
June 3 • Philadelphia, PA
June 10 • Seattle, WA
June 17 • Santa Ana, CA
September 9 • Boston, MA
September 16 • Minneapolis, MN
September 23 • Kansas City, MO
September 30 • Indianapolis, IN
October 7 • Pittsburgh, PA
October 13–14 • Honolulu, HI
October 21 • Denver, CO
November 4 • Louisville, KY
November 11 • Phoenix, AZ
November 18 • Nashville, TN
December 2 • San Francisco, CA
December 9 • Houston, TX
2016HCCA Regional Compliance Conferences
hcca-2016-regionals-res-guide-1pgad.indd 1 9/16/15 8:08 AM
SolutionProviders
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Aegis Compliance & Ethics Center LLPwww.aegis-compliance.comAegis is a leading management consulting firm that serves clients seeking to bolster the impact and structure of their compliance programs. Health care businesses face increasing regulatory scrutiny and significant competitive, financial, and operational challenges that can undermine orga-nizational integrity. We collaborate with these companies to strengthen controls, enhance an ethical culture, and lead initiatives aimed at forti-fying compliance. Aegis offers dynamic consulting services that address program enhancement, clini-cal research, billing/coding, privacy, data security, interim management, strategic planning and other compliance issues affecting providers and health care businesses.
AHA Solutions Incwww.aha-solutions.orgAHA Solutions, Inc. is a resource to hospitals pur-suing operational excellence. As an American Hospital Association (AHA) member service, AHA Solutions collaborates with hospital leaders and market consultants to conduct product due dili-gence and identify solutions to hospital challenges in the areas of finance, human resources, patient flow and technology. As a subsidiary of the AHA, the organization convenes people with like inter-ests for knowledge sharing centered on timely information and research.
AHIAwww.ahia.orgAHIA is the only professional organization for healthcare auditors. We are an international, non-profit organization whose purpose is to fulfill the professional and educational needs of healthcare auditors. AHIA promotes excellence in its mem-bers, their institutions and the healthcare internal audit and compliance profession through the sharing of ideas and information, as well as edu-cational opportunities. Be a part of AHIA as we achieve excellence in our profession and for our healthcare institutions.
Altegra Healthwww.altegrahealth.com/provider-solutionsAltegra Health Provider Solutions is a suite of services tailored to the ever-changing healthcare market. These services provide healthcare pro-viders, payers and managed care organizations with a diverse range of coding, consulting, and advisory solutions proven to deliver measurable results within the areas of revenue cycle manage-ment, compliance and quality performance. Core services include coding, audit, CDI, and ICD-10 as well as compliance/risk, revenue cycle, and valua-tion/transaction advisory consulting.
Beazley Groupwww.beazley.comBeazley insures a wide range of healthcare pro-viders 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.
Besler Consultingwww.besler.comFor over 25 years, BESLER has helped hospitals enhance and protect their Medicare revenue. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and software development has resulted in more than $2 bil-lion 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.
Bloomberg Lawwww.bna.comBloomberg BNA is a leading source of legal, tax, regulatory, and business information for profes-sionals. Our flagship legal product, Bloomberg Law, provides proprietary market data, trusted content and legal analysis, together enabling and accelerating client growth, client excellence and client profitability.
BluePeak Advisors, LLCwww.bluepeakadvisors.comBluePeak Advisors is comprised of consultants who provide Federal Medicare Part C and Part D Sponsors with CMS regulatory and opera-tions expertise. All of our consultants have been employed by CMS, health plans, and/or pharmacy benefit management companies for the majority of their careers. BluePeak Advisors assists health plans, pharmacy benefit management companies, pharmaceutical companies and other health care alliance companies with Medicare operational and compliance issues. BluePeak performs many mock audits each year, assists with actual CMS audits onsite, designs staffing plans and acts as interim staffing, and assists with remediation efforts.
The Bonadio Groupwww.bonadio.comRegulatory 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 spec-trum of regulations and programs—including HIPAA, Medicare, Medicaid, DOH and other guide-lines. Bonadio also functions as an Independent Review Organization for Corporate Integrity Agreements, assists with Medicare and Medicaid Self-Disclosures, and develops, implements, and assesses compliance programs. Contact us today for more information.
Broad and Casselwww.broadandcassel.comFor more than 30 years, Broad and Cassel has suc-cessfully handled matters in virtually every area of health law and fraud and abuse and enforcement and compliance matters with all types and sizes of clients. Our attorneys are uniquely qualified to serve the legal needs of health industry clients because of the seamless integration of our Health Law and White Collar and Criminal and Civil Fraud Defense and Compliance Practice Groups. This inte-grated organization and experience allows us to successfully navigate complex enforcement, com-pliance and legal issues and avoid litigation and enforcement action wherever possible.
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CaseWare Analyticswww.Audimation.comAudimation Services is the U.S. distributor of CaseWare IDEA, CaseWare™ Monitor and SmartExporter. IDEA is a powerful and user-friendly tool designed to help accounting and financial professionals extend their auditing capabili ties, detect fraud and meet documentation standards. CaseWare™ Monitor is a sophisti cated risk and con-trols monitoring solution that allows business, risk and control profes sionals, and auditors to quickly and confidently monitor any automated system. SmartExporter simplifies the extraction of SAP data for review and analysis.
CBIZ KA Consultingwww.cbiz.com/kaconsultsCBIZ KA Consulting Services, LLC (CBIZ), provides data-driven solutions 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 consulta-tive expertise to help optimize the revenue cycle, making sure that hospitals are compliant 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.
Certiphi Screening Incwww.certiphi.comCertiphi 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; finger-printing; integrated electronic I-9 and E-Verify services; 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.
CHAN HEALTHCAREwww.chanllc.comCHAN Healthcare is the U.S. market leader in provid-ing internal audit, consulting services and software solutions to the healthcare industry. Leveraging our knowledge and expertise, we partner with our clients to identify opportunities which mitigate risk in an ever changing environment. We deliver innovative solutions to today’s complex healthcare issues. Visit our website www.chanllc.com or call our office at 314.802.2800.
CliftonLarsonAllen LLPwww.claconnect.comCliftonLarsonAllen (CLA) LLP is an industry special-ized professional service firm focused on helping healthcare organizations improve profitability, reduce risk, build business value, support regula-tory compliance efforts and plan for succession. From offices coast to coast, our professionals deliver audit, tax, consulting, and outsourcing capabilities best aligned with our clients’ needs: risk assessments, network penetration testing, out-sourced/co-sourced internal audits, enterprise risk management, regulatory compliance evaluations, information technology audits, security aware-ness training, security incident (breach) handling, fraud, and forensics.
The Coding Network LLCwww.codingnetwork.comThe Coding Network is the country’s leading provider of coding solutions: remote coding ser-vices (ongoing or temporary), coding compliance reviews, coding helpline services, and provider documentation training. We also offer ICD-10 readiness audits and documentation training. Our 500+ U.S. Based certified coder/auditors provider services in 56 medical specialties in all 50 states, at 93 academic institutions, 285+ billing companies, and at community-based practices and facilities. All of our coders have a minimum of 3 years of single specialty coding experience while our audi-tors have a minimum of 5 years of experience.
Compliance Wave LLCwww.compliancewave.comWhy do Compliance Officers around the globe use Compliance Wave tools to communicate with their millions of employees? Membership in Compliance Wave means having access to the largest online library of customizable and easy-to-use compli-ance communication tools in the marketplace. The library of 2,000+ tools includes engaging short videos, tone-at-the-middle kits, articles & blogs, cartoons, and more, covering 75+ key compli-ance 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 pro-fessionals communicate with employees.
ComplianceLine, Incwww.complianceline.com Established in 1998, ComplianceLine™ is the industry standard in comprehensive compli-ance solutions. With 24-hour toll-free telephonic personal answering, reporting and tracking of compliance concerns, ComplianceLine™ provides clients with the industry’s best tools to assist in the identification of possible unethical, ille-gal, or questionable behavior. ComplianceLine also offers SanctionCheck, which allows our clients to search for individuals or entities that have been sanctioned, disbarred or otherwise excluded from participation in federally funded health care programs.
Compliatricwww.compliatric.comCompliatric gives you easy, centralized control over the complex compliance management efforts. You can easily identify, track and address risk. We provide a comprehensive, affordable, integrated online platform for addressing your risks associ-ated with regulatory compliance initiative. Our web-based application is intuitive, user friendly and all-encompassing.
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ComplyAssistantwww.complyassistant.comComplyAssistant offers compliance man-agement software and consulting services. ComplyAssistant’s clients manage and document compliance activities for various regulations and accreditation requirements, with enter-prise collaboration, notifications, and reporting. ComplyAssistant provides consulting services for HIPAA-HITECH and Meaningful Use (MU) Audits, mitigation planning, policies and procedures, mock audits, and more. ComplyAssistant’s breach notification workflow and business associate (BA) management functions are important for meeting the HITECH Omnibus final rule requirements.
Contract Guardian/ Rippe & Kingstonwww.ContractGuardian.comContract Guardian, from Rippe & Kingston is a lead-ing Contract Management System. Need Ultimate Flexibility and Unlimited Growth? Then you need Contract Guardian. Our comprehensive, Cloud Based Contract Management System is incred-ibly 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 infra-structure. 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.
ConvergePointwww.convergepoint.comConvergePoint, the leading Healthcare Compliance solution provider on Microsoft SharePoint, boasts five full-featured software products for the com-plete life-cycle management of your Policies & Procedures, Contracts, Conflict of Interest Disclosures, Incident Tracking and Employee Training. Extend your existing Microsoft Office 365 or on-site SharePoint instance, or rely on ConvergePoint’s secure cloud platform so you can access the power of ConvergePoint whether or not you have SharePoint. With workflow builders, ver-sion control, audit trails, keyword search, custom data fields, dashboards, reporting, and more, ConvergePoint provides industry best practices and U.S. based support.
CynergisTek, Inc.cynergistek.comCynergisTek is a top-ranked information privacy and security consulting firm. The company offers solutions to help organizations measure privacy and security programs against regulatory require-ments and assists in developing risk management best practices. Since 2004 the company has served as a partner to hundreds in the healthcare indus-try. CynergisTek is also dedicated to supporting and educating the industry by contributing to relevant associations such as HIMSS, AHIMA, HFMA, HCCA, AHIA, AHLA, IAPP and CHIME.
Deloitte & Touche LLPwww.deloitte.com/us/healthsciencesAs Deloitte’s Health Sciences Practice, our mis-sion is to help our clients bring discoveries to life and improve the quality of care while creating and sustaining long-term, bottom-line success. Drawing on more than 70 years of proven industry experience and the innovation, knowledge, and commitment of more than 2,700 professionals, we provide a complete range of audit, tax, con-sulting, and financial advisory services across all segments of the industry.
DeviceLock, Inc.www.devicelock.comDeviceLock, Inc. provides enterprise Endpoint Data Leak Prevention (DLP) software for compa-nies, governments, & the military. DeviceLock®, ContentLockTM, & NetworkLock™ constitute an AD Group Policy-managed solution for apply-ing granular, contextual, & content-based access, auditing, shadowing, alerting & key-logger con-trols to prevent data leakage through PC/MAC peripheral ports, devices, printers, & network ports for data-in-motion and data-in-use. DeviceLock’s new Discovery™ module provides proactive data-at-rest DLP eDiscovery and data remediation based on the data’s content.
®
Doctors Management LLCwww.doctors-management.comDoctors Management 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 compliance 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 management, including compliance, coding, auditing, financial services, patient retention, human resources and more.
Epstein Becker & Green PCwww.ebglaw.comEpstein Becker Green (EBG), a national law firm focusing on health care and life sciences, serves academic and other hospital systems and large physician practices, with capabilities ranging from corporate transactions and government investiga-tions to litigation and regulatory advice. EBG also evaluates, develops, and implements corporate compliance programs. With a team that includes former CMS and DOJ officials, EBG has man-aged care capabilities on the provider and payor sides, a health information privacy and security practice, and experience working with venture capital and private equity funds to evaluate health industry acquisitions. EBG is committed to client service and legal excellence. For more information, visit www.ebglaw.com.
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SocializeJoin the online conversation with HCCA and your compliance colleagues
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Executive Health Resourceswww.ehrdocs.comFounded in 1997, Executive Health Resources (EHR) provides expert medical review services that help providers and health plans achieve financial integrity and compliance. Our physician-led teams possess unmatched clinical, regulatory and business expertise. Supported by our indus-try-leading EHR Logic™, technology and analytics, our experts have performed 11+ million medical reviews for over 2,300 providers and 300 health plans. EHR reduces administrative costs, promotes transparency, and facilitates equitable financial interactions for all health care constituents.
FairWarningwww.fairwarning.comFairWarning® is a leading provider of solutions which expand trust in mission critical applica-tions, such as Electronic Health Records and cloud applications, empowering businesses to grow their reputation for protecting confidentiality, scale their digital initiatives and comply with complex Federal and state privacy laws such as HIPAA, PCI, SOX, FISMA and EU Data Protection Act. FairWarning provides a comprehensive platform for performing access reports, enforcing access policies, conduct-ing legal investigations, and improving compliance effectiveness. By partnering with FairWarning, businesses are able to focus on their core compe-tencies, knowing that their data is secure.
FTI Consulting Health Solutionswww.fticonsulting.com/hcFTI 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 environ-ment. With more than 3,000 professionals located in most major business centers in the world, we work closely with clients every day to anticipate, illuminate, and overcome complex business chal-lenges in areas such as investigations, litigation, mergers and acquisitions, regulatory issues, repu-tation management and restructuring.
The George Washington Universitywww.cps.gwu.edu/hccThe George Washington University’s Graduate Certificate in Healthcare Corporate Compliance: This CCB-accredited program provides a com-prehensive corporate compliance education for current or aspiring corporate compliance offi-cers. The 12 credit program can be completed in seven months with two short in-class residen-cies in Alexandria, VA and an interactive distance learning segment in-between. Students have unparalleled access to experts in the field, includ-ing former regulators and policymakers, as well as legislators, patient advocates and other com-pliance professionals.
Global Healthcare Exchange (GHX)www.ghx.comAcross healthcare, the need to cut costs and oper-ate more efficiently has never been greater. At Global Healthcare Exchange (GHX), our mission is focused on doing just that—helping increase your operational efficiency and drive down your costs of doing business. We do this by automating your supply chain, increasing visibility into infor-mation and providing business intelligence tools to help you make smarter, better and faster deci-sions that impact your bottom line. We understand how complex the business of healthcare is. So we focus on helping you simplify things so you can focus on what you do best—caring for patients or developing the next new medical-surgical product. Lowering the cost of healthcare: it’s OUR business.
GNYHA Ventureswww.gnyha.orgGNYHA Ventures, Inc. has partnered with health-care technology experts Bluemark to bring you TRACKER PROTM, the latest generation of audit response solutions for Medicare, Medicaid and Commercial audits. The solution provides state-of-the-art functionality to manage the time-sensitive and burdensome demands that audit responses require. Increase your productivity with integra-tion of 835/837 data and electronic submission of medical records via esMD. Learn why over 300 hospitals have chosen TRACKER PROTM to protect their revenue stream.
Hall, Render, Killian, Heath & Lyman, P.C.hallrender.comHall, 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 170 attorneys represent 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 recognized as one of the nation’s preeminent health law firms.
Hamline Health Law Institutewww.hamline.edu/law/hliHamline University School of Law has redefined flexibility through our completely online, CCB accredited Health Care Compliance Certificate Program. Students choose when and where to participate in our innovative online learning envi-ronment and there is no residency requirement. Launched in 2008, our award winning program offers the most advanced and relevant curriculum in the country, and can be completed in just 11 months. Students work together as a cohort pro-moting relationships and creating a professional network. Our Program has a long-standing com-mitment to maintaining highly competitive tuition rates and doing everything possible to provide added value to students.
HCCS–A HealthStream Companywww.hccs.comHCCS, a HealthStream Company, provides effective regulatory and 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 million hours of online compli-ance 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. NEW Control Centers provide the information needed to make effective and effi-cient training decisions.
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Health Care Compliance Recruitingwww.healthcarecompliancerecruiting.comHCCR is the only recruiting firm that specializes solely in the health care compliance industry and recruits individuals of all levels. HCCR’s founder, Beth DeLair, has more than 15 years’ experience in health care compliance both as an in house Compliance Officer and as a consultant in interim compliance positions. Her intimate knowledge of and extensive experience within the industry allows her to immediately and fully understand client needs and a position’s necessary skill sets.
Health Endeavorswww.jointheendeavor.comHealth Endeavors is technology development com-pany based in Scottsdale, Arizona since 2008. Our web-based Patient Health Integrated Tools and Healthcare Admin Tools software solutions are used on a daily basis by over 1.5 million users providing care to over 10 million patients. Healthcare Admin Tools modules include: Entity Manager, Contract Manager, Non-Monetary Compensation Tracker, Conflict of Interest Manager, Medical Director Hours, Incident Event Manager and Training Center. Our clients include: 40+ MSSP ACOs, Self-Insured Employers, Commercial Payor Programs, State Medicaid Programs, 500+ Hospitals, Thousands of Physician Practices, MSOs, Nursing Homes, ASCs, Home Health, and Hospice.
HealthCare Appraisers, Incwww.healthcareappraisers.comHealthCare 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 cov-erage, medical directorships, co-management arrangements, collections guarantees and equip-ment lease/use arrangements); Business Valuation (e.g., ASCs, hospitals, physician practices, dialysis centers, diagnostic/ treatment facilities, fixed assets and intangible assets); Consulting and Advisory Services; and Litigation Support.
Healthcare Cost Solutionswww.hcsstat.comHealthcare Cost Solutions (HCS) is an HIM consult-ing firm providing Compliance Audits, Coding and HIM Services to US hospitals since 1994. Specialties include: MS-DRG/APR-DRG/APC/HCC/ACA Audits, Claim Denial Reviews/Appeals, PACT Validation, LTAC, Pro Fee, CVIR/IR Audits, Charge Detail Audits, Remote Coding, Interim Management/Outsourcing, Online ICD-10 Tutorials and Compliant Query Forms. Featuring HART©: Healthcare Audit Resource Technology, propri-etary database solutions for the ever-changing environment of the external audit and increased governmental scrutiny.
Healthicity www.healthicity.com/hccaHealthicity, founded by AAPC, creates compli-ance, auditing and analytic solutions that drive operational simplicity and elevate performance for physician groups, ACOs, and hospitals. Healthicity is driven by the idea of reinventing the business of healthcare through simple, intuitive, products.
Healthcare Resource Groupwww.hrgpros.comHospitals, clinics and physician practices have been partnering with HRG since 1994 to improve their financial performance. HRG is an employee-owned company specializing in patient financial services, HIM coding and consulting services, and healthcare staffing. Pressure on hospitals to reduce costs while maintaining compliance and quality patient care leads most facilities to consider outsourcing part-ners to supplement and support their team. HRG has the bench strength to provide that support.
HEALTHDoxwww.healthdox.comSince 1999, HealthDox has been helping hospi-tals all over the country, big and small, conquer the complex tasks of compliance management. Easy to use, yet powerful HealthDox compliance solution has been the industry favorite helping hospitals comply with strict standards and regu-lations. 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, perfor-mance and compliance.
HealthPortwww.healthport.comHealthPort® is the authority on compliant exchange of protected health information (PHI), and HealthPort Connex™ provides the largest, most secure HIPAA-compliant delivery system. Our dedicated teams of release of information pro-fessionals possess a strong acumen for patients’ rights and fulfill every request with respect and a sense of urgency.
Holliday & Associateswww.chargeassist.comHolliday & Associates has been dedicated since 1990 to Charge Management tools, CDM Reviews, and CDM Coordinator education. We provide hospi-tals with accurate, unbiased, and timely regulatory and coding information. Holliday & Associates’ national recognition is built on depth of expertise in the hospital environment and specialization in CDM analysis and education Our web-based Charge Management solution ChargeAssist® was developed through our hands-on operational experience in the Charge Management arena. By using our tools, hospitals nationwide have stream-lined their Charge Management process, created pricing transparency, and reduced the costs related to CDM maintenance programs.
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Huron Consulting Groupwww.huronconsultinggroup.comHuron Healthcare’s Compliance and Investigations team provides healthcare organizations and their legal counsel with the broadest, most comprehen-sive, and highest quality regulatory compliance and investigations solutions in the industry. Our team delivers focused solutions for the most complex matters of compliance, governance, risk management, investigations, and litigation. Working collaboratively, we help clients identify, design, and implement effective and sustainable compliance programs 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 comprehen-sive investigation and litigation assistance. Our understanding 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 prac-tices, and achieve excellence.
Iatric Systems, Inc.www.iatric.comHealthcare is a complex and highly regulated industry with data spread across multiple systems and technologies, meaning decisions are made every day without complete information readily available. Iatric Systems is a healthcare technology company dedicated to leveraging our integration expertise to provide healthcare organizations with products and services that bring the right data to the right people at the right time. In our 25-year history, we have delivered more than 25,000 inter-faces and integration solutions to more than 1,300 healthcare organizations. For more information, contact [email protected] or visit www.iatric.com.
ID Expertswww2.idexpertscorp.comAt 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 pro-cess, 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 government organizations.
IMA Consultingwww.ima-consulting.comIMA Consulting is a full service professional ser-vices firm that provides Expense Management, Interim Management, and Revenue Management services exclusively to the healthcare industry. We offer outcome focused solutions to healthcare pro-viders. 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 aver-age years of experience of our professional staff is in excess of 20 years.
INCompliancewww.incomplianceconsulting.comINCompliance offers compliance consulting ser-vices for healthcare organizations and insurance companies. Our consultants are attorneys with in-depth knowledge and practical experience in your industry. We work with you to develop tai-lored programs to meet your business goals, and offer practical solutions to your organization’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.
Intersect Healthcarewww.intersecthealthcare.comIntersect 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 nationwide have licensed VERACITY™ software as an easy-to use, effective and affordable solution that integrates both paper-based and electronic record systems. Intersect Healthcare leverages Software as a Service (SaaS) technology to enable organizations to streamline audit processes, reduce costs and elimi-nate the IT department as a bottleneck. To learn more about Intersect Healthcare and VERACITY™.
www.kslaw.comKing & Spalding has one of the broadest and deep-est benches of lawyers, scientists and consultants specializing in the representation of pharma-ceutical, 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 prac-tices in the country, we have received national acclaim for excellence in transactional, litigation and regulatory representation of clients across the spectrum of healthcare.
Kinney Management Services LLCwww.kchecks.comKchecks is one of the premiere web based software solution that allows users to search the Federal OIG, EPLS, SDN and State databases on a monthly basis for individuals and entities that have been excluded from participating in any state or federally funded programs. Kchecks provides a cost-effective solu-tion to manage the risk of this complex “exclusion screening” challenge, saving your organization’s valuable time while also reducing the risk of pen-alties, protecting the integrity of your program/organization and ensuring compliance with regula-tory requirements. Protect yourself with Kchecks…Because what you don’t know can hurt you.
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King & Spaldingwww.kslaw.comKing & Spalding has one of the broadest and deep-est benches of lawyers, scientists and consultants specializing in the representation of pharma-ceutical, 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 prac-tices in the country, we have received national acclaim for excellence in transactional, litigation and regulatory representation of clients across the spectrum of healthcare.
Krieg DeVault LLPwww.captainintegrity.comKRIEG DEVAULT LLP is a 120-professional, diversi-fied law firm representing a wide variety of local, regional and national clients. It is a general practice commercial law firm with offices in Indianapolis, Carmel, Noblesville, Merrillville, and Mishawaka, Indiana, Chicago, Illinois, Atlanta, Georgia, Boca Grande and Naples, Florida, and Minneapolis, Minnesota. The firm’s attorneys have significant experience in key areas that address the needs of a diversified client base. Through its membership in Meritas, the firm’s ability to assist clients reaches around the world. For more information, please visit www.kriegdevault.com.
Litmos Healthcare Divisionwww.litmos.com/healthcareLitmos Healthcare provides innovative, online edu-cation on compliance, risk management, medical billing, clinical topics (CEU), management training and communicating skills. Featuring the benefits of cloud computing, our e-learning courses deliver proven, quantifiable results. With nothing to install or maintain, your company can be enrolled and learning in a matter of days. Join more than 10,000 organizations that have already discovered Litmos Healthcare’s e-learning and start enjoying the care you deserve.
LockPathwww.lockpath.comLockPath is a market leader in corporate gover-nance, risk management, regulatory compliance (GRC) and information security (InfoSec) software. LockPath’s award-winning solutions are used by leading health insurance companies, health care service providers, medical device manufactur-ers and pharmaceutical companies to automate business processes, reduce enterprise risk, dem-onstrate compliance and achieve audit-ready status. LockPath serves small to midsize com-panies as well as Fortune 10 enterprises in more than 15 industries.
Loyola University Chicagowww.LUC.edu/compliancestudiesLoyola University Chicago School of Law is lead-ing the way in Compliance Studies. Loyola offers several unique programs that focus on the rap-idly growing area of compliance: a Masters of Jurisprudence in Health Law or Business Law for professionals or a Master of Laws in Health Law or Business Law for attorneys. We feature more than 30 courses on compliance topics, including corporate compliance, global compliance, health care compliance, and research compliance. Some degree programs allow students to sit for the Compliance Certification Board’s examinations. Online classes are offered starting in January, May, or September. For more information, visit our web-site or call 1-800-424-3986.
Managed Resources, Incwww.mri-corp.comManaged Resources, Inc (MRI) is a leading consult-ing group assisting healthcare providers and payors nationwide to increase revenue by providing essen-tial support services through review, recovery and educational programs. MRI has built a reputation for integrity in providing a broad range of financial and consulting services to the healthcare indus-try. We assist our clients in ensuring accurate and compliant coding, documentation, charging and payment for services rendered. We minimize loss, increase revenue, and raise cost-consciousness through proven auditing, monitoring, collection and compliance education programs.
McBee Associates Incwww.mcbeeassociates.comMcBee Associates, Inc. believes that compliance is essential to good business. A recognized leader in providing consulting services to the health care industry, the firm is one of the nation’s largest independent health care consulting practices. With unparalleled commitment to compliance, McBee Associates develops lasting solutions that ensure the financial 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. Visit us at www.mcbeeassociates.com or call 1-800-767-6203.
MCN Healthcarewww.mcnhealthcare.comFor more than 24 years, MCN Healthcare has been a leading provider of regulatory compliance solu-tions for hospitals and healthcare organizations. Healthcare professionals around the globe rely on MCN every day for policy management software, compliant-ready policy and procedure templates, and email notification of changes in regulations.
MDauditwww.mdaudit.comMDaudit software automates and streamlines the auditing process to improve productivity and reduce compliance risk. MDaudit Hospital allows you to analyze and measure organizational risk, sample data for specific risk profiles, target audits and focus quality initiatives and education around findings. MDaudit Professional provides an easy-to-use workflow so you can audit your providers, determine individual risk score, benchmark provid-ers and generate management reports. MDaudit Analytics provides key metrics focused on current risk areas, customizable provider rankings and comparisons focused on E&M and modifier usage.
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MD Ranger Incwww.mdranger.comMD Ranger is a leading provider of data-driven physician contract and compensation solutions that help hospitals and health systems deter-mine compensation, negotiate competitive contracts, and comply with federal regulations. The company’s proprietary database reduces the complexity and costs of establishing fair market value for on-call arrangements, medical director-ships, administrative 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 health care executives, and ensure that financial arrangements are com-petitive and consistent.
MedeAnalyticswww.medeanalytics.comMedeAnalytics provides evidence-based insights to solve a real problem that plagues healthcare – how to use the immense amount of patient data collected along the care continuum to deliver cost-effective care and promote a healthier popu-lation. Its analytics platform delivers intelligence that helps healthcare organizations detect their greatest areas of risk and identify opportunities to improve their financial health. It empowers provid-ers and health plans to collaborate and use data to strengthen their operations and improve the qual-ity of care. MedeAnalytics’ cloud-based tools have been used to uncover business insights for nearly 1,000 healthcare organizations across the United States and United Kingdom.
Medelearnwww.medelearn.orgThe 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 les-sons including 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.
MediTractwww.meditract.comMediTract helps hospitals and healthcare organi-zations manage their contracts; enabling them to reduce risk, maintain compliance and operate effi-ciently. We are the only contract management and compliance company solely dedicated to health-care. As a result, we are a trusted advisor for one out of every four hospitals in the U.S.
MetricStream Incwww.metricstream.comMetricStream 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.
MROwww.mrocorp.comMRO empowers healthcare organizations with proven, enterprise-wide solutions for the secure, compliant and efficient exchange of Protected Health Information (PHI). These solutions include a suite of PHI disclosure management services com-prised of release of information, government and commercial payer audit management and account-ing of disclosures. MRO’s technology-driven services reduce the risk of improper disclosure of PHI, ensure unmatched accuracy and enhance turnaround times. MRO additionally supports its clients’ current and future initiatives, includ-ing interoperability, meaningful use and health information exchange.
NAVEX Globalwww.navexglobal.comNAVEX Global helps protect your people, reputa-tion 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 provides the AHA endorsed policy & procedure management solution to nearly 20 percent of the nation’s hospitals, helping organiza-tions streamline the policy management lifecycle, eliminate paper binders and meet audit standards.
NetDimensions Healthcarewww.netdimensions.com/healthcareNetDimensions Talent Suite is a fully integrated talent management system that is redefining learn-ing, performance and compliance in healthcare. NetDimensions provides healthcare regulatory compliance training, dashboards and compli-ance analytics for regulatory audits, certifications, surveys and competency/skills management. Organizations gain a unified view of compliance-related risk across the whole workforce. Secure mobile access provides learners with training and educational resources anytime, anywhere. Learn more at www.netdimensions.com/healthcare.
NTractswww.ntracts.comNtracts LLC, a Hall Render Company, offers con-tract management software and services that help healthcare organizations reduce legal and regula-tory risks. The Ntracts software-as-a-service (SaaS) application establishes a single contract reposi-tory that actively notifies parties of approaching milestones, automates workflow and speeds contract origination. Ntracts also offers clients a complete portfolio of consulting services that boost efficiency and save clients money. For more information, or to request a demonstration, visit www.ntracts.com. Follow us on twitter @ntracts.
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Optumwww.optum.com/GoComplianceOptum is a leading health services and innova-tion company dedicated to helping make the health system work better for everyone. With more than 85,000 people worldwide, Optum com-bines technology, data and expertise to improve the delivery, quality and efficiency of health care. The Optum Compliance Suite enables compliance officers to manage and respond strategically to multiple compliance risks. Built on flexible plat-form architecture, the Optum solution delivers on the promise of a single and centralized view of compliance programs and allowing health care organizations to tackle compliance challenges across the provider organization.
Osprey Software Incwww.ospreysoftware.comCOI RiskManager™ (Conflict of Interest Solution) is a powerful and cost-effective web-based solu-tion that efficiently captures, tracks and reports the required disclosures for any sized organiza-tion. 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 orga-nizational effectivenes. Osprey also manages attestations (ex. Code of conduct, certification, security acknowledgements) and other types of forms including surveys.
Pacific Universitypacificu.edu/halThis graduate-level, 18-credit program offers stu-dents the opportunity to learn and demonstrate a thorough understanding of healthcare compliance topics and apply their knowledge through course work and in industry settings. Students meet on campus during two short weekend residencies: one at the beginning and a capstone seminar at the end of the program. The program curriculum is designed to prepare students to sit for the Certified in Healthcare Compliance (CHC) certification exam upon program completion, as well as other certi-fications from HCCA and AHIMA. Students may also choose to complete the Master of Healthcare Administration degree at the same time or after certificate completion.
Panacea Healthcare Solutions, Inc.www.panaceainc.comPanacea Healthcare Solutions, Inc. has provided coding, compliance, reimbursement and rev-enue solutions infused with intelligence and delivered through our consulting, software, pub-lications and webcasts to more than 4,000 U.S. providers. Each one is rooted in Panacea’s exten-sive frontline experience working with healthcare providers and organizations.
PFS Clinicalwww.pfsclinical.comWhen you need quality administrative research solutions, our on-demand services team is here to help. We are dedicated to helping clinical research sites improve total management of their clinical research program. Our experienced profession-als provide turnkey business services allowing site personnel to focus more of their atten tion on clinical activities. We serve AMCs, MMCs, and Dedicated Research Sites. Our core ser vices include coverage analysis, revenue cycle management, budget and contract review, and business devel-opment. We’ll ensure your billing is compliant and increase research revenue.
Pinnacle Healthcare Consultingwww.askphc.comPinnacle Healthcare Consulting provides a range of strategic, financial and operational services for hospitals, health systems, physician groups and other healthcare organizations to improve clinical and business performance. Pinnacle is a nationally recognized leader in business valuation, physician compensation, performance improvement and compliance support. The firm also provides physi-cian practice management, medical billing / coding audits, and technology / integration support ser-vices. By building relationships and championing innovation, Pinnacle has created dynamic services, backed by a powerful team to solve the most com-plex challenges. Call Pinnacle at (303) 801-0123 or visit www.askphc.com.
Policy Medical Incwww.policymedical.comPolicyMedical maintains the belief that a hospi-tal’s policy management 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 administrative tasks. PolicyMedical’s flag-ship software, PolicyManager™, is a cloud-based policy management platform. It is the first such platform specifically focused on the healthcare industry. PolicyManager™ establishes an auto-mated system to create, approve, review, house, and archive policies.
Post Acute Advisorswww.postacuteadvisors.comPost Acute Advisors is a specialty consulting firm, with proven expertise in the post acute levels of care (inpatient rehabilitation, outpatient therapy, skilled nursing, home health, hospice and LTCH). This expertise includes extensive experience in medical record review, potential risk assessment, extrapolation of risk, appeal assistance and clinical and medical staff education. Our successful par-ticipation as extensions of external legal or internal compliance teams has resulted in high satisfaction and effective improvement in compliance in your post acute levels of care.
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PreCheck Incwww.precheck.comPreCheck’s background screening, credentialing and compliance services are designed exclusively for healthcare. Over 3,000 healthcare customers trust PreCheck for their employment screening and compliance needs. Our services include healthcare criminal background checks, ongoing OIG/GSA exclusion monitoring and sanction screening, and outsourcing solutions for license management and board action monitoring. PreCheck is an accred-ited screening firm by the National Association of Professional Background Screeners, which means we operate at the highest level in our industry.
Protivitiwww.protiviti.com/healthcareProtiviti is a global consulting firm that helps healthcare organizations manage business risks and regulations while driving greater performance. Our healthcare professionals solve problems in risk, compliance, and technology enabling effec-tive and efficient operations across the spectrum of healthcare providers, payers, life sciences and pharmaceutical organizations as well as non-traditional organizations. Learn how we can help you. Contact Vickie Patterson 1-813-348-3407 or [email protected].
ProviderTrust, LLCwww.providertrust.comProviderTrust was formed by two visionaries imag-ining new ways to apply innovation and technology to solve inefficiencies in healthcare compliance. That was just the beginning. ProviderTrust has since pushed the limits by building software that provides solutions to some of the most pressing compliance laws including exclusion monitoring, sanction checks, and license management—for employees, vendors and more. Learn more about ProviderTrust’s solutions at providertrust.com.
PwCwww.pwc.com/healthcarePricewaterhouseCoopers Health Industries serves as catalyst for change and the leading advisor to organizations across the health continuum. PwC draws from its broad perspective and capabilities across and beyond the health industries to help solve the array of emerging complex problems health organizations face, lead cultural and clini-cal transformation, and create a new, sustainable model for care delivery that is quality driven, patient centered and technology enabled.
Quorum Health Resourceswww.qhr.comQuorum Health Resources’ experienced compli-ance consultants help you take your compliance program to the next level and reduce risk for your organization. Our team offers a variety of services, from overall compliance program development and improvement to specific risk focused assess-ments and guidance. We are prepared to provide onsite review and analysis along with imple-mentation assistance and education. Quorum’s compliance consulting team can help you navigate the complex regulatory environment and develop processes to protect your organization.
Reimbursement Management Consultants, Incwww.rmcinc.orgRMC is a Northwest-based consulting firm provid-ing exceptional services nationwide since 1994. Specializing in Coding Compliance Reviews, we work with Compliance Professionals to ensure their hospitals and physician practices are in com-pliance with coding, billing and documentation guidelines. Our staff are highly qualified individu-als with myriad experience conducting reviews for healthcare institutions, governmental agencies and attorneys. Our success is directly attributed to quality people doing quality work. Your satis-faction is guaranteed.
REVEAL/md™REVEAL/md™www.FiMedLabs.com REVEAL/md™ predictive analytic software for hos-pitals instantly identifies audit risk exposure and revenue potential of outpatient providers. It is a web-based solution that provides high level sta-tistical analysis in an easy to use manner. REVEAL/md™ mimics the same statistical methodology used by auditors to compare each provider on more than 50 known risk indicators providing the needed evidence to put together an efficient and effective work plan. Chart reviews, physician edu-cation, SaaS for HEDIS, Inpatient Commercial and Governmental audits with workflows including attaching charts are available.
SAI Global Compliancewww.saiglobal.com/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.
Secure Healing Incwww.securehealing.comSecure Healing is the only company that pro-vides intelligent behavioral based rogue user detection to mitigate your risks and comply with HIPAA/HITECH regulations. Our patented breach reporting and detection system makes manual audit process efficient through automation. The machine learning engine and proprietary risk rating engine helps identify rogue users and alerts authorities in real-time. In-depth and actionable forensic reporting makes breach detection logical and more accurate than ever before. Our value-added services of managed auditing & security risk analysis deliver efficiencies and reduce costs.
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SmithAmundsen LLCwww.salawus.comSmithAmundsen attorneys’ in-depth knowledge of the health care regulatory landscape and expe-rience provides clients with accurate, timely, and cost effective savings. We represent health care organizations across the continuum of care, from hospitals and health systems to providers of long term care and home health. We assist with legal and compliance issues, including management of regulatory surveys, audits, and investigations; counseling for privacy and security, fraud and abuse, and compliance program requirements; performance of regulatory and compliance related risk assessments and reviews; and support for pro-vider accreditation and certification efforts.
Stanford Health Carewww.stanfordhealthcarecareers.comStanford Health Care (SHC) seeks to heal humanity through science and compassion one patient at a time, through its commitment to care, educate, and discover. SHC delivers clinical innovation across its inpatient services, specialty health centers, physi-cian offices, virtual care offerings and health plan programs. SHC 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. SHC is renowned for breakthroughs in treating cancer, heart disease, brain disorders and surgical and medical conditions. Go further, embrace the chal-lenge, and join us for what’s next.
Strategic Management Serviceswww.compliance.comStrategic Management is a nationally recognized consulting firm focused on delivering high-quality, innovative and timely compliance and regulatory services to clients in the health care industry. For over twenty years, Strategic Management has been on the forefront of regulatory and enforce-ment initiatives related to the health care industry, its operations and business practices. Strategic Management specializes in health care compli-ance management and consulting services with a specific focus on compliance program evaluations, risk assessments, HIPAA compliance, claims data analysis, litigation support, physician arrange-ments reviews, responding to government auditors and regulatory analysis.
compliance. exclusion screening. streamlined.
Streamline Verifywww.streamlineverify.comStreamline Verify is the cutting-edge software that has revolutionized OIG exclusion screen-ing. Powerful, affordable, and incredibly easy to navigate, Streamline Verify performs automated monthly searches of the Federal OIG’s LEIE, GSA’s SAM , and all State exclusion databases, 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.
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Sunera LLCsunera.comSunera LLC is a business and technology risk advi-sory services firm that is dedicated to helping organizations achieve and sustain strong corpo-rate governance, effective risk management and cost-effective compliance. Our firm provides a wide range of consulting and advisory services to large and medium-sized businesses and govern-ment agencies. This includes our data privacy, information security and corporate governance services, which are driven by comprehensive, proven methodologies and executed by profes-sionals with the highest industry certifications. We are project and solution focused, utilizing proven methodologies to deliver services with an unsur-passed focus on quality.
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2014
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2012
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2425
26
2728
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12
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SUN
DAY
MO
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2526
2728
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2021
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2324
2526
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5
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Yom
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pur B
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undo
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low
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Gal
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aj R
ajar
atna
m
and
five
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rres
ted
for a
llege
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side
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2014
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artis
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ads
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Pol
and
brib
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case
.
2001
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rew
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tow
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2010
Gla
xo S
mith
Klin
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gui
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nd
agre
es to
$75
0M s
ettle
men
t
2011
Oly
mpu
s adm
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$1.7
B ac
coun
ting
fraud
2013
Pen
n St
ate
reac
hed
$59.
7M
sett
lem
ent w
ith 2
6 se
xual
abu
se v
ictim
s
2014
RBS
avo
ids $
140M
fine
by
blow
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whi
stle
on
Swis
s Fra
nc b
ank
cart
el
2014
For
mer
eng
inee
r at t
wo
glob
al
med
ical
tech
nolo
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orpo
ratio
ns
sent
ence
d to
18
mon
ths i
n pr
ison
for t
heft
of
trad
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cret
s
2014
For
mer
hom
e he
alth
care
age
ncie
s ow
ner p
lead
s gui
lty in
$22
M M
edic
are
frau
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nspi
racy
2014
Ext
endi
care
Hea
lth S
ervi
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gree
s to
pay
$38
M to
set
tle a
llega
tions
ove
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bsta
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rsin
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re a
nd u
nnec
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reha
bilit
atio
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2014
Med
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Bus
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s Ser
vice
agr
ees t
o pa
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.95M
Fal
se C
laim
s Act
set
tlem
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2014
Com
poun
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pha
rmac
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dmits
pa
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kic
kbac
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r ref
erra
ls, h
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care
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2014
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Nas
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16
2526
2728
2930
1
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45
67
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2324
2526
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29
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12
34
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rD
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2016
2728
2930
12
3
45
67
89
10
1112
1314
1516
17
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2021
2223
24
2526
2728
2930
31
SUN
DAY
MO
NDA
YTU
ESDA
YW
EDN
ESDA
YTH
URSD
AYFR
IDAY
SATU
RDAY
3031
12
34
5
67
89
1011
12
1314
1516
1718
19
2021
2223
2425
26
2728
2930
12
3
FULL
M
OO
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2013
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to p
lead
gui
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frau
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to $
1.8B
se
ttle
men
t
2013
Joh
nson
& Jo
hnso
n ag
rees
to $
2.2B
se
ttle
men
t ove
r Ris
perd
al m
arke
ting
2014
Bio
-Rad
agr
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o $5
5M F
CPA
sett
lem
ent
2014
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ndai
and
Kia
reac
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se
ttle
men
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r rep
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d M
PGs.
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2014
Ban
k of
Tok
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M p
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2012
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men
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prim
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2012
Wal
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stig
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to b
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and
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agre
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reco
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4.5
billi
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pe
nalti
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crim
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set
tlem
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f oi
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2012
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AG
fine
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by
UK
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in
rogu
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adin
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2013
Wea
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ford
agr
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A se
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men
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subs
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lead
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Com
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cont
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2012
US
gove
rnm
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m n
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trac
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12
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5
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311
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4
SUN
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2013
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impo
ses $
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in fi
nes o
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for r
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riggi
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2014
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to p
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389M
in fi
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arr
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curit
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raud
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ail
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mon
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case
2014
Avo
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bsid
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ads g
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CPA
viol
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135M
set
tlem
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raud
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case
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men
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over
tax
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2014
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agr
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men
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anni
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