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Corporate Compliance &
Hospital Compliance |
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About
HCCS: Board of Advisors
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HCCS has
attracted a distinguished panel of advisors and contributors
for our Professional Compliance (hospital compliance) Software, including:
Lilly Marks, Executive
Director, University Physicians, Inc. (UPI), the Practice
Plan of the University of Colorado.
Ms. Marks has developed a comprehensive healthcare compliance program at UPI over
the last ten years, and is considered one of the foremost experts in
the area of medical school compliance. lilly.marks@uchsc.edu
Patrick Marion, CFE, Principal,
Compliance Concepts, Inc.
Mr. Marion is a former Manager for the Office of the Inspector General,
and was instrumental in the development of the PATH (Physicians at Teaching
Hospital) audit guidelines, and the audit protocols relative to the "72
hour rule". ccipat@aol.com
William Prachar, Esq. Howrey
and Simon, LLP.
Mr. Prachar was the Chief Compliance Officer for Teledyne, a large defense
industry contractor, and presently coordinates the Defense Industry Initiative,
an organization formed to assure that corporate compliance programs become
integral to defense industry operations. His work at Howrey and Simon
focuses on compliance issues in the defense and healthcare industries. bprachar@lrn.com
Gail Margolis, Esq., The Margolis Firm.
Ms. Margolis is a nationally recognized expert on Health Law, particularly
in the area of Managed Care. She serves as Chair of the Local Initiative
Health Authority Governing Board for Los Angeles County, and is President
of the Board of Directors of the Venice Family Clinic. She is Chair of
the Medical/Legal Committee of the Southern California Healthcare Financial
Management Association. managedlaw@aol.com
Thomas B. Heffelfinger, Esq., Bowman
and Brooke, LLP.
As the U.S. Attorney for the District of Minnesota, appointed by former
President George Bush, Mr. Heffelfinger served on the Attorney General's
Advisory Committee, and the Organized Crime and Violent Crime Subcommittee.
His practice focuses, in part, on preventive representation, internal
investigations, and development of compliance programs.
Debbie Troklus, Former
President, Health Care Compliance Association.
Ms. Troklus is the Assistant Vice President for Health Affairs/Compliance
for the University of Louisville School of Medicine where she is responsible
for the continued development and management of its compliance program.
Ms. Troklus is a noted speaker and writer on compliance and fraud and
abuse in health care. She sits on several advisory boards, and is an
assistant editor for the Journal of Health Care Compliance. debbie.troklus@louisville.edu
HCCS has attracted a distinguished panel of advisors and contributors
for our Corporate Compliance interactive software, including:
Helene L. DesRuisseaux, MPA, Chief
Compliance Officer Cedars-Sinai Health System, Los Angeles,
California.
Helene L. DesRuisseaux is the Chief Compliance Officer for the Cedars-Sinai
Health System, the largest nonprofit hospital in the western United States.
Prior to joining Cedars-Sinai in 1998, she was the Chief Operating Officer
at UCLA Medical Center. She has nearly 20 years of experience in health
care management at major teaching hospitals including UCLA and Memorial
Sloane-Kettering Cancer Center. She also serves on the Oversight Committee
and lectures on corporate compliance for the UCLA School of Public Health
MPH Program for Health Professionals. She is an active member of the
Health Care Compliance Association, the VHA Compliance Officers' Affinity
Group and the VHA West Coast Corporate Compliance Learning Network. 8700
Beverly Boulevard, Los Angeles, California 90048 (310)423-7972
Janet Newberg, Esq. Felhaber Larson
Fenlon and Vogt, St. Paul, Minnesota.
Janet A. Newberg is an attorney in the health law group at Felhaber Larson
Fenlon & Vogt, a Twin Cities law firm. She practices in the areas
of health care fraud and compliance, government investigations and enforcement
proceedings and health care litigation, including the False Claims Act
and its qui tam provisions. She was formerly an Assistant United States
Attorney at the U.S. Attorney's Office in the District of Minnesota,
where she served as the criminal health care fraud coordinator, and created
and chaired the Minnesota Health Care Fraud Task Force. She also served
as the Director of the Minnesota Medicaid Fraud Control Unit. Janet has
lectured and taught extensively in the areas of health care fraud and
abuse and health care compliance. 2100 Minnesota World Trade Center,
30 East Seventh Street, St. Paul, MN 55101-4901 Phone: (651) 312-6008 jnewberg@felhaber.com
Claudia A. Hinrichsen, Esq. Nixon
and Peabody, Garden City, New York.
Claudia A. Hinrichsen is a Senior Associate in the health law group
at Nixon and Peabody, a New York based law firm. Her practice includes
the general representation of health care clients, including hospitals,
physician groups and integrated delivery systems on a broad array of
medical-legal issues, including fraud and abuse counseling, compliance
plan development, managed care negotiations and contracting, hospital
governance, graduate medical education and residency accreditation. Ms. Hinrichsen
additionally engages in transactional matters for physician groups, including
practice sales, acquisitions and mergers and represents physicians in
Medicaid appeals and HMO termination appeals. 990 Stewart Avenue,
Garden City, NY 11530 Phone: (516) 832-7532 chinrichsen@nixonpeabody.com
Diane Mackey, Esq. Friday,
Eldredge & Clark, Little Rock, Arkansas.
Diane Mackey, Esq. is a partner with Friday, Eldredge & Clark, the
largest full service law firm in Arkansas. She is an adjunct health law
professor at the University of Arkansas Law School, and also teaches
at the University of Arkansas Medical School. She represents the Arkansas
Hospital Association, and provides the full gamut of health law services
to physicians, hospitals and long term care institutions. She is a member
of the American Health Lawyers Association, the American Law Institute,
and local, state and national Bar Associations. 2000 Regions Center,
400 West Capitol, Little Rock, AR 72201-3493 Phone:
(501) 370-1507 mackey@fec.net
Patrick Marion, CFE, Principal
Compliance Concepts, Inc., Wexford, Pennsylvania.
Patrick Marion spent over 23 years with the Department of Health and
Human Services, Office of Inspector General. His knowledge of government
investigations and compliance settlements is the most comprehensive in
the compliance and healthcare fields. During his tenure with the Office
of Inspector General, he was instrumental in the development of the PATH
(Physicians at Teaching Hospitals) audit guidelines, and the audit protocols
relative to the "72 hour rule." Stonewood Commons III, Suite
320, 105 Bradford Road, Wexford, PA 15090 Phone: (800) 327-3014 complianceconcepts@ccil.net
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HCCS has
attracted a distinguished panel of advisors and
contributors for our HIPAA Compliance interactive
software, including:
Janet K. Himmelreich, Managing
Director, ZA Consulting, LLC.
Janet K. Himmelreich brings more than 25 years of health care experience
to this project. Her extensive background includes HMO development,
working within a regional physician billing company, and founding and
operating a health care billing and practice management consulting
firm. Janet has been a principal in the Hospital/Physician/Compliance
consulting practices of ZA Consulting and its predecessor firms. Janet's
practice is concentrated on health care provider compliance issues,
focusing on the HIPAA (Health Insurance Portability and Accountability
Act of 1996) Administrative Simplification issues, as well as "traditional" billing
and coding compliance. Traditional compliance advice is rendered to
clients about implementation of programs and procedures complying with
applicable billing and practice guidelines such as Stark rules, OIG
model compliance plans and Medicare/Medicaid rules and regulations. Her
areas of expertise include HIPAA Consulting, Compliance Consulting,
and Litigation Support.
A frequent lecturer in the area of HIPAA Compliance and EDI, compliance
issues and auditing, physician practice operations, billing processes,
compensation systems, Janet also provides expert witness testimony
on billing issues. She is a member of numerous professional associations,
including American Health Lawyers Association, American Academy of
Professional Coders, Medical Group Management Association, Health Care
Compliance Association, Healthcare Financial Management Association,
American Healthcare Internal Auditors and the Compliance Officer's
Society. Janet received a BA in history and political science
from Gettysburg College, an MA in government/urban studies from Lehigh
University, and an MBA in health and medical services administration
from Widener University.
Martin Rogers, Executive
Director, Information Security Practice, Computer
Horizons Corporation.
Martin Rogers is a senior member of the Computer Horizons Corporation
Solutions Division management team and the Executive Director of the
Information Security Practice/ HIPAA Services. Martin has over
13 years of experience in Network Engineering, IT Operations, IT Management
and Information Security Consulting. Mr. Rogers has an extensive
background in technical information security product integration and
Risk Management Consulting.
Mr. Rogers is a founding member of HIPAA Pros.com, the Compliance Alliance,
and many other well known strategic business partnerships. He has spoken
and provided training for many organizations including the Professional
Lawyer's Institute, the North Carolina and South Carolina Hospital
Associations, the Illinois Hospital Association, Midwest HCCA Conference,
Lorman Educational Services, AHIA, and the HIPAA Executive Summit,
hosted by Advanced Learning Institute.
Mr. Rogers has a B.S. in Computer Science, and is a (CCSE) Certified
Checkpoint Security Engineer), a (CISSU) Certified Information Security
Scanner User, and a (CNE) Novell Certified Network Engineer and (CPKIA)
Certified PKI administrator. Mr. Rogers is also a member of MIS,
CSI, ICSA, SANS, and ISSA.
Ryan D. Meade, Partner,
Michael Best & Friedrich, LLP.
Ryan D. Meade is a partner of the firm\'s Chicago office and a member
of the Health Law Practice Group. Mr. Meade focuses his practice
on the development and implementation of corporate compliance programs
for health care organizations, concentrating principally on health
information management/HIPAA compliance programs as well as Medicare/Medicaid
billing compliance programs. Mr. Meade also provides legal advice
in health care fraud and abuse analysis and reimbursement issues. He
serves as counsel to compliance committees and has developed compliance
programs for a wide variety of entities, including hospitals, skilled
nursing facilities, home health agencies, hospices, laboratories, billing
services and physician practices. Mr. Meade also assists health
care clients in negotiations with government officials regarding compliance
matters.
Brian D. Annulis, Partner
Michael Best & Friedrich, LLP.
Brian D. Annulis is a partner of the firm's Chicago office and a member
of the Health Law Practice Group. Mr. Annulis' practice concentrates
in health care law with a special emphasis on matters involving reimbursement
under the Medicare and Medicaid programs, fraud and abuse, corporate
compliance and HIPAA.
Following law school, Mr. Annulis was an attorney with the United States
Department of Health and Human Services, Office of the General Counsel,
Health Care Financing Division. He concentrated in Medicare reimbursement
and litigation matters.
Lise Rauzi, Vice
President, HCCS, Inc.
Lise Rauzi has consulted with and provided training
for over 1,000 medical groups and academic medical
centers on Medicare compliance, other payer compliance,
HIPAA compliance, and practice management. She
has spoken on these and other topics to audiences as
large as 4,000.
She was a Senior Consultant with CSC Healthcare for four years where
she specialized in managing projects such as Physician Hospital Organization
development, Management Services Organization development, and physician
compensation plans all involving navigation of regulatory and compliance
issues.
Ms. Rauzi is a principal in HCCS. She
is accountable for the development of compliance content for the HCCS
computer-based training programs and client education ancillary to
the computer-based training.
Stephen A. Kamenetsky, M.D. Stephen A. Kamenetzky,
M.D.
Stephen Kamenetsky is a practice management consultant and an advisor
to the American Academy of Ophthalmology on HIPAA and Medicare Fraud
and Abuse issues. For many years, he was Secretary of Practice
Management for the AAO, and is currently a consultant to the Health
Policy Committee, a member of the Health Plan Relations Committee and
Chair of the Coding Modules Task Force. He is also a frequent panel
member at the Medicare Noontime Briefing at the AAO annual meeting,
and speaks regularly on practice management issues.
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HCCS has
attracted a distinguished panel of advisors and contributors
for our Research Compliance interactive software, including:
John M. Allen, Assistant Vice President
of Scientific Affairs, State University of New York, Brooklyn.
Mr. Allen serves as the Assistant Vice President of Scientific Affairs
at Downstate Medical Center, and on behalf of the Research Foundation of
SUNY in Brooklyn, New York. He is responsible for grants and
contracts, and is the endorsing designee for the Research Foundation. He
oversees the Division of Laboratory Animal Research (DLAR), and is the
liaison for the Research Foundation's Technology Transfer Office (TTO). Before
coming to SUNY, Mr. Allen was an Associate Director for Administration
at Harvard University and a Research Contract Administrator at the Office
for Sponsored Research at Harvard University. Mr. Allen attended Cornell
University, and did graduate work at the University of Arizona and the
University of Pittsburgh. john.allen@downstate.edu
Madeline Alexander, Ph.D., Director
of Research Education, The Children's Hospital of Philadelphia.
Madeline is Director of Research Education at The Children's Hospital of
Philadelphia where she is responsible for the design and delivery of programs
related to compliance, clinical and basic research practices, and professional
development. Prior to assuming this position in February of
2002, she was a researcher and faculty member in the Department of Psychiatry
at the University of Pennsylvania School of Medicine. Madeline
received her Ph.D. in psychology from Columbia University in 1990.
alexanderm@email.chop.edu
Judy Argon, M.S., Vice President
for Research Administration, The Children's Hospital of Philadelphia.
Judy has been the Vice President for Research Administration at The Children's
Hospital of Philadelphia since 2000. A research administration professional
since 1984, Ms. Argon served as director of Research and Resource Development
and as director of the Office of Research Services at the University of
Chicago's Pritzker School of Medicine prior to joining CHOP. She
is a frequent panelist at NCURA and related conferences, and is the author
of the NCURA primer on "Subcontracting with Non-federal Sources." She
has received Master's degrees from both Harvard and Johns Hopkins and has
completed Ph.D.-level curriculum work at Johns Hopkins University.
argon@email.chop.edu
Kendra Dimond, JD, Partner, Epstein
Becker & Green, P.C., Washington, D.C. office.
Ms. Dimond is a partner at the Washington, D.C. office of Epstein Becker & Green,
P.C., where she practices Health Law. She has extensive experience
advising a wide variety of clients on research compliance issues. She
provides guidance on policy development and counsels clients on structuring
effective compliance programs specifically tailored to the research enterprise,
both for sponsors and for health care entities conducting the research. Ms.
Dimond was formerly Investigative Counsel to the U.S. Senate Special Committee
on Aging and later joined the HHS Office of General Counsel at the National
Institutes of Health (NIH), where she advised NIH on matters relating to
the investigation of fraud and misconduct in scientific research. Subsequently
she headed the NIH Office of Legislative Policy and Analysis and was directly
involved in Congressional and other governmental investigations and inquiries
pertaining to research support and research fraud issues. Ms. Dimond
has authored articles and given presentations throughout the United States
on the topic of compliance with law and policy issues in the research setting.
Debra Fields, J.D., Chief Compliance
Officer, City of Hope National Medical Center.
Debra has been the Chief Compliance Officer of the City of Hope National
Medical Center and Beckman Research Institute since 1998. She handles
corporate compliance and ethics matters for all three City of Hope corporations,
which include the hospital and clinics, the NCI-designated Cancer Center
and research departments and the development group. Prior to joining
City of Hope she served as Associate General Counsel of The George Washington
University from 1992 to 1998 and Associate at the Washington, D.C. law
firm of Arnold & Porter from 1989 -1992. She is a 1987 graduate
of Harvard Law School. dfields@coh.org
F. Lisa Murtha, JD, Principal, Parente
Randolph, LLC.
Ms. Murtha is a Principal in the Philadelphia office of Parente Randolph,
LLC and focuses her practice in clinical research compliance, revenue cycle
work, billing and coding issues, internal investigations, corporate governance/ethics,
and HIPAA work. Prior to joining Parente Randolph she served as the
Vice President of Audit, Compliance and Chief Privacy Officer for The Children's
Hospital of Philadelphia (CHOP), the Stokes Research Institute, and The
Children's Hospital of Philadelphia Practice Association. She also served
as a Managing Director for KPMG LLP's New York based health care fraud
and compliance practice and as a Senior Manager for Deloitte and Touche’s
compliance practice. Prior to her consulting career, Ms. Murtha worked
as the Chief Compliance Officer for the University of Pennsylvania and
University of Pennsylvania Health System, and prior to that as the Corporate
Compliance Director for Pennsylvania Blue Shield. Ms. Murtha frequently
lectures nationally on compliance-related issues and has published numerous
articles on various health care topics, including HIPAA, Clinical Research
and healthcare compliance issues. Ms. Murtha received her JD from
the Dickinson School of Law in 1986. |
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HCCS has
attracted a distinguished panel of advisors and contributors
for our Accreditation Compliance interactive software,
including:
Linda Burnes Bolton, Dr. P.H., R.N., F.A.A.N.; Vice President
and Chief Nursing Officer at Cedars-Sinai Health System and Research Institute
in Los Angeles, California.
Dr. Burnes Bolton was the first African American to graduate from the Arizona
State School of Nursing. She also holds a Dr.P.H. and is a fellow of the
American Academy of Nursing (F.A.A.N.). Over the last 20 years, Burnes
Bolton has played a vital leadership role in raising issues of diversification
in nursing education and practice.
Burnes Bolton currently serves as Vice President and Chief Nursing Officer
at Cedars-Sinai Health System and Research Institute in Los Angeles. She
is a past president of the National Black Nurses Association, and is a
member of the California Strategic Planning for Nursing Committee on Diversity,
the Institute for Nursing and Health Care and the National Advisory Council
on Nursing Education and Practice. She also advised on the formation of
the Asian American Pacific Islander Nurses Association and is on the editorial
board of the Journal of the National Hispanic Nurses Association. While
at Cedars-Sinai, Burnes Bolton's division was designated as a Magnet Nursing
Service by the American Nurses Credentialing Center, the highest award
given to hospitals by the nursing profession.
Carolyn K. Lewis, PhD, R.N., C.N.N.A, B.C., University
of Kentucky, College of Nursing in Lexington, Kentucky.
Dr. Lewis is currently an associate professor in the College of Nursing
at the University of Kentucky, in addition to serving on the faculty council,
and numerous university committees. She is also managing principal
of the PRINE Group, a consulting corporation that consults with acute care
facilities on shared governance models, gap analysis in preparation for
Magnet Recognition/Designation, focus groups, and has developed and piloted
a national certification examination for Acute Care Nursing Assistants. Dr.
Lewis' vast experience with nursing education includes an extensive background
in formal education strategies and continuing education.
In addition, Dr. Lewis has been actively involved with comprehensive credentialing
organizations committed to high quality nursing through board certification
examinations and national accreditation of continuing education for nurses. She
was also a part of the Magnet Nursing Services Recognition Program for
acute and long term care facilities recognizing excellence in nursing services,
in her past position as the Executive Director of the American Nurses Credentialing
Center. Dr. Lewis is currently the Chair of the Sullivan Awards Committee
at the University of Kentucky, on the Board of Directors for the Board
of Pharmaceutical Specialties and serves on the National Commission of
Certifying Agencies.
Thomas Mack, Principal and Co-founder
of Xpediate Consulting LLC, San Rafael, California.
Mr. Mack is a Principal and Co-founder of Xpediate Consulting LLC, and
is a licensed pharmacist in the states of California and Ohio. Mr. Mack
began his career at Kettering Memorial Hospital in Kettering, Ohio as a
clinical pharmacist and continued practice at Marin General Hospital in
Greenbrae, California as a pharmacy manager. He began a formal consulting
career in 1993 supporting business development and clinical business initiatives
for clients like California Pacific Medical Center, Good Samaritan Health
Systems, Kaiser Permanente North, St Jude's Medical Center, Sharp Healthcare,
Children\'s Hospital San Diego, John Muir Medical Center, Mayo Clinic Scottsdale,
Becton Dickenson and Lovelace Health Systems.
Mr. Mack's experience gives him a broad understanding (strategic and tactical)
that makes him a frequent resource for healthcare executives in all sectors
of the healthcare industry. A short list of his experience includes:
• Compliance Assessment
• Financial, clinical
and decision support systems implementation
• Information architecture
• Revenue cycle
design
• Business process
redesign
• Hospital design
and constructionJoel Yohai, M.D., M.S., Health Care
Management; Senior Vice President for Medical Affairs and Chief Medical
Officer, Catholic Health Services of Long Island, Rockville Centre, New
York.
Dr. Yohai is responsible for integrating Medical Staff functions across
the entire Catholic Health Services (CHS) of Long Island system, including
medical staff performance improvement, program development and credentialing.
He has ongoing responsibility for supervising the system-wide functions
of care management and performance improvement. This includes coordination
of care throughout the continuum from preadmission through post discharge,
management of care in the community, denial management and system-wide
performance improvement, including Joint Commission Accreditation and other regulatory
compliance. Dr. Yohai is also responsible for oversight of system-wide
CHS risk management and functions as the CHS Chief Privacy Officer for
compliance with HIPAA regulations.
Dr. Yohai is a member of the New York State Medical Society, Kings Chapter
where he served on the Board of Directors and Island Peer Review Committee.
He is also a member of the New York State Association of Quality Assurance,
New York State Association of Risk Managers, and New York State Oversight
Panel on Quality Initiatives. |
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