Real Compliance Solutions
Projects both launching new compliance programs as well as assessing existing programs to implement best practices and further operationalize compliance program elements including:​​
-
Code of Conduct booklets
-
Policies & Procedures
-
Privacy Operations Manual
-
Training and Education for employees, physicians,
C-suite, governance committees and boards -
Innovative Assistant Compliance Officer liaison program
-
HIPAA Train the trainers initiative
-
Risk Assessments
-
GAP Analyses
-
Audit & Monitoring review
Managed and mitigated damages for a major medical institution due to a large privacy breach including fulfillment and closure of the Office of Civil Rights (OCR) Data Request with no penalties imposed
Engaged as Interim Compliance Officer to establish enterprise wide compliance program for national behavioral management corporation spanning multiple states. Trained organization’s newly hired compliance officer to successfully launch and implement the program
Led hospital’s multi campus interdisciplinary team responding to Office of Program Administration (OPM) HRSA Audit of hospital’s 340B Drug Program. Developed Corrective Action Plan (CAP) and government response successfully avoiding closure of the Program valued at $11 million annually and enhancing care for patients in need.
Compliance leader for hospital’s reconsideration appeal to Office of Inspector General (OIG) Audit, reducing initial extrapolated demand in half. Liaison between organization and outside counsel.
As Chief Compliance Officer, developed and implemented an effective compliance program for a $380 million organization under a three year Corporate Integrity Program, successfully meeting all government enforcement obligations and IRO audits
As Interim Compliance Officer on behalf of Medicare Advantage Health Plan faced with potential government closure, developed and implemented a comprehensive Corrective Action Plan that, under tight deadlines, successfully mitigated CMS enforcement action
Conducted internal investigation involving surgical inventory processes directly resulting in a $1.3 million refund for stolen surgical devices and the redesign of surgical services processes.